Elbert Chiropractic Clinic
Please use the following links to print and fill out our insurance coverage and patient health history forms. The forms are formatted in Adobe Acrobat, in order to view them you will need Adobe Acrobat Reader installed on your computer. If you do not have Adobe Acrobat Reader you can click here to download it FREE.
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As a service to our patients, we are pleased to offer the CareCredit card, the nation's leading patient payment program. With CareCredit you can finance 100% of your chiropractic care and there are no upfront costs, no annual fees, and no pre-payment penalties. So, you can begin your treatment today and conveniently pay with low, monthly payments.
CareCredit offers a full range of payment plans so you can find one that works best for you. With the popular No Interest Payment Plans* there are no interest charges if you pay your balance in full within the specified time period. Monthly payments can be as low as 3% of your balance. For procedure fees from $1,000 and up, CareCredit offers 24, 36, or 48 month plan options with low monthly payments available.
CareCredit can be used by the whole family for ongoing treatment without having to reapply. And by using CareCredit for your chiropractic care, you can save your other credit cards for household or unplanned expenses. It only takes a few minutes to apply for CareCredit and you'll receive an online decision in seconds! Apply Now or see our staff for more details.
* terms and conditions
GROUP OR INDIVIDUAL INSURANCE
We attempt to take out as much of the "insurance hassle" as
possible for you. We'll happily telephone your insurance company to verify
your coverage benefits. Please remember, however, that the benefits quoted
to us by your insurance company are not a guarantee of payment. We will
file your claim and await payment for 90 days. If your company pays the
benefits they quote to us, the only services you will be responsible
for are any non-covered services, deductibles or co-pays. If you have
any questions at all regarding you financial responsibilities at our
office, please do not hesitate to ask. Our insurance clerk has years
of experience and will be happy to assist you.
PATIENTS WITHOUT INSURANCE
An increasing number of patients do not have insurance, or have plans
with limited coverage, such as catastrophic policies. We realize that
no one wants to build up a large bill. Therefore, we have several plans
so those patients may receive complete care without undue financial
difficulty. Of course we are always happy to accept cash, your personal
check, MasterCard, Visa or Discover cards.
"ON THE JOB" INJURY (
If you are injured on the job, your care should be paid for under your
employer’s Worker’s Compensation insurance. You will need
to inform your employer of the accident and obtain the name and address
of the carrier of their insurance. If your employer does not provide
us with this information, if a settlement has not been made within 3
months, or if you suspend or terminate care, any fees and services are
due immediately.
PERSONAL INJURY OR AUTOMOBILE
ACCIDENTS
Please notify your auto insurance carrier of your visit to our office
immediately. Notify our insurance department immediately if an attorney
is representing you. Although you are ultimately responsible for your
bill, we will wait for settlement of your claim for up to six months
after your care is completed. Once the claim is settled or if you suspend
or terminate care, any fees for services are due immediately.
MEDICARE
We do accept assignment from Medicare. The check is usually sent directly
to our office in payment of the services that Medicare will cover,
which for Chiropractors is ONLY manual manipulation of the spine. Medicare
pays 80% of the allowable fee once the deductible has been met. You
are required to pay the deductible and the remaining 20% as well as
any non-covered services. Our office completes and files the forms
for Medicare at no charge.
SECONDARY INSURANCE
Please inform us of any secondary insurance you may have. We will assist
you if you need help in filing.
