By athleteplus • July 3, 2017 • Comments Off on What is Your Financial Policy?
The following FINANCIAL POLICY is included in your New Patient Packet
|We want to thank you for choosing AthletePlus as your healthcare provider. We are sure you understand that payment for this healthcare is your responsibility. The following information outlines your financial responsibilities related to payment for professional services: Required at Check In:
Payment Options: Check, Echeck, Credit Card (Am Ex, Master Card, Visa), Apple Pay, PayPal, Care Credit.
AutoPay/Recurring Payment Plans, Direct Self Pay/Membership Programs and Care Credit Financing available.
Collections Policy – Balances held over 90 days are subject to 1% interest charge or will be sent to Collection Agency with patient responsible for all fees.
_______ Initial *PLEASE NOTE THIS IS ONLY A VERIFICATION OF BENEFITS, NOT A GUARANTEE AND IS SUBJECT
TO CHANGE. ANY AMOUNTS NOT COVERED BY INSURANCE WILL BE YOUR RESPONSIBILITY.*
I understand I will be responsible for the amounts shown above. As a courtesy, we verify insurance benefits for patients. This in
no way guarantees that your insurance company will pay exactly as quoted, benefits cannot be guaranteed over the phone. This
facility is not responsible for obtaining or being aware of your policy requirement for referrals from your primary care physician,
pre-certifications, or limits with your specific policy. Your insurance policy is a contract between you and your insurance company; therefore the responsibility lies with you, the patient, to be aware of this information. We will assist you if necessary to help
you obtain this information. AthletePlus, is not obligated to withhold statements or to wait until settlement has been made
before receiving payment for services. I understand that payment will be collected at the beginning each visit. AthletePlus
does offer payment plans for your convenience; however we do reserve the right to refuse treatment if payment is not paid
as per this agreement.
|* For MVA and/or Patients with Attorneys who will not use their Health or Auto Insurance: We agree to bill third party liable parties (ex. MVA/Attorney cases) when we have all the claim information the patient has signed a medical lien. The patient, at the time of service will be responsible for a $25 lien fee filed at Washington County Courthouse and an initial payment of $75 for the evaluation. Should the third party be dismissed or limits exceeded, the patient will be billed at our self pay rates and be responsible for any collection fees. Also, we will only hold these charges for up to 20 months unless payment is received and we will not negotiate fees at the time of settlement.|
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My experience at AthletePlus, was the best. They helped me be more flexible and a strengthening my hip.
I started my physical therapy in a significant amount of pain. After a couple weeks I stopped taking pain medicine because I was experiencing so much relief from pain. The staff was so helpful and knowledgeable. Every visit was a positive experience.
Exceptional will be my word. First thing that comes in my mind.
I was really pleased with the service at AthletePlus. The staff is professional and helpful. I felt comfortable asking any questions about the therapy and anything related to my injury. I felt at ease getting advice on how to adapt the routines so I could do them at home. Overall, I would recommend them to anyone.
Excellent, Chris predicted 3 months of work and it was just at 3 months. I have great range of motion now in my shoulder. Chris and Rodney pushed me and the work paid off. Lindsi is always cheerful, helpful and sweet. x
a nice place everyone is nice to you here. they care about you a lot they want you to get better.
Very professional, kind people who answered each question I had throughout the program. The program was challenging, yet possible for someone with my injuries to complete. The E-Stim sessions seemed to help, also. I completed the exercises I was directed to do at home each day to strengthen my back.
Overall a very positive experience. The staff has been very professional and have provided me with not just therapy, but a method to continue my work outside the center. All the exercises provided have been such that they can be integrated into my normal workout routine. This should allow me to work on any problems on my own in the future. I have been very pleased with the progress I made and with the program.
i connected with the staff. i had fun and I am glad i dont have to get surgery.
I felt that the people and atmosphere were very supportive and helpful. I appreciated the patience and humor of the therapists. I would recommend Athlete Plus looking to get healthy.