Every patient visiting our office and receiving care will have several documents to review and sign. These will include policies on risks of care, how we will protect your privacy, protecting your health information, how to manage appointment times, cost of care, taking advantage of insurance and our fee schedule.
These three forms are signed by all visitors. Informed consent, privacy practices and our cancellation. We encourage you to review these documents and ask any questions you may have.
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Informed Consent describes the risk and benefits of chiropractic care
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We are responsible for protecting your health information, here we ask in which way we may communicate with you out side of the office.
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We ask for a 12 hour notice if you must change or cancel appointments.
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The next set of policies covers cost of care, which there are three basic ways to cover your cost: pay cash for your visit, bill your insurance company, or having a workers compensation claim or auto accident claim. Individuals over the age of 65 will be required to review and sign an advanced beneficiary notice for medicare, regardless if you wish to bill medicare.
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New patient Office Visit Fee of
$100 (for ages 0 to 17 and 65 to 79) or $125 (for ages 18 to 64) Follow up Office Visit Fee of $68 (for ages 0 to 17 and 65 to 79) or $85 (for ages 18 to 64) |
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Unbroken body is not a co-pay only office. Chiropractic care is limited to certain covered services. We collect for non-covered services at every time of service.
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Medicare cost of care is one low flat rate fee and is described in the Advanced Beneficiary Notice
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We have several options for you if you are involved in an auto accident, workers comp injury.
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Included here is our 2024 fee schedule which reflects the cost of services that you will see on your explanation of benefits. These reflect the costs we bill, not the cost of services to the patient.
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We derive our fee schedule from CMS.gov Centers for Medicare and Medicaid Services. These are the rates and codes you will see on your Explanation of Benefits
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Here we have included links to the Department of Health Care Services and the Department of Managed Health Care. Department of Health Care Services helps individuals find medical care and services. Department of Managed Health Care helps individuals manage disputes with their insurance companies, such as insurance companies not paying in full for services when they promise to do so.
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The California Department of Managed Health Care protects consumers' health care rights and ensures a stable health care delivery system.
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The mission of DHCS is to provide Californians with access to affordable, integrated, high-quality health care, including medical, dental, mental health, substance use treatment services and long-term care. Our vision is to preserve and improve the overall health and well-being of all Californians.
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