CANCER CARE ASSOCIATES OF YORK – FINANCIAL POLICY
Thank you for choosing Cancer Care Associates of York as your healthcare provider. We are committed to the success of your medical treatment and care.
The following is our Financial Policy which we require that you read and sign prior to being seen. Please let us know if you have any questions. Our staff will be happy to assist you so that you clearly understand our policy.
Insurance & Payment Policy
Please understand that as your healthcare provider our relationship is with you, not your insurance company. We do not become involved in disputes between you and your insurance company regarding deductibles, co-payments, non-covered, or denied services.
It is your responsibility to inform us of any changes to your employer or insurance coverage before services are rendered.
If you do have health insurance, we will be submitting your medical bills to the appropriate insurer. We ask that you assist us with seeing that the necessary paperwork and information is given to us in a timely fashion. You agree that you will assign to Cancer Care Associates of York any benefits paid directly to you from your insurer for services rendered by Cancer Care Associates of York.
If we do participate with your insurance company, we accept the contracted payment that has been agreed upon with your insurance company; however, you are responsible for payment of any deductibles, co-insurance, or co-payments. Co-payments for office visits are expected to be paid at the time of service.
If your insurance company is one that we do not participate with, you will receive a statement until the balance has been paid in full. Once we receive payment from your insurance company, you must pay any balance remaining.
If you do not have health insurance, you must pay your bill at the time services are rendered. If you are having financial hardship, you will be referred to meet with our Patient Financial Advocate to discuss financial assistance, if you qualify.
You will receive a billing statement from us on a monthly basis. It will show what has been billed to your insurance company, as well as the balance you owe. We accept cash, checks, Visa, MasterCard, American Express, and Discover as payment. A $25 fee will be charged for all returned checks and you will be responsible to pay the returned check fee should that occur.
Usual and Customary Fees
Our practice is committed to providing the best treatment for our patients and we feel our charges are fair. You are responsible for payment of your portion of any bill regardless of any insurance company’s arbitrary determination of “usual and customary” fees.
You are personally responsible to pay Cancer Care Associates of York in full for services, including chemotherapy, that your health insurer will not cover due to nonpayment of your health insurance premiums.
If your insurance plan requires a referral for you to be seen in our office, it is your responsibility to obtain a referral from your PCP (Primary Care Physician) and present it at the time of your initial visit. For subsequent visits to our office, as a courtesy to you, our office will contact your PCP and obtain any necessary referrals.
If you do not obtain a referral from your PCP for your initial visit to our office, you will be responsible for payment of the services performed.