Financial and Insurance

FinancialandInsurancePayment Policy

We are committed to the success of your medical treatment and care. Please understand that payment of your bill is part of this treatment and care.

All patients must complete our Patient Information Form. We believe that a good relationship is based on understanding and open communications. Our staff has been instructed to make every effort to clarify any issues concerning your balance.

For your convenience, we have answered a variety of commonly-asked financial policy questions below. If you need further information about any of these policies, please ask to speak with a patient representative or the Practice Manager.

How May I Pay?

We accept payment by cash, check, VISA, MasterCard, Discover and American Express. For your convenience, our billing office is staffed Monday through Thursday from 8:00 AM to 4:00 PM. The phone number is (706) 295-5150. You are expected to make payment in full upon receipt of a bill showing your balance due or according to the terms below:

Payment Plans

Payment Plans may be established following the terms below. An account set up on a payment plan is considered delinquent four (4) days after the agreed upon payment date. Please call the office to establish a payment plan at (706) 295-5150.

Balance Due

Terms

$149.99 or less 2 Months
$150 - $299.99 3 Months
$300+ 6 Months

When is my account delinquent?

An account is considered past due 30 days following billing unless other arrangements have been made. Unpaid accounts beyond 90 days are considered delinquent and may be forwarded to our collection agency and will have a service fee/billing fee added.

Are there Service Charges?

There will be a billing fee of $20.00 added to each statement billed after 75 days of service.

Is Interest Charged?

Patients with an outstanding balance over 60 days will be charged interest of 18%.

Phone calls to Doctors

Our providers will not be doing telephone medicine; if you need to talk your doctor we will give you an appointment. Calling the doctors after hours will result in a charge which insurances do not pay-making you responsible.

Do I Need A Referral?

If you have an HMO plan with which we are contracted, you need a referral authorization in order to see a specialist. Most specialists will reschedule your appointment if you do not have a referral beforehand. You will most likely need to be seen first at VHC in order to evaluate the appropriateness of a referral.

What Is My Financial Responsibility for Services?

Your financial responsibility depends on a variety of factors. Claims that have not been paid in 45 days will be automatically billed to you and we can assist you in refilling your insurance at your request.

What about missed appointments?

We would appreciate your help and courtesy of a call if you are unable to keep an appointment. Please notify our office at least twenty-four (24) hours prior to the appointment time. After two missed appointments, we reserve the right to charge you a missed appointment fee of $45.00. At this time, you will be asked to keep a credit card on file to make an appointment. Four missed appointments are grounds for patient discharge.

Returned Check Fee

A fee of $25.00 will be charged for all returned checks. This fee will be charged even if the check clears after trying a second time. After a second time of this occurring, you may be asked to keep a credit card on file.

Legal Fee:

Any patient sent to collections will be responsible for all collection fees. If a patient is taken to small claims court the patient will be responsible for all fees/charges.

Insurance

Insurance Plans Accepted at Valley Health Care:

AARP

Lifewell/Coresource

Acordia National, Inc.

Medadmin Solutions

Adventist Risk Management

“Floyd Medical Center’s Plan”

Advantra Freedom

Medical Resource Network

Aetna - PPO

Meritain Health

Aetna – HMO

Multiplan

Alliant Health One

National Asbestos Workers Medical

American Medical Security

One Health Plan

Assurant Health

PHCS

Atlanta Plumbers and Steamfitters

Preferred Plan

Aultcare

Principal Financial

Beech Street (CAPP Care)

Prudential Health Care

Blue Cross / Blue Shield PPO

Pyramid Life Ins Co.

Blue Cross / Blue Shield HMO

Secure Horizons Ins.

Blue Cross / Blue Shield POS

Sheet Metal Workers Welfare Fund

CCN

Smart Data Solutions

Champva

Southeastern Carpenters

Chesterfield Resources

SouthCare

Cigna HMO

State Health

Cigna PPO

Tricare For Life “Champus”

Covenant Administrators, Inc.

Tricare South Region “Champus”

First Health Network

Tricare Standard “Champus”

First Medical Network

UMR

Georgia First

UniCare

Golden Rule (United Healthcare)

Universal Health Care

Great West Life And Annuity

United Health Care

Guardian

Wells Fargo TPA (except Mohawk employees)

Group Resources, Inc.

 

Humana – PPO, “ALL Humana’s”

 

"ChoiceCare Network"

 

Kaiser Foundation Health Plan

 

Klais And Company Inc.

 

**Please call the office if your insurance carrier is not listed**

Insurance Plans We Do Not Accept:

Amerigroup
Georgia Better Health Care
Medicaid – not with new patients
Peachcare
Tricare Prime “Champus”
Wellcare