Financial Information
Financial Policy
Please read through our financial policy and note the insurance and other financial information you need have available before your appointment.
- Bring complete insurance information, including insurance cards.
- Bring any referral or authorizations (if needed) from the primary care physician. Failure to obtain required referrals may cause the insurance company to deny your claim and make payment of all charges your responsibility. If you have a Kenpac medical card, the primary care physician must give authorization for the patient to be seen.
- If needed, EKG, echo and other additional testing will be performed by PCA at your appointment. Many insurance carriers require separate pre-certification for these tests even though they are performed in the office at the time of visit. CHECK WITH YOUR INSURANCE CARRIER TO SEE IF PRE-CERTIFICATION IS REQUIRED. If so, please call our office BEFORE your appointment.
- Co-pay and/or unmet deductibles for consultation and other testing fees are due at the time of visit. See payment information below.
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Payment
Payment is due at the time of your appointment. If you are covered by a managed care policy, you are responsible for you co-pay and any un-met deductible. The consultation fee (excluding any tests) will a minimum of $200 for new patients and $80 for established patients. If additional tests are required (electrocardiogram, echocardiogram, Holter monitor, event recorder, etc.) there will be an additional charge. For your convenience we accept MasterCard and Visa.
We participate with Kentucky Medical Assistance, Kenpac, Passport, and Indiana Medical Assistance programs, Illinois Medicaid and Ohio Medicaid (with special authorization). You must bring CURRENT month’s card with you. Kenpac and Passport require a written authorization from the primary care physician, which you MUST bring with you on the date of your visit.
For patients who do not qualify for Medicaid or who do not have other medical insurance coverage, financial assistance may be available. If you need financial assistance, PLEASE CALL OUR OFFICE BEFORE YOUR APPOINTMENT at 502-585-4802.
The Kentucky Commission for Children with Special Health Care Needs (CCSHCN) offers a wide range of services, including financial, medical clinics and services, nursing guidance, etc. If you would like more information about this program, please contact us.
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Collections
Co-pays are due at the time of service. We will file your insurance for you. After payment from the insurance company, you will be responsible for deductibles and co-insurance per your insurance contract. Invoice amounts not paid and postmarked within fifteen (15) days shall be subject to a monthly service fee not to exceed 2% per month of the outstanding balance plus additional collection costs incurred to collect amounts that are 90 days past due. Accounts more than 90 days past due will be reported to the Credit Bureau unless you contact us and we agree to a payment arrangement. Should that action become necessary, future visits will be on a cash basis and delinquent balances must be reconciled.
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Adult Patients
Adult patients are responsible for payment.
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Minor Patients
The adult(s) accompanying a minor is/are responsible for payment. For unaccompanied minors, non-emergency treatment will be denied unless charges have been pre-authorized to an approved credit plan, Visa/MasterCard, or payment by cash or check. Unaccompanied minors must provide written authorization by a parent or guardian before treatment can be rendered. Alternatively, a verbal authorization, witnessed by two PCA employees, will be accepted. At the time of verbal authorization, the parent or guardian will be asked an identifying question, such as birth date or last four digits of the patient’s social security number, before treatment can be rendered.
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Interest
We reserve the right to charge late fees and interest as provided by state law.
Questions
If you have any questions regarding our financial policy, please contact our patient liaison, Linda Wilson at 502-585-4802 ext. 233.
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Commission for Children with Special Healthcare Needs (CCSHCN) Kentucky Locations
Click the desired location for address and contact information.