Office Info

Fees and Billing

Our billing department takes billing and insurance calls from 8:00 AM to 5:00 PM.

We prefer not to send bills because the cost of paperwork and postage can affect the fees we charge. You may receive money from the insurance companies for non-assignment charges and therefore, we request your payment at the time of service. We accept cash, check, Visa and MasterCard for payments.

It is your responsibility to know what services your insurance plan and policy covers, i.e. which laboratories, procedures, treatments, immunizations, radiologists and doctors your insurance will accept. Be sure to arrive 10 minutes prior to your appointment to allow time to complete necessary forms.

Medicare:

All the physicians in our office are participating with Medicare and will accept Medicare's APPROVED amount as payment in full for COVERED benefits. You will be responsible for the 20% co-pay, deductible or uncovered benefits not reimbursed by Medicare. If you have supplemental insurance, please be sure the business office has the proper information for billing.

MEDICARE ADVANTAGE PLANS:

GVMS participates with the following Medicare Advantage Plans, as well as most Fee For Services plans that say PFFS:

• Medicare Plus Blue
• Unicare
• Secure Horizons Direct
• Humana Gold
• Priority Health (for existing GVMS patients only)
• Blue Care Network Advantage

Medicaid:

We see Medicaid patients by pre-authorized referral or our established PSP patients and you must have proof of coverage for each visit. Since Medicaid is usually secondary insurance, if you have other coverage, please be sure to inform the business office so they may bill accordingly. All co-pays are payable at the time of the visit.

Blue Cross Blue Shield of Michigan (traditional):

We are participating with BCBSM and will accept their payment for approved amounts of covered benefits. You will be responsible for any amounts not covered, but approved by BCBSM.

HMO's/PPO's:

If you are a member of an HMO or PPO, please inform us when making your appointment to make sure the physician participates with your program. If your visit is a referral, make sure it is pre-authorized by your primary physician. All co-pays are payable at the time of the visit. If you would like to become a patient of GVMS but are not certain if we participate with your plan, contact your insurer or feel free to call and check with us.

Other Insurance:

When you pay for your office services following your appointment, you will receive an itemized statement with the necessary information for you to obtain reimbursement from your insurance company if it is a covered benefit.

Past Due Accounts:

If there are extenuating circumstances, and you need to make special arrangements with us for payment of your account, please discuss this with us. If your account is past due and there is not a valid reason for payment delay, appropriate action will be taken.