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PROOF OF INSURANCE:
 

If you have private insurance coverage, please be sure to bring your eligibility card with you at each visit. This should display your group and policy number and the date of your eligibility. You are also responsible for providing us with correct and accurate insurance information so that we may bill your insurance company and receive payment in a timely fashion. You will be asked each year to review the insurance information we have in our data bank and will be asked to sign as evidence that the information is correct. We will bill you insurance company for you as a courtesy, however, you are responsible for the payment of you co-pays and deductible which are due at the time of service.

HEALTH CARE PLANS

Thank you for choosing Milwaukee Health Services, Inc. as your health care provider. We are committed to providing the best treatment for our patients and we charge what is usual and customary for our area. Please understand that payment of your bill is considered a part of your treatment.

Your payment (insurance co-payment, sliding fee plan, or full payment) is expected at the time of your service. Cash, personal checks, Discover, VISA or MasterCard are accepted. Although Milwaukee Health Services, Inc. offers billing services for health coverage, it is your responsibility to pay all your unpaid balances in a timely manner.

Sliding Scale Discount:
If you do not possess any type of insurance, you may apply for the sliding scale discount; you are required to provide the following:

1. Number of immediate family members.

2. Proof of income (pay check, income tax form, W2 or a letter from employee verifying wage).

3. Address verification.

You will receive discounts on office visits, selective lab work, selective pharmaceuticals, selected x-rays, psychotherapy, and dental, if you pay your sliding scale fee at the time of service.

Non-Sufficient Funds check:
The amount of any check we receive from you for payment of services which is returned to us by the bank marked “non-sufficient funds” will be charged again to you. A processing charge for your check of $12.00 will be added to the charges on your account.

Collections:
Your bill is due and payable within 30 days of the date of each visit. If your payment is not made after 90 days, your account is sent to collection. Monthly payment plans can be arranged with the Billing Department.

Benefits Assistance:
Badger Care Plus



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