Financial Information

For your convenience, we accept Visa and Mastercard. We deliver the finest care at the most reasonable cost to our patients, therefore payment is due at the time service is rendered unless other arrangements have been made in advance. If you have questions regarding your account, please contact us at Longwood Location Phone Number 407-774-3399. Many times, a simple telephone call will clear any misunderstandings.

Please remember you are fully responsible for all fees charged by our office regardless of your insurance coverage.

We will send you a monthly statement. Most insurance companies will respond within four to six weeks. Please call our office if your statement does not reflect your insurance payment within that time frame. Any remaining balance after your insurance has paid is your responsibility. Your prompt remittance is appreciated.

                                                              OFFICE REIMBURSEMENT POLICY

 The policy of Oral & Facial Surgeons of Mid-FL concerning reimbursement for services is a follows:

If the patient is covered by a medical/dental insurance plan with which Oral & Facial Surgeons of Mid-FL has a contract, we will bill the insurance company on the patient’s behalf. However, the patient is responsible for the deductible, co-pay and any procedures not covered by his/her insurance. Please realize any and all benefit and payment information we receive comes directly from your insurance carrier and is not a guarantee of their payment. When questions on insurance matters arise, please feel free to discuss them with our office, however, the agreement by the insurance company to pay for your medical/dental care is a contract between you and your insurance company.

We suggest you also call the insurance company to better understand your coverage.

If the patient has an insurance policy with which our office does not have a contract, then the patient is responsible for payment at the time of services unless arrangements are made in advance with our office.

Any insurance information presented to our office after services are rendered will be the responsibility of the patient to file and the account will be handled as a self-pay account.

If the patient is a member of an HMO plan, then he/she is responsible for providing the office with the necessary insurance information and referral forms for the provisions of the medical/dental services prior to the appointment. Failure to provide such information may result in the appointment being rescheduled or cancelled. Co-payments are required as dictated by the insurance policy and are due at the time of service, as well as any other patient payment responsibilities.

Our office does not participate with Medicare. The patient is responsible for any service rendered.

It is the patient’s responsibility to notify our office of any change of insurance carriers.

If payment is not received from the insurance company within 60 days the patient will be responsible for the total bill.