It Is the policy of the St Johns Vein Center to provide our patients with access to the highest quality patient care available. In order for us to do so, we must ensure that we are able to meet our operational expenses. We ask that you read, understand, and sign our financial policy prior to receiving services.
Payment at time of service
We will bill your insurance for all services; however, we ask that you pay any portion of your costs not covered by your insurance due to deductibles, coinsurance or co-payments on the day of service. Insurance co-payments are mandated by your insurance company and must be paid at each visit. Patients with insurance claims pending will be sent statements for the full amount due until the account is satisfied. I agree that if my insurance company denies benefits for any reason, I am responsible for the full amount owed for the services that were provided to me.
Please Note: As a courtesy, our office will obtain insurance authorizations and benefit information from your insurance company for your treatment, however this is not a guarantee of payment by your insurance. It is highly recommended that you contact your insurance company prior to receiving treatment in our office to ensure what your benefits and coverage are for the services rendered in our office. If your insurance plan requires a referral to see a specialist, it is your responsibility to obtain the referral from your Primary Care Physician.
Your scheduled appointment time is reserved just for you. We try not to overbook appointment times in order to provide excellent patient care and to be sure we have sufficient time to adequately examine you and to discuss your condition and treatment options in detail with you.
We will make every effort to accommodate your scheduling needs. In return, we ask that you help us by keeping your scheduled appointments, arriving on time and notifying is a minimum of twenty-four (24) hours in advance if you are unable to do so. When we receive advanced notice of cancellation, we are able to avoid lost revenue and misspent employee time, which keeps our overhead down and our fees reasonable. More importantly, we are able to accommodate other patients needing care. Failure to comply with this policy will necessitate the assessment of the following fees:
Missed appointment for Ultrasound or Office Visit (per occurrence): $50 Fee
Missed appointment for a Procedure (Ablation, Phlebectomy, Sclerotherapy): $150
Interventional Procedure- (per occurrence): $250 Fee
Disability/FMLA Form Policy: If you have an insurance policy that provides you with disability benefits while you are unable to work or you are completing a Family Medical Leave Act (FMLA) application, we will complete these forms for you at a per occurrence charge of $25.00. Payment must be received before the forms will be completed and returned the requester.
Medical Records Request: In order to obtain a paper copy of your records, you must complete our Records Release form, please ask one of our staff members for this form. Printing fees: $1/page up to 25 pages, $0.25/ page after 25 pages.