Patient Billing
Payment Policies & Discounts
Thank you for choosing Silver Health CARE as your health care provider. Your clear understanding of our Patient Financial Policy is important to our professional relationship, and payment for services is a part of that relationship. Please ask if you have any questions about our fees, our policies, or your responsibilities.
Thank you for choosing us for your health care provider. We are committed to providing our patients with quality health care. Please review our payment policy.
Payment Form: We welcome cash, check, travelers check, Visa, MC, Amex, and Discover.
Insurance: As a courtesy to our patients, it is our policy to bill your insurance. If you fail to provide us with the correct insurance information, your balance will become the patient responsibility. Please contact your insurance company with any questions you may have regarding your insurance, as coverage varies.
Co-payments and Co-insurance: All co-pays and co-insurance are due at time of service. This arrangement is part of your contract with your insurance company. We are required by your insurance to collect these payments. If not paid at the time of service, a $10.00 billing fee will be assessed to your patient account.
Non-covered Services: Please be aware that services you receive may be deemed non-covered by your insurance. As a result, per your insurance, the charges may become a patient responsibility.
Coverage Changes: If there are changes in your coverage, please notify us prior to your next visit so we can make the appropriate changes to help you receive your maximum insurance benefits. It is your responsibility to notify us of changes in your coverage or the balance will be billed to you.
Self-Pay Patients: Full cost of the services will be due at time of service unless prior payment arrangements have been made. We offer a sliding fee schedule upon approval of the application.
Non-Contracted Practitioner Services: You will be informed if you are seeing a non-contracted practitioner. If an insurance carrier denies payment for non-contracted practitioners, you will be given the one-time opportunity to receive 40% off to pay your balance in full. If not, a payment plan will be arranged.
Nonpayment: If your account is over 90 days past due, you will be sent a letter stating you have 10 days to pay your balance in full or arrange a payment plan. Please be aware if your balance remains unpaid, we may refer you to a collection agency.
No Show Fee: Failure to cancel your appointment at least 24 hours in advance will result in a No Show charge of $25.00 being added to your account for the missed appointment. Learn more about our no-show policy below.
NSF Fee: Checks returned for insufficient funds will result in an additional $35.00 fee.
Service Fee: A $10.00 service fee will be added monthly to all patient accounts with a patient balance after initial statement.
There is a small but significant number of patients who regularly do not keep scheduled appointments. When we schedule you for an appointment, we have reserved time for you. When you miss an appointment, it causes the entire organization to be less efficient and increases our expenses. In addition, we have many patients waiting for an earlier appointment for which they are deprived.
As a courtesy, we have a computerized program that calls you to remind you of your upcoming appointment. If you need to cancel your appointment, there is an option you can choose to do so while on the telephone.
In fairness to all the patients and practitioners at Silver Health CARE, we have implemented a “No Show” policy. The purpose of this policy is to allow another patient who is waiting for an available appointment to use this time slot. Additionally, it helps keep us efficient.
A “no show” is defined as an appointment that is not kept and not canceled more than 24 hours in advance. If you are more than 10 minutes late, you will be considered a “no show” unless the practitioner agrees to see you. Failure to call to cancel an appointment will result in a $35.00 “no show” fee that will be charged for a missed office visit.
The above fee must be paid prior to your next scheduled appointment. Insurance companies will not be billed for this fee. This charge is accepted by insurance companies as an acceptable policy and is the total obligation of the patient.
If you “no show” more than three (3) times per year (other than recognized extenuating circumstances), you will be subject to dismissal from the practice.
If you are seeing a non-contracted practitioner and your insurance carrier denies payment for non-contracted practitioners, you will have the opportunity to receive a 40% discount on your balance. If not, a payment plan with a sliding fee schedule will be arranged.
Also, the Medication Assistance Program (MAP) is available to help with the cost of medications.
Financial Help
At Silver Health CARE, it is our policy to provide essential services regardless of a patient’s ability to pay. Discounts are offered based on family size and annual income. To determine if you or members of your family are eligible for a discount, download and complete the application below. You will need to bring the form, along with applicable documentation, to Silver Health CARE any Wednesday between 9 am and 11 am.
This is a one-time offer for those patients traveling to our practice or who are out of network with their insurance plan.
Are you having trouble paying for your prescriptions?
With the high cost of medications, we are here to help. Come see us!
Silver Health CARE is pleased to sponsor a program that may result in free or low-cost medications to those who qualify in the community. You need not be a patient of Silver Health CARE to use this service.
MAP has been in place for more than 10 years, successfully securing assistance to pay for medications.
The Medication Assistance Program is staffed by volunteers from the GRMC Auxiliary. These volunteers help people who can't afford their medications. They will help you fill out applications to pharmaceutical companies for the prescriptions you require, and they also offer assistance with Medicare Part D.
VOLUNTEERS ARE AVAILABLE: Every Wednesday from 9 am to 11 am. Se habla español.
You can leave a message for MAP at (575) 956-1330 and a member of the program will return your call.
TO FIND OUT IF YOU ARE ELIGIBLE, PLEASE BRING WITH YOU:
- A document showing proof of income
- List of the medications you are taking (e.g., prescriptions or bottles with prescription labels)
- If you qualify, the medication (usually a 90-day supply) will be sent either to the doctor's office or directly to you, usually within 4-6 weeks.
Patient Education
Explore our comprehensive list of resources and educational materials designed to help educate you about your condition or treatment.
Testimonials
Hear what our patients have to say about the high standard of treatment they have received at Silver Health CARE.