Terms and Conditions of Use - Bend Plastic Surgery

TERMS AND CONDITIONS

Payment Options

We accept Visa, MasterCard, and cash for insurance copays. Financing with healthcare lending plans may also be available. Please be aware that we will add a $35.00 charge to your account for returned checks. We reserve the right to send all accounts with balances over 60 days old to an outside collection agency or small claims court if necessary. All accounts sent to collections will be charged a $50.00 processing fee and additional fees associated with the collection of your balance. You will be responsible for all reasonable collections and attorney costs incurred.

Cancellations and No Show

Cancellations’ within 24 hours of your scheduled appointment will result in a $50.00 cancellation fee. Failure to show for your appointment will result in a “no show” fee of $50.00. A $500.00 nonrefundable deposit is required for any surgical procedure.

Insurance

We offer benefit verification as a courtesy, however, it is your responsibility to verify insurance coverage and benefits prior to your appointment or procedure. As a patient, you will be responsible for any copays, deductibles, additional testing, and services not covered by your insurance. If you do not have your insurance card, or we do not participate with your insurance plan, you can either reschedule your appointment or pay for your visit in full at the time services are rendered. Any balance left after your insurance has paid must be remitted within 30 days a 1.5% monthly finance charge (18% annually) is assessed to all balances over 30 days past due.

Private Party/Uninsured Patients

If you plan to pay privately for your services, please be advised that it is the policy of Bend Plastic & Reconstructive Surgery, PC practice to collect payment in full at the time of service. If you are unable to make payment in full at the time of service, your appointment will be rescheduled to a more convenient time.