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Patient Information & FAQ 2017-06-28T03:58:15+00:00

FAQ

Collection of Payment 2017-01-16T03:22:45+00:00

We are providing you advanced notice that collection of payment will occur prior to treatment. There are important reasons for this.

1 – Privacy… Federal HIPPA laws in effect have given privacy the top priority. The privacy of the exam room ensures patient confidentiality when exchanging medical / personal information and when the financial transaction is being shared and processed.

2 – Safety and Hygiene… Medical procedures that involve needles necessitate confining blood to specified rooms and disposal containers as outlined by OSHA laws. By processing payment and scheduling appointments in the exam room prior to treatment, the patient and an assistant can give attention to residual bleeding in the exam room. The patient will then be able to leave without stopping at the front desk.

3 – Efficiency… We have found that this procedure has improved our efficiency and flow of patients through the clinic. When the assistant has obtained a brief patient history and consent for treatment, she can proceed to processing payment in the same room once Dr. Wheaton has done his exam and discussed areas to be treated.

HSA 2017-01-16T03:21:32+00:00

If you have a high deductible health plan, you are able to pay your qualified out of pocket medical expenses like Prolotherapy with PRE-TAX dollars. If you would like more details, let us know

Care Credit 2017-01-16T20:35:00+00:00

Care Credit is a “credit card” for medical expenses. This gives us the ability to offer you several payment options including 3, 6, 12, or 18 month interest-free plans, as well as, 24, 36, and 48 month extended-payment options at a fixed interest rate. If you are interested in this option we will be happy to explain it to you and assist you in applying and using this payment plan, or you can review this option online at http://www.carecredit.com/howcarecreditworks/” target=”_blank”Care Credit.

Workers Comp / Auto Insurance 2017-01-16T03:19:51+00:00

Worker’s compensation may cover prolotherapy in some cases. Auto insurance companies often cover Prolotherapy when your claim is open and active. In both of these cases we require full payment at the time of your visit. You will then be given necessary paperwork for you to submit these charges to your auto insurance and employer for reimbursement.

Medicare / Medicaid 2017-01-16T03:18:56+00:00

Dr. Wheaton is NOT a Medicare / Medicaid provider (under the Social Security Act). Therefore, as required by Medicare, all Medicare patients must enter into a private contract with Dr. Wheaton. You may choose to seek care from a participating physician, or if you do enter a private contract with Dr Wheaton this will not affect your status with other participating Medicare physicians. This contract states that you will be responsible for the full amount of all charges at the time of service, as Medicare will not make payment for any services. Medicare limits may not apply to our charges. As a Medicare beneficiary you agree to not submit any claims to Medicare from our office, or ask us to submit claims as this would be a violation of our agreement with Medicare.

Medicare plans do not, and other supplemental insurance may elect not to make payments for services not paid for by Medicare. Most require that a claim must first be processed by Medicare. Because Dr. Wheaton is not a Medicare provider we cannot submit claims to Medicare, so supplemental insurance often will not pay for these services either

If services are provided due to an emergency, no private contract with the patient is required. You will be provided with an estimate of all costs involved in your care with Dr Wheaton.

Cash or Check 2017-01-16T03:16:12+00:00

At the time of payment, patients have the opportunity to have 5% discounted from all services if paid by cash or check. If you pay by check and the bank returns your check unpaid, a $30 fee will be assessed.

Major Medical / HMO / PPO Insurance 2017-01-16T03:15:37+00:00

Lakeside Sports and Pain Clinic NO longer has a relationship with any insurance companies and we require full payment at the time of your visit. You will then be given all the necessary paperwork for you to submit these charges to your insurance for reimbursement.

If you choose to submit your office visit to your insurance, remember pre-authorizations or referrals to be seen or treated at this clinic is your responsibility. You are responsible for knowing what your plan will cover. If you have questions, please contact your insurance company.  If you do not obtain a pre-authorization or referral your submission for reimbursement may be denied.

We will forewarn you that some previous patients were told by their insurance company they will cover Prolotherapy.  However, months and maybe years later, the insurance company asked for the payment(s) to be returned due to the fact it was given in error initially.  We have no control over these matters between you and your insurance.  You are responsible when you submit any claim.

Forms & What to Bring With You to Your Initial Consultation

  • 2017 New Patient Forms – Please PRINT & complete prior to appointment

  • 2017 Financial Policy – Please PRINT & complete prior to appointment

  • Driver’s license

  • Copies of Any Current Reports (x-rays, MRIs, lab reports)

  • Films (if available on either CD or the original films)

  • List of any medications and supplements

Call us NOW so that we can answer all of your questions and schedule an appointment with Dr. Wheaton as soon as possible to start your journey to a healthier life!

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