Home ] SERVICES ] PEOPLE ] CONTACT ] [ PAYMENT ] LIBRARY ]

 

PAYMENT

HEALTH INSURANCE PLANS ACCEPTED

 

Aetna Anthem Blue Cross Blue Shield.
Managed Care plans only, call Bob Mogelnicki at 619.260.8958 for plan options

* some with $0 monthly fee

* many with free fitness center membership

Scripps
Vitalidad Workers' Compensation | for our established patients only

 

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.

CHANGING INSURANCE

You can usually continue to be a patient here if you switch to one of these insurances and request your new designated Primary Care Provider as Sunita Shailam, M.D.

NO OR OTHER INSURANCE PLANS ACCEPTED

You can still be patient here.  If you have other insurance, you may then submit your receipt of payment directly to them.

OFFICE VISIT FEES

Complexity and # of Problems New Patient Established Patient
1 $88 $52
2 $127 $86
3 $194 $127
4 $242 $170

These fees are on par with the community.

DISCOUNTS

If these fees are still 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 can call 619.515.2525 for details.

Please note discounts do not apply to co-payments, immunizations, or venipunctures (blood draws), for which full payment is due at the time of service.  Once you are an established patient (return visit), there is a significant discount.  If you pay in full at the time of service, there is a 20% discount, which is significantly better than par with the community.

DUE DATE

Known co-payments and balances are due prior to the visit and unknown co-payments and balances are due when the amount is known.  Certain co-payments and balances may not be known at the time of service if there is a variable co-payment or if there is a deductible.

METHODS

Cash, Master Card, or Visa are accepted.  Bring current health insurance information and government-issued identification to each appointment for your identity protection.

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.

Venipuncture (Blood Draw) $15
Diptheria Tetanus acellular Pertussis - Child $49
Tetanus Diptheria acellular Pertussis - Adult $47
Hemophilus Influenza type B $44
Hepatitis A - Adult $81
Hepatitis A - Child $50
Hepatitis B - Adult $83
Hepatitis B - Child $28
Human Papilloma Virus $165
Influenza $40
Measles Mumps Rubella $67
Meningococcal $181
Pneumococcal - Adult $74
Pneumococcal - Child $115
Polio $47
Rotavirus $95
Typhoid $68
Varicella $155
Yellow Fever $119
Zoster $249
Form (per 3 pages) $15

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.