Insurance and Payment Information

In an effort to better inform our patients of their financial obligations we have implemented the following Financial and Insurance Policies. Please read all of the information below. Your cooperation in following our Financial Policy will allow us to better serve you.

Insurance: 

If you have a health insurance plan that Northeast GA Otolaryngology participates with, then you are not obligated to pay any balance in excess of what your insurance company is contractually obligated to pay. However, you (the member) are responsible for co-payments, deductibles and any non-covered services. 

We will attempt to notify you of any special services you may require that are not covered by your insurance company but ultimately it is the responsibility of the member to know their insurance benefits.  Please be aware that specific plans may require a written referral prior to consultation. It is the responsibility of the member to make sure appropriate referrals have been received. Please contact your health plan prior to your visit if you have questions about our participation with your insurance plan or your insurance benefits. 

If you have a health insurance plan that Northeast GA Otolaryngology does not have a contractual agreement with, you will be responsible for any and all fees that exceed or are not covered by your health insurance benefits. 

It is of the utmost importance that you provide us with current copies of your insurance card and notify us immediately if there are changes in this information. 

No Insurance: 

For services rendered to uninsured patients at Northeast GA Otolaryngology, a minimum payment of $175.00 is required prior to seeing the physician and the remaining balance is due at check out unless other payment arrangements are made in advance.  For elective surgical services, payment in full is required a minimum of two weeks prior to the surgery date unless other arrangements are made in advance.  

Medicare Patients: 

We submit and accept assignment on all Medicare claims. As a courtesy, we will file your secondary insurance. 

Referrals: 

Some insurance plans require a written referral prior to an office visit. Referrals are usually obtained by the primary care physician.  However, it is the responsibility of the member to confirm that a referral has been obtained.  If you do not have a current referral, you may be asked to reschedule your appointment or sign a waiver stating that you will be responsible for payment of services rendered. 

Co-payments: 

Co-payments are to be made at the time of service prior to seeing the physician. We accept Visa, MasterCard, American Express, Discover, check or cash. 

Monthly Statements: 

Any outstanding balance is due immediately upon receipt of statement. Payment by Visa, MasterCard, American Express, Discover or check is appreciated. 

Divorce: 

In divorce situations, the parent who brought the child in is responsible for payment of the bill. We will file with any insurance company we have a contractual agreement with.

Contact us today if you have any questions or concerns. We're here to help.