We participate with the following Insurance Providers:
We are committed to providing you with the best possible patient care. The billing phase is an integral part of your patient experience. MSCDC feels it is important to our relationship that each patient understands our financial policy. Please read carefully and ask if you have any questions.
Payment is required at the time of your visit. Payment may include co-pay, coinsurance or deductible amounts and services not covered by your insurance company. We accept Visa, Mastercard, American Express, Discover, check and cash. We recognize that sometimes medical expenses may be unexpected and that temporary financial hardship can make it difficult to pay. If you know that you will be unable to pay your responsibility, please contact our billing department prior to your appointment to discuss payment agreement options. Patients must provide a debit or credit card and authorize scheduled withdrawal of payments in order to enter into a payment agreement with MSCDC. The patient is responsible for any fees required to settle any delinquent account balance including but not limited to collection fees up to 50 percent of any unpaid balance which is turned over to a third party collection company in addition to attorney fees and court costs. MSCDC may adjust a credit or debit of $5.00 or less at any time to zero out the patient’s account.
Participating Plans We are In-Network with many insurance companies. If you have a question regarding whether or not we are considered In-Network with your plan, please contact your insurance company. In order to file your insurance claim, we must have a copy of your insurance card as well as your photo I.D. Please present your most current insurance information at every appointment to ensure accurate submission of your claim. By signing this financial policy, the patient authorizes the release of their medical records to the patient’s health plan/insurance company and its agents, any information needed to determine benefits or the benefits payable to related services.
Non-Participating Plans As a courtesy, we will prepare and file your claim for you even if we are not In-Network with your insurance company. You must provide us with your complete and current insurance policy information as well as a photo I.D. to file your claim. We do not accept assignment for these claims, so in most cases your insurance company should send any payment due directly to you. You must pay for your visit in full at the time of service. Should your insurance company pay us directly, we will promptly refund you any amount due. Our charges are within the usual and customary rate for our specialty in our area. We will not make any adjustments to our charges based on any non-participating insurance company’s arbitrary determination of usual and customary rates.
Even though we will prepare and submit your insurance claim to your insurance carrier, please understand that you, the patient, have the final responsibility for your bill.
Returned checks will incur a $30.00 service charge. You will be asked to bring cash, charge, or money order to cover the amount of the check as well as the $30.00 service charge. All bad checks written to this office are subject to collections and will be prosecuted in Gallatin County.
Minor Patients And Dependent Adults
SkinCare MT assigns all financial responsibility to the parent/guardian or personal representative that completes and signs the patient registration forms. Any amount due is expected at the time of service by the parent/guardian or personal representative accompanying the patient at the visit. In the case of divorced parents, we will not split bills or bill other parental parties. Again, all financial responsibility is assigned to the parent/guardian or personal representative that completes and signs the patient registration forms. Minors who are new patients to the office without a parent/guardian present for the initial appointment will be rescheduled. By signing this document, you are certifying that you are a parent or guardian with legal authority to sign on behalf of the minor; or personal representative with legal authority to sign on behalf of the dependent adult.
SkinCare MT requires 24 hours notice for any appointment cancellation or changes. We reserve the right to charge $25.00 for late cancellation and no-show appointments. Patients making late cancellations or appointment changes prevent us from seeing and/or treating other patients in a timely manner. In the event that a patient does not show for two scheduled appointments, the patient will be dismissed from the practice and asked to seek medical care elsewhere. Upon dismissal, patients will only be allowed to be seen in the office within thirty days in an event of an emergency and will be unable to schedule any further appointments with the clinic.