Patient Financial Policy

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Thank you for choosing D&J Medical for your orthotic and prosthetic needs. We are committed to providing you with the best care possible.

Please understand that payment of your bill is part of your treatment and care. Our billing staff is available to answer questions concerning your bills and payments and to assist you with insurance questions.

The following information is provided as a courtesy to clarify your financial responsibility as it relates to the professional services provided by D&J Medical.

This document does not cover all situations and should not be construed as an all-inclusive listing of possible situations. If a specific payer contract is in conflict with any of the policies below, then the payer contract will supersede the conflicting policies.

As part of our commitment of service to you, we will make every attempt to verify your insurance benefits during or before the time your services are rendered. However, insurance verification or authorization is NOT a guarantee of insurance payment. Verification only allows our offices to provide you with a preliminary estimate of any monies due by the insured at the time of delivery of the device. Your patient portion is subject to change based on final claim determination by your insurance carrier.

Your financial responsibility depends on a variety of factors, explained below.

If you have:

An Insurance Plan with whom we have a contract

  • Our staff will contact your insurance plan to obtain your eligibility, benefit information, and patient portion (co-pays, deductibles, co-insurance, etc.) We will submit your insurance claim.
  • If the services you receive are covered by the plan:
    Patient portion (co-pays, deductibles, co-insurance, etc.) is payable on or before date of delivery.
  • If the services you receive are not covered by the plan:
    Payment in full is due on or before date of delivery

An Insurance Plan with whom we are Not Contracted or are NOT an “In-Network” Provider.

  • Our staff will contact your insurance plan to obtain your eligibility and Out-of-Network benefit information. We will submit your insurance claim if your plan agrees to pay us directly.
  • Payment in full is due on or before date of delivery, unless your plan
    agrees to pay us directly.

Medicare Part B

  • Our staff will contact Medicare and your secondary insurance
    plan (if applicable) to obtain your eligibility and benefit information.
    We will submit your insurance claim to Medicare, as well as any claims to your secondary insurance.
  • If you have Medicare Part B, and have not met your deductible,
    we ask that it be paid on or before date of delivery.
  • If you do not have secondary insurance, the Medicare co-insurance
    amount must be paid on or before the date of delivery.
  • If the total services are less than $250, full payment is due on or
    before date of delivery.
  • If Medicare does not cover the services you require, you will be asked to sign a Medicare Advance Beneficiary Notice.
  • Payment for any services not covered by Medicare is due on or before date of delivery.

Medicaid

  • Our staff will contact the local Medicaid office to obtain your eligibility and benefit information, and to determine the patient portion (if applicable) and obtain prior authorization (if applicable).
  • If the services you receive are covered by Medicaid, patient portion (if
    applicable) is due on or before date of delivery.
  • Payment for any services not covered by Medicaid is due on or before
    date of delivery.

Worker’s Comp

  • Our staff will call your Worker’s Comp plan to obtain
    your eligibility, benefit information and patient portion (if applicable) as well as to obtain prior authorization (if applicable).
  • If the services you receive are covered by Worker’s Comp:
    patient portion (if applicable) is due on or before date of delivery.
  • Payment for any services not authorized by Worker’s Comp is due on
    or before date of delivery.

No Insurance

  • Our staff will advise you regarding charges for services provided.
  • Payment in full is due on or before date of delivery.

We accept payment by: Cash, Check, or Credit Card. NOTE: Charges not covered by your insurance plan, as well as applicable co-payments and deductibles are the responsibility of the patient. Our returned check fee is $25.00.