Do You Take My Insurance?


Payment and Insurance Information

We are doing everything possible to hold down the cost of medical care. You can help a great deal by reducing the number of bills we send to you.


Payment is required at the time services are rendered unless other arrangements have been made in advance. This includes applicable coinsurance and copayments for participating insurance companies. CSAM accepts cash, personal checks, VISA, Discover, and MasterCard. There is a service charge of $30 for returned checks.

All invoices unpaid after 30 days will incur a $5 per month service charge.

Patients with an outstanding balance [exclusive of pending insurance claims, but including your co-pay and deductible] 60 days or more overdue must make agreed-upon, written arrangements for payment prior to scheduling more appointments.  After 90 days we reserve the right to use a collection agency with any additional charges being your responsibility.


We collect in full for Medicare for covered services, and submit an invoice to Medicare.  Medicare will send you a check for your covered portion of the cost.  There is often a co-payment and or deductible up to the full amount of the cost of your visit, for which you are responsible.

We do not bill any insurance companies except Medicare.  If you have outpatient visit insurance coverage you may ask for a coded receipt which you can send to your insurance company for reimbursement.  Your time of service receipt includes all information necessary for submitting claims to your insurance company.

If you need assistance or have questions, please leave a message for our billing staff with your exact question and we will call you back to sort it out.


We do not participate in any managed care programs such as HMO’s or EMO’s, and therefore require full payment at the time of service.


If you are a member of the patient organization, your contract must be paid up at the time of service or you are responsible for the full charge for the visit.


These items must be paid in full at the time of dispensing.  If we ship items to you we will require pre-payment with a credit card.


Broken appointments represent a cost to us, to you and to other patients who could have been seen in the time set aside for you. Cancellations are requested 24 hours [at least one business day] prior to the appointment. New Patient appointment cancellations require 2 business days prior to the appointment.  We reserve the right to charge for missed or late-canceled appointments. Excessive abuse of scheduled appointments may result in discharge from the practice.

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