Sunbury Chiropractic
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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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.
Click here to fill out or update your insurance form
"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
The goal of our office is to get you welll as quickly as possible. Dealing with insurance can sometimes cause unnecessary inconvenience. To better assist you it is our office policy to send bills to your auto insurance Med Pay. Med Pay policyies allow your insurance company to pay your bill then collect from the insurance company of the driver at fault. Doing this speeds up the payment process and reduces your risk of being responsible for the full bill in the future.
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.
