Patients with Insurance Sample Clauses

Patients with Insurance. Estimated portion not covered by insurance due at time of service.
Sample 1See All (5)
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Patients with Insurance. NEW PATIENT-PAY IN FULL DAY OF SERVICE (EXCEPT FOR CLEANING APPOINTMENTS). *CURRENT PATIENTS PAY 30-50% DAY OF SERVICE (EXCEPT FOR CLEANING APPOINTMENTS). *BALANCES ARE REQUIRED TO BE PAID IN FULL WITHIN 60 DAYS OF SERVICE IRREGUARDLESS OF INSURANCE COVERAGE. *WE SUBMIT CLAIMS ONLY AS A COURTESY FOR YOU. IT IS YOUR RESPONSIBILITY TO FOLLOW UP ON ALL UNPAID CLAIMS. *PRE-ESTIMATES ARE NOT A GUARANTEE OF BENEFITS.
Sample 1
Patients with Insurance. As previously stated, we will file your dental insurance claims for you, and we accept assignment of benefits for insurance plans we are in network with. You are responsible for paying any expected copayments or out of pocket expenses at the time of service. If your insurance does not pay within 30 days, it is your responsibility to pay the balance due within two weeks. We will mail monthly statements to all patients with an outstanding balance charge of 18% per annum after 45 days.
Sample 1
Patients with Insurance. The PATIENT is responsible for the ESTIMATED non-covered portion of procedures and/or deductibles at the time of the service. If the insurance company does not pay after 60 days, we will bill you directly for the full balance. I, , agree to these financial terms. Signature Date 0000 Xxxxxxx Xx. Suite 275 Houston, TX 77004 | 000.000.0000 | fax 000.000.0000 | xxxx@xxxxxxxxxxx.xxx
Sample 1
Patients with Insurance. When providing you services, we work with many insurance companies and always try to maximize your coverage by meticulously detailing our procedures in our interactions with insurers. However, you should understand that insurance does not necessarily pay for all dental care. The treatments and services we provide to our patients are never based on what your insurance company will pay. We provide services that we believe are necessary for your dental and related medical care and needs. As a result, it is very possible that your insurance company will have some form of limit and that insurance will not fully pay the costs of the services we provide. Because insurance is a contract between the insurance company and the patient, not between our office and the insurance provider, you agree that you, our patient, bear the ultimate financial responsibility for payment for the services we provide. For amounts not covered by insurance, you are required to pay your portion of the xxxx at the time of treatment. You should understand that we can only estimate the amount not covered by insurance. The actual amount which you owe might be more than our estimate. We will send you a final invoice for the cost of services not covered by insurance in those cases. If the amount is lower, we will issue you a refund. If needed, we will work with you to provide a method of payment that works for both of us with regard to those payments not covered by insurance for which you remain financially responsible. For your convenience, in addition to personal checks, we accept most major credit cards.
Sample 1
Patients with Insurance. As previously stated, we will file your dental insurance claims for you, and we accept assignment of benefits for insurance plans we are in network with. You are responsible for paying any expected copayments or out of pocket expenses at the time of service. If your insurance does not pay within 30 days, it is your responsibility to pay the balance due within two weeks. We will mail monthly statements to all patients with an outstanding balance charge of 18% per annum after 45 days. Patients without Insurance: Whenever possible, we provide an estimate of fees for needed treatment and payment is expected at each visit for services rendered. All Patients: Please note, for procedures requiring more than one hour of chair time, more than one appointment, we ask that payment be paid in full at the start of treatment or half of the expected copayment be paid at the first scheduled appointment with the remainder of the copayment due at the next scheduled appointment unless other arrangements have been made.
Sample 1
Patients with Insurance. At the time of surgery, patients are requested to make an initial payment toward the estimated charges. If there is a credit balance on your account after treatment is completed and insurance payment has been received, you will be refunded. Many people are under the impression that if they have insurance, it is the insurance company that owes the doctor for his services, unfortunately, that is not the case. The insurance contract is between the patient and the insurance company; therefore, the patient is responsible for the bill regardless of insurance coverage. We are happy to submit a claim for services provided to your insurance, however, it is the responsibility of the patient (or insured) to provide our office with complete insurance information. Many insurance plans state that you will be covered “up to 50%, 80%, or 100%”. In spite of this statement, we have found in actuality that many plans may cover less than that depending upon their established “usual and customary fees”. The benefits paid by your plan are largely determined by how much your employer or union paid for the plan. Please be aware that some insurance companies will pay a claim percentage based on their “usual and customary”, not our actual charges. It is for this reason that we require a deposit towards the total estimated charges at the time of the surgery. An alternative is to request pre-authorization of benefits; however, this usually requires approximately 3-4 weeks to be processed by the insurance company. If a pre-authorization is obtained, the patient portion of the claim will be due at the time of service. We are not preferred providers for most insurance plans. If this is a concern, please discuss this with our financial coordinator prior to your appointment.
Sample 1
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Related to Patients with Insurance

