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Patient Financial Responsibility

Acknowledgement of Patient Responsibility
  • Effective June 2023, we are no longer in network with Medicare & other insurance carriers. As an OUT-OF-NETWORK (OON) provider, we require commitment to the estimated Out-of-Pocket (OOP) responsibility owed before scheduling patients.

  • As of June 2023, we will be billing in accordance with our self-pay policies. Patients are financially responsible for paying us the owed OOP responsibility at self-pay rates.

  • Acknowledgement of patient responsibility is required before we are able to provide diagnostic services & treatment to patients.

  • It is ultimately a patient’s responsibility to understand/verify their out-of-network (OON) deductibles/benefits, OON plan limitations & to be aware of any OOP costs that will apply for healthcare services performed at Seaside Audiology during each date of service (DOS). 

  • Out-of-Pocket payment is required prior to rendering healthcare services at the time of your appointment. 

  • Due to the high demand & limited availability for our diagnostics & advanced treatment, we have implemented a Credit Card of File (CCOF) Policy like many other practices.

  • Acknowledgement of Patient Responsibility also entails covering your OOP patient responsibility at check-in on your appointment date before we provide any care.

  • For your convenience, we accept Cash, Checks, Major debit/credit cards (Visa, Mastercard, Discover, American express). For those with financial hardship, we offer no-interest payment plans, pending approval of the Financial Hardship Application by the Accounting Department.

 Upon request, we will provide you with an itemized invoice for services rendered to submit to insurance (this is a process to be exclusively mediated between patients and their insurance companies). To clarify, patients must work directly with their insurance(s) when submitting itemized invoices for OON care provided at Seaside Audiology.
Out-of-Network (OON)
Medicare & all other insurance carriers (Effective June 2023, we are OON with Medicare & all other insurance carriers)
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