Financial and Insurance

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Charges for office visits are based on the complexity of your condition, the time spent with your provider and the number of conditions or diagnoses dealt with; your provider makes the determination as to the level of service. If you have any questions about our fees and payment options please do not hesitate to speak with bookkeeping regarding this matter. You may contact the bookkeepers directly at 425-605-2426.

We will submit your bill to your insurance company if we are a contracted provider. You must present a valid insurance card at the time of your visit or we will assume that you are responsible for payment in full at the time of service. All co‐pays, deductibles and coinsurance are due prior to treatment. 

Routine obstetric care is billed as a package known as a “global fee,” this fee is billed to your insurance at the time of delivery. If your plan has a copay for office visits you will be responsible for this copay on your initial visit. Diagnostic testing including ultrasounds are not included in the global fee and will incur separate charges. Our business office will verify your particular insurance benefits and set up a payment plan to assist you in paying your cost share prior to delivery. Once you receive this benefit letter from our office please contact bookkeeping with any questions.

If you would like your newborn son to be circumcised, your doctor can perform the circumcision after delivery. Please check with your insurance carrier to verify this service is covered and what benefits would apply. Your newborn will be a new subscriber on your insurance policy and typically will have their own deductible and coverage limitations. If your insurance will not cover the circumcision, the cost for this service is $400 and must be prepaid or collected at the time of service. Please note that Medicaid programs do not cover circumcisions at all so you will be responsible for the total cost.

If we are not billing your insurance, full payment is due at the time services are rendered and a Self-Pay discount will be applied. We accept cash, check, Visa, MasterCard, American Express and Discover credit cards.

There are some insurance plans with which we do not have a contractual agreement. You remain responsible for payment of services. Your insurance policy is a contract between you and your insurance company. We recommend you check your insurance benefits prior to being seen. 

Please note that credit balances of less than $5.00 are refunded upon request. Otherwise, the credit will remain on your account until your next visit. There are charges for completing forms other than insurance claim forms, this fee is $25 per form.

We can answer your questions relating specifically to our charges and your claim. COVERAGE ISSUES can only be addressed by your employer, group plan administrator or the member services department of your insurance carrier.

Procedures, Surgery and Elective Surgical Procedures: Should a surgical procedure be necessary, we will contact your insurance company and verify your plan benefits for co‐pay, deductible, and coinsurance. If you have been scheduled for a procedure or surgery, there may be charges in addition to the physician’s fee. If scheduled at Evergreen Hospital or Evergreen Surgical Center you will receive a separate statement from these facilities for the facility portion of the total bill. Separate statements may also be sent for anesthesia and/or pathology charges.

Please note that should the Center For Women’s Health at Evergreen need to utilize a collection agency to collect payment on your account, your care with the practice will be terminated.