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Billing and Insurance
Billing Dept. 
(831) 438-2626
M-F 10am-4pm

Insurance Dept. 
(831) 438-5537
M-F 8am-2pm


Your First Visit

On your first visit, you will be asked to provide some basic identifying information. This information will be used to create your permanent electronic medical record. This process takes 15 minutes; try to allow for this time on your first visit.    

 

About Fees

New patients with non-member insurance coverage, no insurance coverage, or Medicare are required to pay for their first visit to become established at our clinic. The balance owed after insurance processing is due within 30 days. If the balance is not paid within that time period, there will be a $6 rebilling fee applied to your account.  If you need special credit arrangements, or have other questions about fees, contact our billing department. A billing statement will be sent out monthly. Patients who have insurance of which our doctors are members are required to pay their office co-payment at each visit. Missed appointments fees will apply if the required 24 hour cancellation is not made. Physicals and procedure visits also require 24 hour notice of cancellations. There are also fees associated with filling out forms or reviewing medical records. The prices are dependent on the type and complexity of the forms or records, respectively.

 

Insurance

We are members of many insurance plans. Please check for a current list of member physicians when your employer offers insurance choices. Below is a list of Insurance Companies we are currently contracted with. There may be other Insurances not listed, please inquire.   HMO insurance contracts are managed through Physicians Medical Group of Santa Cruz (PMG).

 

Aetna, Blue Cross, Blue Shield, Cigna, Coastal Health Care, Easy Choice, First Health, Great West Health Net, Multiplan, One Health, PCIP, United Health Care/PacifiCare

 

Medicare

We are non-participating members of Medicare. Our doctors do not accept "Medicare assignment". Therefore, you may have out of pocket expenses. You will receive a monthly billing statement from us showing the charges that have been sent to Medicare. Medicare will process your claim from our clinic as 'non-participating physicians'. We are limited by Medicare on the amount we can charge for services; however we are not required to accept the Medicare approved amount. Therefore, you are responsible for the amount billed. All correspondence and/or payments regarding your claims from this office will be sent directly to you from Medicare. We suggest that you endorse the Medicare check and send it to Scotts Valley Medical Clinic. If you do not have a Medicare Supplement, please issue a personal check for the remaining balance. If you do have a Supplemental Insurance, the claim will either be sent from Medicare automatically or filed manually from this office. In this case, you may wait for the secondary insurance to process and pay prior to sending us the balance due. Please contact our billing department with any questions.

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