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 SkinCare MT. 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. SkinCare MT 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 our 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.

The U.S. Preventive Services Task Force does not specifically recommend skin cancer screenings; therefore, these skin exams and screenings are not deemed preventative by insurance companies.

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.

You have the right to receive a "Good Faith Estimate" that explains the expected cost of your healthcare.

According to the No Surprises Act, healthcare providers are required to provide an estimate of the bill for healthcare items and services to patients who are uninsured or self-pay and do not have certain types of health care coverage. As an uninsured or self-pay patient, you have the right to request a Good Faith Estimate for the total expected cost of any health care items or services. This includes expenses related to medical tests, prescription drugs, equipment, and hospital fees.

If you schedule a healthcare item or service at least 3 business days in advance, your healthcare provider or facility should provide you with a written Good Faith Estimate within one business day after scheduling. If you schedule at least ten business days in advance, the estimate should be given to you in writing within three business days after scheduling. Additionally, you can ask any healthcare provider or facility for a Good Faith Estimate before scheduling an item or service. In such cases, they must provide you with a written estimate within three business days after your request. If the final bill exceeds the Good Faith Estimate by $400 or more, you have the right to dispute the bill under federal law.

Please note that the Good Faith Estimate does not account for any unknown or unexpected costs that may arise during treatment. In Dermatology, it is possible that you schedule an appointment for a specific reason, but during your visit, the healthcare provider may identify additional areas of concern and perform unexpected procedures that were not initially planned. Examples of such procedures include biopsies, which may result in unanticipated charges for pathology services. It is important to be aware that you may be charged more if complications or previously described circumstances occur.

We recommend keeping a copy of this Good Faith Estimate in a safe place or taking pictures of it, as you may need it if you receive a higher bill.

For questions or further information about your right to a Good Faith Estimate or the dispute process, please visit:
www.cms.gov/nosurprises/consumers
Email: FederalPPDRQuestions@cms.hhs.gov
Phone: 1-800-985-3059

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.

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 arrive without a parent/guardian present for their appointment will be rescheduled.

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.

It is important to arrive to your appointment on time. We value your time and that of our Providers. Therefore, if you arrive more than 10 minutes late to your appointment it is considered a no show.

In the event the patient does not show for multiple appointments, we reserve the right to dismiss the patient from our practice and ask them 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.

SkinCare MT requires 48 hours notice for any medical aesthetic + spa appointment cancellations or changes. Appointments that are cancelled or rescheduled with less than 48 hours notice will be charged 50% of the cost of the service scheduled. Consultations that are cancelled or rescheduled with less than 48 hours notice will be charged the full fee of $75.

It is important to arrive to your appointment on time. We value your time and that of our Providers. Each appointment allots for sufficient time for safe administration of treatments. Therefore, if you arrive more than 10 minutes late to your appointment it is considered a no show. No shows for aesthetic appointments will be charged 50% of the cost of the service. No shows for consultations will be charged the full $75 fee. This time frame allows us to fill appointments from our waitlist. Thank you for understanding.

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