Payment Plans & Financial Assistance

Right off the bat we offer families multiple methods of meeting their financial obligation with our office.  We offer the following payment arrangements for families that have large outstanding balances.  These options are offered for the convenience of our patients and may be withdrawn or revised at any time without notice.  Any payment arrangements made prior to withdrawal or revision shall remain unaffected.

TOS Discount

Please check out TOS Discount under Charges

12 Month Payment Plan

This program allows families to make equal payments each month for up to 12 months with no interest charges.  The balance on account is divided based on the following table:

Amount Owed

Max. Months

Min. Dollars

< $100

3

$30

$101-$250

4

$40

$251-$500

6

$50

$501-$999

9

$75

$1000+

12

$100

Therefore, an account balance of $275 can be paid off over 6 months but payments will not be less than $50 per month.

Provided payments are made timely and the balance is paid off within the above timeframes, no interest will be charged.  If the balance is not paid off within the above timeframes, then interest at the rate of 1.5% per month (18% per annum) will be charged retroactive to the first payment.  Payments that are more than 10 business days past the payment due date will incur a $5.00 late fee to be deducted from the next payment prior to application toward any balance.

Extended Payment Plans

This program allows for families to make smaller payments by extending the time to pay off the account beyond 12 months, but less than 48 months.  Our office charges 1.5% interest (18% per annum) on the total outstanding balance each month under the terms of an Extended Payment Plan Agreement.  You will be asked to enter into a legally binding Agreement which will detail the specifics of this arrangement.

Financial Hardship Program

This program is designed to provide needed medical services to families with limited resources.  Based on Federal Poverty guidelines this program provids discounts on services ranging from 30% to 80% and up to 12 months to pay any remaining balance interest free.  In extreme cases of Financial Hardship, patient families may receive 100% discounted services.

Responsibilities (UNDER ALL PROGRAMS)

Your responsiblities

  • You are responsible for providing true and accurate information.
  • You are responsible for responding in a timely manner (10 business days) to any request from our office.
  • You are responsible for insuring our receipt of information.
  • You are responsible for making a good faith payment based on the program you choose.
  • You are responsible for making payments on the specified due date regardless of receipt of a monthly billing statement.
  • You are responsible for any late charges for failure to pay timely.
  • You are responsible for reading, understanding and asking questions regarding the Program Description and related Materials upon receipt.
  • You are responsible for abiding by all terms related to any Program.
  • You are responsible for paying all future charges for services rendered at the time of service, any agreement is for past charges only.


Our responsiblities

  • We are responsible for taking reasonable actions to protect your personal financial information and prevent inappropriate or unauthorized disclosures.
  • We are responsible for determining the application of payments and the calculation of interest and late charges.
  • We are responsible for responding to inquires concerning your account in a timely fashion (typically 10 business days).
  • We are responsible for providing you with a full disclosure of program features and benefits.
  • We are responsible for maintaing your account ing accordance with the terms of any of the above described programs if you qualify for the program.
  • We are responsible for requesting supplemental information in a timely manner (typically 10 business days from receipt of application).
  • We are responsible for verification of employment, paychecks and other financial disclosures.
  • We are responsible for providing a determination of eligibility in timely manner (typically within 30-45 days of application).
  • We are responsible for providing you with the contact information of any organization in which we receive credit information which results in an adverse decision.

If an account is released to an outside collection agency the guarantor will be responsible for all collection fees assessed to our clinic.  These fees may include, but not be limited to:  collection agency fees, reasonable attorney fees and court costs.

Payment plan payments are considered delinquent if your payment is more then five (5) days late.

If you are experiencing a set of circumstances out of your control, please call our practice and we will be happy to make special arrangements.

If you are experiencing extreme financial hardship, please call our practice and one of our staff will gladly assist you in seeing if you qualify for Financial Hardship Assistance that provides for discounted services.

Please ask one of our staff members about these programs.

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