Comprehensive Patient Financial Policy
Thank you for choosing Treasure Valley Nasal & Sinus Center, PLLC. We are committed to providing you with quality otolaryngologic health care. Please understand that payment of your bill is part of your care. To help avoid misunderstandings, we have provided you with details of our financial policy below.
Insurance:
We participate in most insurance plans, including traditional Medicare and Medicaid and Medicare Advantage plans. If you are not insured by a plan we accept, payment in full is expected at each visit. We will also make every attempt to contract with the health insurance plan. Knowing your insurance benefit plan is your responsibility. Please contact your insurance company with any questions you may have regarding your coverage.
Co-Payments:
All co-payments must be paid at the time of service. This arrangement is part of your contract with your insurance company. Failure to collect co-payments and deductibles from patients is considered fraud. Please help us in upholding the law by paying your co-payment at each visit.
Payment:
We accept payment by cash, check, money order, debit card, VISA, MasterCard, or Discover. All previous balances must be paid at time of service unless prior arrangements have been made. If a check is returned for insufficient funds or payment has been stopped, you may be charged a $30 fee in addition to the amount of the check. If you have a second check returned, you will be asked to pay by cash, money order, cashier’s check, or credit card for future visits. Failure to pay for medical services may result in a patient being discharged from the practice.
Self-Pay:
We provide a 50% discount and collect payments at time of service. If a payment plan is needed, please contact us prior to your visit to make arrangements.
Co-Insurance and Deductibles:
Your co-insurance and/or deductible balance is due when you receive your explanation of benefits from your insurance company.
Minor Patients:
The following parties are responsible for payment of all minor patient balances: the adult accompanying the minor and the parents (or guardians).
Proof of Insurance:
If you fail to provide us with the correct insurance information in a timely manner, you may be responsible for the balance of a claim.
Claims Submission:
We will submit your claims and assist you in any way we reasonably can to help get your claims paid. In order to submit claims, we must have the patient’s date of birth and a copy of your photo identification (when applicable). In addition, we must obtain the policyholder’s date of birth to file claims with your insurance carrier. We will file supplemental insurances when appropriate. Your insurance company may need you to supply certain information directly. It is your responsibility to comply with their request.
Coverage Changes:
If your insurance changes, please notify us before your next visit so we can make the appropriate changes to help you receive your maximum benefits.
Nonpayment:
If your account becomes delinquent, you agree to pay any charges to collect your unpaid bills, including but not limited to, reasonable court costs, and/or collection agency fees. After you have received two statements, your account is considered past due. Payment plans may not exceed a 6-month period, unless otherwise negotiated. You must contact us for a reasonable payment arrangement or risk collection action. Please be aware that if a balance remains unpaid, we may refer your account to a collection agency or a collection attorney.
Referrals:
If you have insurance that requires a referral, we must have your referral prior to receiving treatment.
Insurance Info:
Here are a few of the insurance companies we contract with. Always contact your insurance company to verify we are in network as a contracting provider with your insurance. We will bill all insurances. However, if we are not in network with your insurance, you are required to pay in full at the time of service.
- Blue Cross (PPO & Traditional)
- Regence Blue Shield (PPO & Traditional)
- St. Luke’s Employees’ Insurance
- Idaho Physician’s Network (IPN)
- Idaho Medicaid
- Medicare – (red, white and blue card)
- Medicare Advantage plans
- Pacific Source
- Multi Plan or PHCS
- Select Health
- Cigna
- UnitedHealth Care
- Aetna
Our practice is committed to providing the best treatment to our patients. Our prices are representative of the usual and customary charges for our area. Thank you for understanding our payment policy. Please let us know if you have any questions or concerns.