* Office Policies
Accepted Insurance Plans
We accept most insurance plans including those listed below.
AARP, AETNA, ALLIANCE, BEECH STREET, BRAVO, CAREFIRST BLUECROSS BLUESHIELD, CIGNA, CORESOURCE, COVENTRY HMO/PPO, ELDER HEALTH, FIRST HEALTH, JOHNS HOPKINS EHP, KAISER PERMANENTE, MAILHANDLERS BENEFIT, MAMSI, MEDICARE, MULTIPLAN, MARYLAND HEALTH INSURANCE PLAN (MHIP), NATIONAL CAPITAL PPO (NCPPO), OPTIMUM CHOICE, PRIVATE HEALTHCARE SYSTEMS (PHCS), TRICARE, TRAILBLAZERS, UNITED HEALTHCARE HMO/PPOFees, Payment and Billing Policies
Your medical insurance policy is a contract between you and the insurance carrier. Your coverage, the requirements for pre-authorization, deductibles, co-payments and co-insurance are all defined in your policy.
You are responsible for all charges from the date of service. As a courtesy, we will file all claims for our service with your insurance company. Make sure that all the information you provided is accurate and up-to-date.
We require all patients to sign a copy of our Patient Registration Form that assigns insurance benefits to be paid directly to ASAP@GBMC. In the event your insurance company sends payment directly to you, it is your responsibility to sign the check over to ASAP@GBMC.
We cannot waive any co-payments, deductibles or coinsurance amounts defined as patient responsibility under the terms of our contract with these various plans.
If you need to reschedule your visit, please call us at least 24 hours in advance to avoid a $25 No Show Fee
and give another patient who needs our help the chance to take your time slot.
If your insurance plan requires a co-payment, such co-payment is due at the time of service; otherwise, your appointment may have to be cancelled and rescheduled. For your convenience, we accept Visa, MasterCard, Discover, American Express, or personal checks.
Starting January 1, 2011 for any outstanding balance that is 90 days overdue, a $15 Service Charge
will be imposed to help cover the costs involved in continuously sending overdue bills. For any outstanding balance that is 120 days overdue, your account may be forwarded to a collections agency and be subject to a collection fee equivalent to 30% of the unpaid bill.
Prior Authorization and Referral Forms
If your medical insurance plan requires you to have a referral form and you come for an appointment without such form, we will not be able to see you. If you wish to keep the appointment without the referral form, you must sign a wavier of financial responsibility that allows us to bill you for our service.
After we receive a reply from your insurance company, we will send you a statement showing the bill portion for which you are responsible. The patient bill is payable promptly upon receipt to avoid any late payment charge.