Financial Terms

We accept commercial insurances, as listed on the home page, T-19/Medicaid and TriCare.  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.  Please be mindful that not all codes are covered by insurnce, but are indeed billed.  For example, Tele-health and after normal for the area business rates, such as seeing a provider after 5pm and/or weekend visits, do apply and are then responsible by the patient.  If these codes and corresponding charges are not warranted, appointments M-F 9-5 and for in-person only provider visits will be required, thus, wait times similar to other  psychaitric offies, of several months out, will occur.

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.  If you feel you have an emergency situation, please dial 911.  If there is no call to notify the office that you will be cancelling and you fail to show for your first appointment, we may not be able to schedule you back in to be seen right away, thus, a longer wait time may occur.  

 

Our office utilizes an automatic reminder message that allows you to confirm or cancel your provider'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. If you miss (3) appointments, you will be discharged from Alay Health Team.

 

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 tend 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.  Fees for providing written documentation, filling out forms, letters, etc. start at $25 and increase due to the complexity of the communication. 

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.

 

 

Disclaimer


Alay Health Team is a safe place for you to talk with the following expectations, rules and regulations being met:


1) If you ever communicate current suicidal or homicidal intent, you have to be reported so further help can be given.
2) If you ever communicate sexual physical or mental abuse in any way about a minor, elderly or developmentally delayed person, due to mandates by law, you have to be reported.
3) If you choose to bring someone in the room with you, you are non-verbally or even verbally consenting to their presence.
4) If you do anything to break trust related to prescribing authority, Alay Health Team has the right to terminate your relationship.