Patient Information

INSURANCE AND BILLING

Total Lifetime Care Center maintains a list of health care plans with which we have contracted to provide services to our patients. We have agreed to bill those insurance carriers for all services rendered. This, however, does not always guarantee payment. Therefore, if the insurance company does not pay, payment for services becomes the responsibility of the patient. We require that you assign all insurance company payments directly to our office in order for us to file your claims for you. If an insurance problem occurs, you may be asked to assist us in contacting your insurance carrier to resolve any outstanding claims issues.

If you have an insurance plan with which we are not contracted, or if you are not insured, you will be responsible for payment at the time services are rendered. We can provide you with a receipt acceptable to submit to your insurance company.

We do not file claims to Automobile or Liability insurance plans. If the reason for your visit is a result of an automobile accident or other accident that may be litigated, you will be responsible for payment for services at the time of your visit. We do not handle Worker's Compensation claims, therefore we do not treat any injuries or illnesses that are job-related.

INSURANCES WE ACCEPT

Currently we participate with all major Insurance companies such as Anthem, Atena, Summa, Kaiser, United Healthcare, Medical Mutual, CIGNA, Medicare, Medicaid and several other insurance companies. To ensure we are a contracted provider please contact your insurance company.

The list of insurances may change from time to time. If you have questions regarding our participation, or do not see your plan listed,

please call us at (330) 527-4852.

VERIFICATION OF INSURANCE

Prior to you visit our insurance specialist will verify your coverage and benefits. If it is discovered that you are not covered at the time of your visit, you will be responsible for payment at the time of service. If your insurance has changed since your last visit, please notify the receptionist when you call to make your next appointment. Present your current correct insurance information immediately upon your arrival in the office. It is imperative that you have a current insurance card which shows the effective date of coverage, and if required by your plan, designation of one of our physicians as your Primary Care Physician (PCP). If you do not have these items, you will either have to reschedule your visit or be responsible for payment of all services until you have proof of insurance and PCP designation.

CO-PAYMENTS AND DEDUCTIBLES

Co-pay and deductibles are due at time of service. If you are unsure of these amounts, please contact your insurance company prior to your visit. Payment is expected at the time of service. Total Lifetime Care Center may accept payment arrangements made in advance with our Billing Office. Please call 330-527-4852 ext 140 to make such arrangements.

NON-COVERED SERVICES

There may be services your provider orders that he/she deems medically necessary for your care that are not covered by your insurance plan. We will do our best to advise you before you receive these services that there is a possibility that it might not be covered. You will be asked to sign a statement verifying that you will be responsible for the associated charges should your plan not cover them as part of your insurance coverage.

MISSED APPOINTMENTS, RETURNED CHECKS, PAST DUE BALANCES

Failure to cancel an appointment without 24 hours prior notice is subject to a $35.00 no show fee.

Checks returned due to insufficient funds are subject to a $30.00 fee.

All past due balances are subject to an interest charge and may be placed with an outside collection agency for collection if payment arrangements are not made.