Insurance Plans
Health plans which we accept:
Not covered by any of these plans? Contact us and we will find the best solution to suit you.
Questions about your bill?
If you have a question about your bill, you may contact our Billing department, during regular office hours, at (910) 938-3200.
Do we have your correct information?
Please be sure to let us know if your mailing address or contact information needs updating. This is extremely important to avoid billing conflicts.
Important information about coverage of Ancillary Services and Referrals
Your provider may recommend that you have additional services based on your medical needs. Please review the statement(s) below in regards to health insurance coverage. Your healthcare insurance is a contract between you and your insurance company. You should familiarize yourself with your insurance’s covered benefits plan prior to having secondary services performed as we are unable to guarantee payment for these services.
Laboratory Services
Many health insurances have designated a “preferred provider of laboratory services”. Before completing your lab work, contact your insurance company to identify the preferred facility if there is one with your specific plan. The providers at Swetang Patel MD, PA order lab tests based on your medical needs. Unfortunately we cannot guarantee payment of these services as we are unable to identify your specific covered benefits within your insurance plan.
Collections Policy
If payment is not received in full and there is an outstanding balance on your account, we will make several attempts to collect this debt, and if payment is still not received, it will be forwarded to our collection agency. Once a patient’s account is forwarded to collections, he/she may be discharged from the practice due to account delinquency.
Insurance
Swetang Patel, MD PA contracts with many insurance carriers. We make every effort to stay up-date with current insurance requirements, however, we ask that you please call your insurance to make sure our physicians and any referrals are covered under your plan. We request that patients present their insurance card for verification at every visit.
Your insurance policy is a contract between you and your insurance company. In the event that one of our Clinicians does not have a participating agreement with your insurance plan, please be aware that some, and perhaps all of the services provided may be non-covered or out of network you are responsible for the full amount not paid by the plan.
We do participate with Medicare, Tricare, Federal Employees-BCBS, State Health Plans and BCBS of NC as well as with several other major carriers.
However, policies and benefits vary greatly and can be very confusing. Therefore, it is YOUR Responsibility to:
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Ensure the Clinician you are scheduled with actively participates with your insurance plan.
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Know your benefits, deductible, co-insurance and co-pay requirements prior to your visits. As these amounts will be collected by the front desk.
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Ensure that all-approval requirements are met to avoid denials or out-of-network benefits.
To obtain this information, call the member services number on your insurance card, visit the carrier website or contact your benefit representative at your place of employment with any inquires
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