  • Retiree Medical Insurance Retiree insurance coverage is included within each medical plan for all retirees under the age of 65 years, through self-payment. The Employer shall make available an appropriate medical plan for all eligible retirees ages 65 years or older.

  • Medical Insurance Upon termination of employment, the Executive shall be entitled to all COBRA continuation benefits available under the Company's group health plans to similarly situated employees. To the extent permitted under Code Section 409A, during the applicable Payout Period, the Company shall provide such COBRA continuation benefits to the Executive at the active employee rates similarly situated employees must pay for such benefits. Upon the expiration of such Payout Period, the Executive will be responsible for paying the full COBRA premiums for the remaining COBRA continuation period.

  • Health Insurance The Couple agrees that: (check one) ☐ - Each Spouse is responsible for THEIR OWN health insurance. ☐ - Health insurance IS PROVIDED by ☐ Husband ☐ Wife (“Health Insurance Paying Spouse”) to ☐ Husband ☐ Wife (“Health Insurance Receiving Spouse”). Health insurance shall include: (check all that apply) ☐ - Medical ☐ - Dental ☐ - Vision Care ☐ - Other. . To facilitate the use of such coverage for the Health Insurance Receiving Spouse, the Health Insurance Paying Spouse shall cooperate fully and in a timely manner, including, but not limited to, obtaining and providing all necessary insurance cards and claim forms, completing and submitting all necessary documents, and delivering all insurance payments.

  • Health Care Insurance While a faculty member is on an approved leave of this type, the faculty member will be advised regarding the right to continue health care benefits in accordance with COBRA during the period of unpaid absence.

  • Product Coverage This Agreement shall apply to all manufactured products, including capital goods, processed agricultural products, and those products failing outside the definition of agricultural products as set out in this Agreement. Agricultural products shall be excluded from the CEPT Scheme.

  • Trauma Insurance All employees will be covered by an Incolink administered lump sum insurance policy providing financial compensation in the event of a major work related (ie. WorkCover) accident resulting in death or permanent total disablement. The full and precise conditions of this cover will be in accordance with the terms of the policy, but in general will provide that, in the event of a workplace accident occurring which results in either the death or total permanent disablement of a worker covered by this Agreement, a lump sum payment as specified below will made. The defined payments are: With dependants $250,000 Without dependants $150,000 This benefit has been agreed to by the company on the grounds that premium costs have been set at $7 per week/worker and will not exceed that amount. In the event of insurance costs rising, it is agreed that the table of defined benefits will be reduced so as to maintain the $7 premium figure. To maintain this cover the company agrees to pay the amounts every week for each employee.

  • Hospital and Medical Insurance The University shall make available health insurance to the employees covered by this agreement to the same extent and in the same manner as is available to other University employees, such as Faculty and the Executive, Administrative and Professional Staff employees. It is the University's goal to have the same health insurance plans offered uniformly to all University groups and employees.

  • Retiree Health Insurance Retired members of the Department receiving, or to receive City of Lincoln monthly pension checks, may participate in the group comprehensive health care plan for active City employees, provided that each retiree so desiring will execute the required forms in a timely fashion, and further provided that each retiree will be required to pay the full monthly cost at the current rates subject to any rate increases which may occur from time to time. Such payment will be made by payroll deduction from pension checks, or by direct payment in the case of an early retiree.

  • ADDITIONAL INSURED ENDORSEMENT AND PRIMARY AND NON-CONTRIBUTORY INSURANCE CLAUSE Supplier agrees to list Sourcewell and its Participating Entities, including their officers, agents, and employees, as an additional insured under the Supplier’s commercial general liability insurance policy with respect to liability arising out of activities, “operations,” or “work” performed by or on behalf of Supplier, and products and completed operations of Supplier. The policy provision(s) or endorsement(s) must further provide that coverage is primary and not excess over or contributory with any other valid, applicable, and collectible insurance or self-insurance in force for the additional insureds.

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