Financial Terms
*** $50.00 deposit made via major credit card is required to schedule new patients ***
We accept all insurances on an out of network basis. All fees must be paid in full to Alay Health Team at the time of service. If you are unable to meet your financial commitment, you will have to reschedule your appointment.
Billing Fees
We expect that fees will be paid in full at the time of service. Any account balances will be paid within 30 days of receiving a statement from us. We will turn over unpaid accounts to collections. We reserve the right to refuse to reschedule appointments if account balances are not paid.
Appointments
Please be sure to call 24 hours (1 business day in advance) to cancel or reschedule your appointment. This includes making a same day appointment and later canceling or rescheduling. If you need to cancel, reschedule, or make an appointment, please call during business hours, as our answering service does not take messages after hours regarding appointments & non emergency calls about appointments to the answering service may incur a fee. Our office utilizes an automatic reminder message that allows you to confirm or cancel your doctor's appointment, so please make sure that we have your most recent telephone number on file so that you receive the reminder call. Appointment reminder calls are attempted as a courtesy for you, but it is your responsibility to keep track of appointment dates and times. There is a $75.00 charge for no show appointments, or visits that are canceled/rescheduled on the day of the appointment. Please be sure to make a follow up appointment after seeing the provider to ensure that you get in within a timely fashion to renew your prescriptions. We highly recommend making an appointment BEFORE you leave the office, or the following day, as schedules tends to fill up rather quickly.
Samples
Medication samples are a courtesy that we provide to patients trying a new medication. We cannot guarantee there will always be enough samples available, therefore, please do not become dependent on our office to provide you with samples every month, as they may not be in stock. We cannot mail samples, nor can we render a substantial quantity of samples of to any individual, as we have other patients that may need them also. If medication cost is an issue, please address your concerns with your provider.
Prior Authorization for Medication
Many insurance companies require prior authorization on certain medications. Please have your pharmacy fax the notification to our office and we will respond to the request from your insurance company. Keep in mind that prior authorization requests can take from 2-5 business days to process after we send the information to your insurance carrier. Alay Health Team is not responsible for your insurance company's decision of whether or not they will cover your medication.
If you are seeking help with access to medications through a special program; ( i.e. patient assistance), we will provide the prescription to you. Our policy is that you keep up with the 800 numbers for the programs so that you may follow up with your request. We cannot guarantee how long programs take to consider your request.
Letters & Forms
If you are requesting a letter to be written on your behalf or forms to be completed, please keep in mind that your request will take 3+ business days to complete. Our medical provider must approve and sign all letters before they can be picked up/mailed/faxed. The minimum turn around time for letters is one week, so please request them 1-2 weeks in advance.
Disability Claims
If you are requesting assistance in completion of a disability claim, please make note of the following:
****Short Term Disability and FMLA Paperwork ONLY! We do not process paperwork or evaluate for Social Security Disability!****
1. Alay Health Team does not "give" disability. We can only report symptoms and response to treatment to the company that handles your disability insurance.
2. We do not backdate disability.
3. If regularly scheduled appointments are not kept, we will notify your disability carrier.
4. Our providers first priorities each day are to see scheduled patients; therefore, they will complete letters and forms as time permits. Disability paperwork requests take 7 to 10 business days to complete.