Payment and Insurance Information

Make A Payment

What you need to know:

For Patients with Insurance:

Medicaid, All Kids, Medicare, and most forms of commercial insurance are accepted.

Claims are submitted for you.  Insurance deductibles and co-pays are due at the time of check-in.

It is your responsibility, as the Patient, to understand the terms of your insurance coverage.  Please call the phone number found on the back of your member identification card if you have questions about your insurance coverage.

For Patients with Limited or No Insurance:

The Shawnee Financial Assistance Program, based on family size and income, is available to help patients pay for services.  An application, which requires proof of household income, must be completed.

Your Payment Options:

Payment is your responsibility and is due at the time of check-in.

Cash, personal check, debit card, or major credit cards are accepted.  Appointments may be rescheduled if you are unable to make your payment at the time of check-in.

ATTENTION CHECK WRITERS

Should your check be returned for insufficient funds, you expressly authorize your account to be electronically debited or bank drafted for the amount of the check plus any applicable fees.  The use of a check is your acknowledgement and acceptance of this policy and its terms and conditions.

Please include the following information on your check:

Full Name
Street Address
Phone Number or
Cell Phone Number

www.checXchange.com

$25 flat fee for returned checks.

Please Note:

Payments are considered past due if all or partial payment is not made within 30 days from date of the billing statement.  A minimum monthly payment of $25 or one-twelfth of the balance, whichever is the greater amount, should be the minimum payment on open balances.  Payments that are delinquent more than 30 days from the initial statement may be turned over to a collection agency.

Payment plans are available on large balances for those patients needing to spread payments over a longer period of time.

If you have questions about payment or about your account, please call:

Billing:  618-985-2200  or  1-888-776-7902 toll free