policies and fees
Insurance Information
In-network insurances: Aetna, Meritain Health, United Healthcare, Blue Shield of California.
Medicare: Dr. Kristy is a non-participating physician. Payment will be collected at time of service. A claim will be submitted to Medicare on your behalf and reimbursement will be sent directly to you.
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Out of network insurance: A claim can be submitted to your insurance on your behalf. If you choose to process your claim without paying at time of service, you will be responsible for any amount applied to your deductible and/or co-insurance when the claim is processes. If you pay the cash rate at time of service (listed below), your insurance will reimburse you directly based on the details of your plan.
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Time of service discount/ cash rate:
Initial visit: examination and treatment, if indicated: $180
Follow-up visits: $80
Patients that have chiropractic benefits with their health insurance will continue to pay their specific plan co-insurance or copay amount. If more chiropractic treatments are needed after the upward limit has been exhausted, the amount collected for an office visit will be $80.
Financial Policy
New Element Chiropractic is happy to work with patients to provide the best quality of service. The office polices outlined are to ensure a positive experience as a patient of New Element Chiropractic. This financial policy is intended to inform you of our office billing procedures.
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Re-schedule/ Cancellation policy:
New Element Chiropractic has a re-schedule and/or cancellation policy that patients must give notice 24 hours in advance of their appointment. If you cancel or request to reschedule within 24 hours before the appointment window, you may be charged a full office visit fee of $80.00. No-shows will be charged the full out-of-pocket fee for their appointment. Insurance can not be billed for late cancellations or no show appointments.
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Insurance:
If your health insurance has chiropractic benefits that may be covered in this office, as a courtesy, we will do our best to verify your insurance coverage for you. Once your eligibility and coverage is determined, we will file all your insurance claims for you to the extent that your policy permits. Your health insurance company will then send you a statement (explanation of benefits) explaining what services were paid for on their behalf as well as any amount that is your responsibility (co-insurance or deductible). If a copay is due, it will be collected at the time of visit.
On occasion, the insurance company will send a check for payment of services to patient. Should that occur, please endorse the check and bring payment directly to New Element Chiropractic. If there is an overpayment from your health insurance, New Element Chiropractic is obligated to reimburse the insurance company directly and any overage will be remitted to them.
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You understand, accept and agree that the information communicated pertaining to verification of chiropractic benefits by New Element Chiropractic does not guarantee coverage or payment. Final coverage or non-coverage determination will be made after receipt and processing of your claims pursuant to all the applicable terms of the plan including the plans various exclusions and limitations.
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Non-Insured:
We request 100% of each visit to be paid in full at the time of service. We offer affordable cash options to uninsured patients.
Office Hours:
Monday: 9:00 - 5:30 pm
Tuesday: 1:30 - 5:30 pm
Wednesday: 9:00 - 1:00 pm
Thursday: 1:30 - 5:30 pm
Friday: 9:00 - 5:30 pm
621 E. Campbell Ave. Suite 10B
Campbell CA 95008
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