Financial Policy

Please read this financial policy carefully. If you have any questions about this policy, any member of our staff will be glad to assist you

The following are the conditions for services provided by Serene Care , and any providers affiliated with them.

Payment For Service

Our office will inform you of the amount due when you check out. This amount is due at the time of service. As a courtesy to you, we will file your insurance claims if you provide us with a copy of your current insurance card. We require that you pay your deductible, co-payment, and/or any charges not covered by insurance. Please refer to our customized fees schedule if you do not have insurance coverage or are in need of non covered services).

Method of Payment

You may pay your bill with cash, personal check, certain credit cards, or debit card.

Returned Checks

A $25.00 service charge will be added on all checks returned to us for insufficient funds.

Non-Appointment Prescription Refills

A $30.00 charge per incidence may be added for non-appointment prescription refills.

Non-Appointment Prescriptions

A $60.00 charge may be billed to you for new prescriptions filled via phone.

Completion of Medical Forms

There may be a charge for completion of forms such as disability, camp physicals, etc.

Copies of Medical Records:

There may be a charge for completion of this process; SC Sec. 44-7-325 for Health Care Facilities

• $.75 per page for the first 30 pages
• $.65 per page for all other pages
• Clerical fee not to exceed $25.00
• Plus actual postage

No-Show Appointments

A fee of $25.00 for a follow up visit and $50.00 for a new patient visit or endoscopy procedure may be charged for all missed appointments not cancelled at least 24 hours prior to the appointment time. You will be financially responsible for the fee, as insurance plans do not cover these charges. You may notify our office of any cancellations by calling the number listed above during normal office hours

Payment for Services Provided by Certain Non-UMG Providers:

If you are having laboratory and/or diagnostic services by providers other than this office or other practices doing business as Serene Care Clinics, you may be billed separately by that service provider

Collection Policy

Delinquent accounts will be forwarded to a collection agency. We will inform you of your account status on your statement. If you are unable to pay your balance promptly, please call us at 410-204-2866 or 877-341-7525 to make payment arrangements. We will attempt to contact you by letter before your account is forwarded.

Questions

We are here to help should you have any questions regarding your statement or insurance.