Serenity Health Care S.C., Financial Policy
Office visits with a physician are often covered by insurance. Since we are considered a non-traditional clinic, and we do not contract with insurance companies some of the tests and services, as well as the office visit, may not be covered. Serenity Health Care will submit each patient’s claims to insurance but any remaining balance owed is the patient’s responsibility. Payment is expected at the time of service but statements will be mailed monthly for remaining balances.
WE SALUTE YOU!
ACTIVE DUTY MILITARY, VETERANS AND FAMILIES (CASH PATIENTS) – 20% DISCOUNT ON ALL SERVICES!
Serenity Healthcare providers and staff salute the service our active duty military, veterans and their families have provided to our country. In honor of your service, we are pleased to offer a 20% discount on ALL of our services for cash patients. When you schedule a medical, chiropractic, nutritional, or other alternative health services treatment you will receive a 20% discount off our cash prices.
When scheduling your appointment please mention this discount and provide verifiable proof of military status of service at the time of your visit. Thank you for your service! We look forward to welcoming you to Serenity Healthcare Center.
Debra Muth, ND
AFFORDABLE HEALTH CARE PATIENT ADVISORY: In response to inquiries about the Affordable Care Act (Obamacare), Serenity Health Care advises our patients that we DO NOT participate in any healthcare exchanges. Should you wish to be seen by a Serenity Health Care practitioner you may do so by paying our fee-for-service rates. Thank you.SERENITY’S PROVIDERS BILLING POLICIES
Dr. Konetzki is the only doctor in our office who bills to Medicare. If you see any other practitioner in our practice we will not be able to bill these services to Medicare as those practitioners do not contract with Medicare and cannot bill them for their services.
Dr. Brown and Dr. Muth requires payment at the time of service, we do accept Visa, MasterCard, check or cash. Serenity will provide you a billing sheet that you can submit to your insurance company on your own, if you choose.
Dr. King is in network with many insurance companies, you will be required to pay the co-pay at the time of service. If you are an out of network patient you will be required to pay 50% of charges at the time of service.
At the time of scheduling, new patients are required to pay a down payment of $150 is required to hold your appointment. When you are seen the down payment will be applied to your charges. If you cancel your appointment over 72 hours in advance of your appointment the down payment will be refunded, but if you do not show for your appointment or cancel less than 72 hours in advance your down payment will be forfeited.
Payment in full is required within 90 days of the date of service or once the claim has been processed by insurance, for in-network providers in order to continue services with any of the Serenity Health Care Center practitioners.
For out-of-network providers payment in full is due at the time of service unless prior arrangements have been made.
Payment can be made with cash, credit card, personal check or you may enroll in our Patient Payment Plan.
- Lab draw fees – $30.00/35.00
- Returned check fee – $25.00
- Cancellation < 72 hours from appt time – fee of $50
- No- Show fee – $50.00
- Form completion fee – $25.00-50.00
- Copy fee – $.25 per copy
I acknowledge that I have received a copy of Serenity Health Care Center’s financial policy and agree to the terms of payment due.
I authorize release of my medical record information, pursuant to applicable federal and state laws, rules and regulations, to third party payers and other providers participating in my care, that agree to treat my information in a confidential manner in accordance with all applicable federal, state, and local laws. I further authorize any other individual or entity that has provided health care to me to release to Serenity Health Care, any and all of my medical record information, whether in printed or electronic form, needed to provide me with informed care. I may revoke my consent for the release of this information at any time, except to the extent that action has been taken in reliance on the consent.
I authorize Serenity Health Care Center to release any medical information about me and/or my dependents to the appropriate entity and its agents needed to determine these benefits payable for related services.
I agree to pay all applicable charges, which are not paid in full by my insurance. If amounts due to Serenity Health Care Center are not paid according to this financial policy, the account shall be deemed delinquent. For every 30 days the account is delinquent you can be charged a 4% interest rate. In the event that I default on payment of my account, I understand I am responsible for all costs incurred on the collection of my account, including court cost and reasonable attorney’s fee. If the debt is assigned to a third party collection agency, I agree to be responsible for collection fees and interest due to amounts in default.
Please be advised we are no longer an In-Network Provider for WPS/Chiro Care.