At My Metabolism, LLC, we are committed to providing you with quality care via Weight Loss Telemedicine.  

1. Insurance
   1. We are currently in the process of enrolling with several insurance plans, including some Medicaid managed care plans.  If we are not enrolled with your insurance at this time, payment in full is expected prior to each visit.  If we do receive confirmation of coverage with your insurance and the effective date includes your appointment date, we will go ahead and file a claim for you so you can be reimbursed by the insurance company.
   2. If you are insured by a plan we do business with, but do not have an up-to-date insurance card, payment in full for each visit is required until we can verify your coverage.
   3. Knowing your insurance benefits is your responsibility.  Please contact your insurance company with any questions you may have regarding coverage for obesity and weight loss.
2. Proof of Insurance.  All patients must complete our patient registration sheet and provide copies of current insurance cards before seeing the doctor.  If we do not receive a copy of your current and valid insurance information, you may be responsible for payment in full.
3. Co-payments and deductibles.  If we are credentialed with your insurance, all co-payments and deductibles must be paid prior to seeing the doctor.  This is part of your contract with your insurance company.   Please be prepared to pay this fee online before your visit.
4. Non-covered services.  Please be aware that some – and perhaps all (tangible and non-tangible) – services you receive may not be covered or not considered reasonable or necessary by Medicare or other insurers.  You must pay for these services in full at the time of visit.
5. Claims submission.  We will submit your claims and assist you in any way we can to help get your claims paid.  Your insurance company may need you to supply certain information directly to them.  It is your responsibility to comply with their request.  Please be aware that the balance of your claim is your responsibility whether or not your insurance company pays your claim.  Your insurance benefit is a contract between you and your insurance company.
6. Coverage changes.  If your insurance changes, please notify us before your next visit so we can make the appropriate changes to help you receive your maximum benefits.  If your insurance company does not pay your claim in 45 days, the balance will be billed to you.
7. Nonpayment.  If your account is more than 90 days past due, you will receive a letter stating that you have 14 days to pay your payment in full.  Partial payments will not be accepted unless otherwise negotiated.  Please be aware that if a balance remains unpaid, we may refer your account to a collection agency.  The agency will bill you for the amount and any court costs up to $250.  If your account is sent to collections, you and your immediate family will have 30 days to find alternative care.  During that 30-day period, we will only be able to treat you or your family on an emergency basis.
8. NSF Checks.  Any checks returned for non-sufficient funds (NSF) will be charged a fee of $50.00.
9. Missed appointments.  We reserve the right to charge patients and discharge them from the practice if missed appointments are not canceled within 24 hours before the scheduled visit.  These charges will be your responsibility and billed directly to you. “No Show” fees will be charged and must be paid before rescheduling any further appointments.  Please help us serve you better by keeping your regularly scheduled appointments.
10. Forms.  There is a charge for all forms requiring a physician and/or medical staff person to complete.  Fees will need to be paid prior to the forms being completed.