SERVICES PEOPLE FEES CONTACT PORTAL LIBRARY
 

FEES

HEALTH INSURANCE PLANS NOT ACCEPTED

* We are NOT providers for Medicaid / Medi-Cal, Affordable Care plans (bronze / silver / gold) including Covered California and/or state managed care plans and/or "Obamacare", or Kaiser.  If your health plan states it is bronze, silver, or gold, it is your responsibility to call them and check whether it is an Affordable Care plan.  Refer to your health plan's website for a list of providers.

HEALTH INSURANCE PLANS ACCEPTED *

 

 
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HMO ONLY

 

 COMING SOON...  PPO PLANS!

Workers' Compensation | for our established patients only

 If you have health insurance, the federal penalty of $695/adult or 2.5% of your income (whichever is more) in 2016 will be $aved.

NO INSURANCE ACCEPTED AND OTHER HEALTH PLANS

 

You can still be patient here.  If you have other insurance, just submit your receipt of payment directly to them.  See Fee Schedule.

 

FEE SCHEDULE

 

EVALUATION AND TREATMENT  FEES

NEW PATIENT FIRST 30 MINUTES $100 EVERY 10 MINUTES THEREAFTER $30
ESTABLISHED PATIENT FIRST 20 MINUTES $50 EVERY 10 MINUTES THEREAFTER $15

(Compare with standard automobile mechanic engine diagnostic of $90.)  Remember your most valuable asset... YOU!

 

IMMIGRATION EXAMINATION (I-693 FORM) FEES

NEW PATIENT $150 initial visit + test fees + vaccination fees (if tests and/or vaccines done here, follow up visit fee waived)
ESTABLISHED PATIENT $100 initial visit + test fees + vaccination fees (if tests and/or vaccines done here, follow up visit fee waived)
TESTING usual for adult: Tuberculosis, Syphilis, Gonorrhea (see below)
VACCINATION usual for adult: TDaP, MMR, +/-Varicella (see below)

BLOOD DRAW + VACCINE + FORM FEES

Blood draws, non-routine vaccines, and forms are seldom paid for by health insurances.  Payment will be requested prior to these services.  Payments subsequently paid for by the insurance company of <$15 will be credited back to your account (unless otherwise requested) and >=$15 will be fully refunded back to you.  Most health plans will pay for routine vaccinations and laboratory testing.

VACCINATIONS FEE
Diptheria Tetanus acellular Pertussis - Child $52
Tetanus Diptheria acellular Pertussis - Adult $56
Hemophilus Influenza type B $47
Hepatitis A - Adult $101
Hepatitis A - Child $50
Hepatitis B - Adult $87
Hepatitis B - Child $30
Human Papilloma Virus $225
Influenza $42
Measles Mumps Rubella $84
Meningococcal $191
Pneumococcal - Adult $101
Pneumococcal - Child $216
Polio $72
Rotavirus $153
Typhoid $113
Varicella $159
Yellow Fever $168
Zoster $249
PROCEDURES / TESTS FEE
Venipuncture (Blood Draw) $15
Tubercolosis Skin Test (TST, PPD includes 1 follow up visit) $40
Syphilis (RPR) (blood) $11
Gonorrhea (urine) $78
Complete Blood Count $18
Comprehensive Metabolic Panel $24
Lipid $30
Thyroid Stimulating Hormone $37

DISCOUNTED CARE

If these fees are not affordable, Downtown Family Health Center is a medical clinic (partially subsidized with government funding) which offers lower cost or free care to all, including the homeless.  You may call 619.515.2525 for details.

POLICIES

WE ARE TRANSPARENT AND FAIR WITH OUR FINANCIAL POLICIES

ELIGIBILITY IS NOT A VERIFICATION OF COVERAGE

Health insurances may not fully cover all services such as blood draws and non-routine vaccinations.  We offer these to our patients and bill their health insurance as a courtesy.  Please check with your health plan regarding Responsibilities (accessible on their website) including co-payments, co-insurance, and deductibles for Sick Visit, Wellness Visit (check up), and Tests.  Most of our services are covered by most insurance plans.  With recent health care reform, preventive services are increasingly covered.

VERIFICATION OF IDENTITY + INSURANCE

Please bring current PHOTO GOVERNMENT IDENTIFICATION (passport if you are here for Immigration Examination) and HEALTH INSURANCE CARD.

If you are not prepared with this, payment in full is required prior to the visit.  Incomplete, inaccurate, or late insurance information will be charged Late Information processing fees; if proper information is received:>1 month $40, 1-4 weeks $30, <1 week $20, <24 hours $10.

Please check-in here 15 minutes prior to your first appointment.  You are responsible for updating us with any changes in address, phone #, or insurance.

Immigration Examination patients, please bring your current passport or employment authorization cards and any previous (childhood) vaccination records if you have them; if you don't have them it is alright.  You do not need to bring the I-693 form because we have an electronic form.

CHANGE OF INSURANCE OR PCP WITH MANAGED CARE HEALTH PLANS

Please see Patient Qualifications here.

Managed Care health plans such as HMOs require that you designate a Primary Care Provider (PCP) in an affiliated medical group.  Our PCP is Sunita Shailam in Mercy Physicians Medical Group (MPMG).  If you have had a previous PCP, call your insurance to switch back to that person to preserve your continuity of care.  If you would like to see us and meet Qualifications listed here, contact your health plan and this will be effective the first of the NEXT month and may take another month to show up on the MPMG website.

If you have a managed care health plan are are not active on the Mercy Physicians Medical Group (MPMG) website yet, based upon previous experience, you may have problems with payment of your claim.  Your 3 options are to:

   1. Choose another PCP (call 619.543.8800 x 0 or your health plan to do so).

   2. Pay in full upfront.. If your health plan reimburses for the services, you will be refunded.

   3. Call MPMG at 619.543.8800 x 0 to request website activation then call MPMG back until you receive confirmation.  If not confirmed, ask your health plan to call MPMG.

For our established patients, every time you change insurance, verify your PCP as soon as you receive your insurance card so you will have access when you need us.

PPO plans are NOT managed care health plans and do not need to officially designate a PCP to be treated here.

PAYMENTS

DUE DATE

Known balances, co-payments, and deductibles are due at the time of the visit.  Unknown balances will be sent to the health plan with balance due upon processing.

METHODS

Cash, Master Card, Visa, and Discover are accepted.  Bring current health insurance information and government-issued photo identification to each appointment for your identity protection.  You can securely pay your bill HERE.

UNDERSTANDING YOUR MEDICAL BILL

This is a helpful article.

Please contact us if you have any complaints or questions.

GIFTS

The doctor does not accept any gifts in order to avoid conflicts of interest.

REFUNDS

When a refund is owed, we will refund your credit card.  Since we do not keep your credit card information on file, you have the option of coming in with your card or providing this information to us over the phone. The refund generally posts to your account within 72 hours.

REFERRALS

For clients who meet our Patient Qualifications (see PEOPLE tab), your referral is appreciated.

BUSINESS

We love your business!  We look forward to a healthy, strong, long partnership cr8ing high value as a strategic investment WELL worth it!!

"The greatest wealth is health." ~ Virgil (Roman poet)

 
SERVICES PEOPLE FEES CONTACT PORTAL LIBRARY