Ways to Pay Your Bill
Payment or authorization to bill your insurance carrier for services rendered is due at the time of service. If you
have an outstanding balance, payment will be requested at check in.
We understand that sometimes, unexpected circumstances impact how and when you are able to pay for your
healthcare services. Below, you will find detailed information on our payment options and billing scenarios.
If you have further questions, or need financial assistance, don’t hesitate to call us at 253-848-5951.
Prompt Pay Discounts
If you are uninsured, you may participate in Prompt Pay, a medical discount program.
Through Prompt Pay, patients who pay in full at the time of service are able to take advantage of discounted pricing. Patients are charged a flat fee of $95.00 per visit, payable by cash or debit/credit card. Checks are not accepted in this program.
Should your visit be more complex and require significantly more time than an average visit, your provider may
charge an additional $20.00 at his/her discretion.
Any additional services, such as laboratory tests, will be charged in addition to the visit fee.
Insurance or Health Plan
Your insurance policy is a contract between you and your carrier; it is important that you read and fully understand your benefits. If you aren’t sure, please do not assume your policy covers every form of medical care. Policies and benefits differ, even those from the same carrier.
Ultimately, it is your responsibility as the patient, to understand what is/is not covered by your insurance policy.
Always carry your insurance card with you. Not only might you need it in an emergency, but we will also need it to verify your coverage at each office visit. Without this information, you may be asked to reschedule your appointment, or pay for services out of pocket at the time of your visit.
Your personal financial responsibility for co-pays, deductibles and non-covered services are mandated by your health plan. Sound Family Medicine is contractually obligated to collect these fees, and we are not permitted to adjust these costs to your account.
Copayments and Deductibles
Copayments are a part of your insurance contract and are due at the time of service. Please have your copayment ready for when you check in for your appointment. If you are unable to pay your copay, you may be required to reschedule your visit.
If you have an unmet deductible remaining in your plan year, we require a $95 deposit on the unmet deductible at time of check in.
Past Due Balances
Payment arrangements for past due balances can be made with our billing department at 253-848-5951 and select option 4.
If payment is not made within the agreed-upon time period, the account will be turned over to a professional collection agency.
At that time, the patient and family may be discharged from Sound Family Medicine. Please contact us as soon as you know you are unable to pay your bill, so that we can proactively make payment arrangements with you.
Non-Sufficient Funds (NSF) Checks
In the event that a check is returned NSF, there will be a $30 NSF charge applied to the patient’s account, in addition to the amount of the returned check.
FREQUENTLY ASKED QUESTIONS
This is an insurance process on obtaining approval from your insurance company for certain procedures, services, or medications. This process must be completed prior to scheduling certain appointments/procedures or obtaining medication.
This is the fixed dollar amount a patient pays for covered health care.
Patient share of the costs of a covered service, calculated as a percent of the allowed amount for the
service. Example: If the plan’s allowed amount for an office visit is $100, patient co-insurance payment of 20%
would be $20.00.
A deductible is the amount you must pay for covered services before the insurance starts covering your cost. Screenings, immunizations and preventative services are covered without requiring you to pay a deductible. If you are unsure of your coverage, please contact your insurance company.
This is the most you could pay during a covered period (usually 1 year) for your share of covered services. If you are unsure of your limit, please contact your insurance company with questions.
“Participating” or “In-Network” providers are those contracted with your insurance carrier. You pay a lower coinsurance and deductible when they use an in-network provider.
If a provider or pharmacy is not listed as an “in-network” or “participating provider”, you will have a higher out-of-pocket cost for the service(s) rendered. Please contact the customer service number on the back of your card for the exact amount. The deductible and co-insurance will be higher than in network providers.