Thank you for choosing Island Therapy Solutions as the health care provider for you. Our practice is committed to providing the best possible care for your children. It is vitally important to our professional relationship that you have a clear understanding of our financial policy.
Please take a moment to review. We require that you read, agree to and sign our financial policy prior to any treatment.
CONTRACTED INSURANCE CO-PAYMENT/CO-INSURANCE/DEDUCTIBLE
Island Therapy Solutions participates with all insurances that are contracted with VI Equicare,
Inc., and will file all charges incurred with the appropriate claims office. We have agreed to accept the rates from these plans, however all co-Insurance and co-payments are your responsibility and are payable at the time of service as per your contractual obligation with your insurance company. Island Therapy Solutions is contractually obligated to collect this co-
payment at the time of service. Island Therapy Solutions will collect in full any amount incurred per visit until your deductible is met.
Today’s health insurance policies and coverage offers more options than ever. Each patient is responsible for knowing his/her plan benefits package, co-payment, co-insurance deductible, non-covered services and restrictions.
NON-CONTRACTED INSURANCES
If you do not participate with your insurance plan, payment in full is expected at the time of service. We will provide you with a claim form for filing with your insurance company.
SECONDARY INSURANCE
Have more than one insurer DOES NOT necessarily mean that your services are covered 100%.
Secondary insurers will pay as a function of what your primary carrier pays. We will bill your secondary carrier as a courtesy. You are responsible for any balances after your insurance has cleared.
NO INSURANCE
Full payment is due at the time of service. If you are unable to pay your balance in full, please make arrangements with our billing department prior to your scheduled appointment. Failure to make prior arrangements for payment, thus requiring us to bill the visit fee will result in additional fees (please see below).
PAYMENT/SERVICE CHARGE FEES
We accept cash, bank certified check, debit, Visa, and Mastercard.
In the event that there are any outstanding payments after service is performed there will be a service charge fee of $30.00 is payment is not made by the end of the business day.
There will be a $50.00 service charge for all returned checks.
Any outstanding balances are due within 30 days. If you are experiencing circumstances out of your control, please call our office and we will be happy to make payment arrangements. All accounts with unpaid balances over 60 days will be assessed a $30.00 monthly statement fee.
All balances that reach 90 days past due will be sent to a collection agency. Should your account be sent to a collection agency you will be financially responsible for any collection fees and legal fees that our office incurs through the process utilized to collect the outstanding delinquent balance.
Thank you for your understanding of our financial policy. If you have any questions or concerns, please feel free to discuss them with our billing department.
