SERVICES PEOPLE FEES CONTACT PORTAL LIBRARY

 

FEES

HEALTH INSURANCE PLANS NOT ACCEPTED

 

We are NOT providers for Medicaid / Medi-Cal, Affordable Care plans (any plan that includes the words "bronze" / "silver" / "gold") including Covered California and/or state managed care plans and/or "Obamacare", Tricare, 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

 

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

WE ARE TRANSPARENT AND FAIR WITH OUR FINANCIAL POLICIES

 

EVALUATION AND TREATMENT  FEES

Fees are based upon # of problems and complexity, which is approximated in the following table.

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.  You will be present with us doing work for you.  Remember your most valuable asset... YOU!

 

IMMIGRATION EXAMINATION (I-693 FORM) FEES

*******NEW*PATIENT******* $200 +/-test +/-vaccination      +/-follow-up visit (included if test/vaccination done here)
*ESTABLISHED*PATIENT* $150 +/-test +/-vaccination      +/-follow-up visit (included if test/vaccination done here)
TESTING usual for adult: Tuberculosis, Syphilis, Gonorrhea (see Vaccination + Testing Fees below)
VACCINATION usual for adult: TDaP, MMR, +/-Var +/- Flu (see Vaccination + Testing Fees below)

We will bill most PPO health plans on your behalf and if we receive payment will reimburse you.  We provide receipts in all cases, including employer reimbursement.

 

AVIATION MEDICAL EXAMINATION AND BASIC MED FEES FOR 2ND AND 3RD CLASS PILOTS

AVIATION MEDICAL EXAMINATION $80    pilot to complete MedXPress prior to appointment AND BRING CONFIRMATION #
BASIC MED $400    via paper at time of appointment

OR

$80    pilot to complete MedXPress prior to appointment AND BRING CONFIRMATION #)

+/- ECG (age 35, annually after age 40) $25

We will bill most PPO health plans on your behalf and if we receive payment will reimburse you.

Basic Med and Aviation Medical Examination require the same qualifications.  If you want us do the exam and qualify for Basic Med, submitting your end electronically via MedXPress will save you money and save trees.

 

VACCINATION + TESTING 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 (TDaP) - Adult $56
Hemophilus Influenza type B $47
Hepatitis A - Adult $108
Hepatitis A - Child $54
Hepatitis B - Adult $87
Hepatitis B - Child $30
Human Papilloma Virus $225
Influenza $44
Measles Mumps Rubella (MMR) $84
Meningococcal $191
Pneumococcal - Adult $122
Pneumococcal - Child $216
Polio $72
Rotavirus $153
Typhoid $113
Varicella (Var) $159
Yellow Fever OUT OF STOCK until mid 2018 $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
Electrocardiogram (ECG) $45

 

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

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.

MANAGED CARE HEALTH PLANS (HMO) | NEW PATIENTS / CHANGE OF INSURANCE OR PCP

Please see Patient Qualifications here.

Managed Care health plans such as Health Maintenance Organizations (HMOs) require that you designate a Primary Care Provider (PCP) in an affiliated medical group.  Our PCP is Dr. 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 do not expect this to be effective until the first of the NEXT 1-2 months.  We do not accept same month transfers.

NOT ACTIVE ON MEDICAL GROUP WEBSITE AND SHOWING ELIGIBLE ON OUR ELECTRONIC HEALTH RECORD REAL-TIME ELIGIBILITY VERIFICATION

     As a courtesy and convenience to both you as the patient and the medical group  we will send an electronic request to the medical group for website activation.

NOT ACTIVE ON MEDICAL GROUP WEBSITE AND NOT SHOWING ELIGIBLE ON OUR ELECTRONIC HEALTH RECORD REAL-TIME ELIGIBILITY VERIFICATION

     To be forthright we are fully disclosing in our experience it is unlikely your visit here will be paid, so to minimize patients' financial cost recommend:

     IF THE PROBLEM IS EMERGENT OR URGENT | CLICK HERE AND SCROLL TO BOTTOM

     As a courtesy and convenience to both you as the patient and the medical group we will send an electronic request to the medical group for website activation and please check back with us or MPMG 619.543.8800 x 0 to verify the status.

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

Balances, co-payments, and deductibles are due at the time of the visit.  If your health plan reimburses us for these services, you will be offered a refund.

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.

We follow The Payment Card Industry Data Security Standard (PCI DSS) for your financial safety and do not store your financial information.  You may pay here at the Point of Service POS terminal and enter your card yourself.  Our terminal utilizes the state-of-the-art credit/debit card (Europay MasterCard Visa, EMV) chip system.  The EMV chip system is superior to the swipe system because it creates a unique transaction that cannot be used again and protects your data with point-to-point encryption.

You may securely pay your bill now via PayPal, just click the Pay Now button below.

UNDERSTANDING YOUR MEDICAL BILL

This is a helpful article.

Please contact us if you have any complaints, questions, or compliments.

GIFTS

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

CREDITS / REFUNDS

Unless requested otherwise, credits <$5 will be credited towards your next transaction.  >=$5 we will contact you to for a refund; you have the option of receiving the refund to your credit/debit card either in person (entering the card myself at the clinic Point Of Service terminal) or over the telephone or to your PayPal account.

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