Please note that our self-pay policy does not apply to new Medicaid patients; they cannot be seen as self-pay and must seek care elsewhere.
If you do not have insurance, you may qualify for a Time of Service discount. “Insurance” is defined by our office as any type of policy providing coverage, regardless of its limitations (Health share plans, catastrophic-only, etc.).
Payment for self-pay visits is due in full at the time of service. A $100 deposit toward your visit will be collected upon check-in. At the time of check-out, we will review the provider’s notes and verify any additional services/procedures that were performed. We will confirm the remaining balance due from you, which must then be paid in full. If your chart note is incomplete, we will apply your $100 deposit to the pending charges and provide you with a form explaining how the remaining balance will be billed to you.
If you are unable to pay the full amount requested at the time of service, payment arrangements must be made with our billing office within 24 hours to avoid forfeiting any Time of Service discounts applied. If it is later determined that there was an active policy on the visit date, the Time of Service discount may be retroactively forfeited.
If you have insurance that is either inactive or out of network and wish to keep your scheduled appointment, you will be considered a self-pay patient and must pay in full at the time of your visit. If participating insurance is later provided to us and is determined to have been active at the time of service, we may be able to submit your claim retroactively to insurance depending upon your plan’s filing guidelines. Once insurance has processed your visit, you may contact the Billing Department to expedite a review of your account for potential overpayment.
Midwest Medical Specialists strives to provide complete transparency to our patients to the best of our ability. Until you are seen by one of our providers, it can be difficult to anticipate what services may occur beyond that of your office visit examination. Office visit cost ranges from $100 - $420 depending on the level and type of the visit.
During your office visit, your provider may determine based on your symptoms, physical exam and/or history that additional in-office services/procedures are needed to properly identify and treat your condition. While these services may be necessary for the provider to adequately determine diagnoses during your examination, they are considered a separate charge from the office visit itself. You have the right to decline or defer additional in-office services if you are not comfortable moving forward with treatment or would like to first discuss cost.
If you are an Uninsured or Self-Pay Patient, you have the right to receive a Good Faith Estimate for the total expected cost of any health care items or services upon request or when scheduling such items or services.
