Financial Policy

Good Faith Estimate: Non-Medicare Part B Patients

You have the right to receive a "Good Faith Estimate" explaining how much your medical care will cost. 

Under the law, health care providers need to give patients who don't have insurance or who are not using insurance an estimate of the bill for medical items and services. 

• You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees. 

• Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service. 

• If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. 

• Make sure to save a copy or picture of your Good Faith Estimate. 

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises

Financials: 

Medicare Part B

Dr. Thompson is a non-participating provider with Medicare Part B. Medicare will only aid with the cost of active care (medically necessary) spinal adjustments (CPT codes 98940, 98941, and 98942). The active care spinal adjustments are paid by the patient at time-of-service. 

The provider will file the claim to Medicare. Medicare will process the claim against your annual Part B deductible. Once your deductible is met, Medicare will mail a reimbursement check directly to the patient for usually around 80% of the approved Non-Par rate. 

Follow your Medicare terms and conditions. 

The exams, wellness adjustments, extraspinal adjustments (extremity adjustments), other health care services and therapies, equipment, retail products, etc. are all out-of-pocket, not covered by Medicare, and to be paid time-of-service. 

Non-Medicare Part B

For non-Medicare patients, all exams, active care adjustments, wellness adjustments, extraspinal adjustments (extremity adjustments), other health care services and therapies, equipment, retail products, etc. are all out-of-pocket and to be paid time-of-service. You may ask for an itemized receipt for self-submission to insurance/HSA/FSA. 

HSA/FSA cards

HSA cards and FSA cards are allowed to be used in-person with the card terminal, but may not be used as the card saved on-file. 

Saved card on-file

Every patient is required to have a credit or debit card to be saved on-file. This cannot be a HSA or FSA card. The card saved on-file will be used to pay for any late payment fees, missed appointment/no-show fees ($35 per occurance per patient with less than 24 hours notice), services, therapies, equipment, retail products, exams, etc.