Foothills Family Medicine of Westminster

Appointments: We ask that if you need a routine visit, such as a medication refill or a physical, that you call us several days in advance to schedule that appointment.  If you call before you are out of your medication it is easier for you to get an appointment before you run out of your medication.  We try to save the same day appointments for those who are acutely ill since an illness cannot be planned.



Prescriptions:  ALL prescriptions require an appointment for refills.  We will not call in any medications.  If you need refills or a change in a medication, you must make an appointment.  We will always give you refills to last you until you need to come back in for your next check up.  Please make your next appointment before you leave the office.



Forms:   We will not fill out insurance forms or forms for work with out an appointment. 



Copies:  Any copies requested by the patient will be charged at 10 cents per page.



Referrals:  If we need to refer you to a specialist, it is the patients responsibility to know who is in you network.  If the referral goes out of the county and the insurance is Medicaid, the patient is responsible for contacting Medicaid to get approval of payment for the specialist.  Most specialist will not make an appointment with out this approval.

                 Since we ask you which specialist you prefer to see, we will only refer you to that specialist.  If for any reason you ask for an additional referral for the same reason, your account will be charged $10.00 for each duplicate referral.  This balance will not be filed to insurance, it is the patient responsibility.



Insurance:  We will file the insurance we have on file for you at each visit.  It is the patients responsibility to make sure we have the correct current and valid insurance on file.  All copay and deductibles are due at the time of service.



Self Pay:   If you do not have insurance, and your visit is over $50.00, we will discount your visit by 20%.  Payment is due at the time of service.



Returned Checks:    We participate in the Worthless Check Program.  Any returned check will be turned over to the solicitor's office for collection.  You will then be paying the county for the check, solicitor fee and your bank fees.  You will not be seen in our office until the returned check has been paid.



Collection Policy:   If your insurance does not pay within 60 days, then you are responsible for the balance.  You can then file your own claim to your insurance for the insurance to reimburse you.

      If there is a balance on your account after insurance, we will send a bill to you.  If payment is not made by you within 60 days, you will be turned over to our collection agency and possibly dismissed from our practice.  If you are unable to pay any balance over $100 in full or in 2 payments, we will be glad to set up an automatic payment plan with you for up to 6 months with equal amounts applied to a debit/credit card on the date of the month you agree to.  This plan will only be for the cuurent balance at the time the agreement is made. If for any reason we are unable to collect the payment on the plan, your balance will be turned over to our collection agency.

      Any balance on your account must be paid in full before you are seen again unless a payment plan has been made in advance of your appointment.