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Ardmore
Family Practice is currently participating in the
following insurance plans:

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Medicare
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Medicaid
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Bcbs
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United Healthcare
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Medcost
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Cigna
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Aetna
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Mamsi
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Tricare
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Medicare United Healthcare
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Humana Medicare Gold
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Unicare Medicare
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Partners Medicare
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| If we do
not participate with your insurance plan, you can still be
seen by a provider in this office. Payment in full will be
expected at time of service. If your plan provides an
out-of-network option, you can provide payment according
to the terms of your policy. |
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We are dedicated to
providing the best possible care for you, and we want you
to completely understand our financial policies. |
1.
Payment is due at the time of service unless arrangements
have been made in advance by your carrier. We accept Visa
and MasterCard.

2.
Keep in mind that your insurance policy is basically a
contract between you and your insurance company. As a
service to you, we will file your insurance claim if you
assign the benefits to the doctor—in other words, if you
agree to have your insurance company pay the doctor
directly. If your insurance company does not pay the
practice within a reasonable period, we will have to look
to you for payment. If we later receive a check from your
insurer, we will refund any overpayment to you.

3.
We
have made prior arrangements with many insurance companies
and other health plans to accept an assignment of
benefits. We will bill them, and you are required to pay a
co-payment at the time of your visit.

4. If you
are insured by a plan that we do not have a prior
arrangement with, we will prepare and send the claim for
you on an unassigned basis. This means the insurer will
send the payment directly to you. Therefore, our charges
for your care are due at the time of service.

5.
Not all-insurance plans cover all services. In the event
your insurance plan determines a service to be “not
covered,” you will be responsible for the complete charge.
Payment is due upon receipt of a statement from our
office.

6.
We will bill your insurance company for all services
provided in the hospital. You are responsible for any
balance due.
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Ardmore Family
Practice Winston Salem NC |
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