Boos Chiropractic
Please use the following links to print and fill out our insurance coverage and patient health history forms. The forms are formatted in Adobe Acrobat, in order to view them you will need Adobe Reader installed on your computer. If you do not have Adobe Reader you can click here to download it FREE.
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GROUP OR INDIVIDUAL INSURANCE
We attempt to take out as much of the "insurance hassle" as possible for you. We'll happily telephone your insurance company to verify your coverage benefits. Please remember, however, that the benefits quoted to us by your insurance company are not a guarantee of payment. We will file your claim and await payment for 90 days. If your company pays the benefits they quote to us, the only services you will be responsible for are any non-covered services, deductibles or co-pays. If you have any questions at all regarding your financial responsibilities at our office, please do not hesitate to ask. Our insurance clerk has years of experience and will be happy to assist you.
PATIENTS WITHOUT INSURANCE
The majority of our patients do not have insurance, or have plans with limited coverage, such as catastrophic policies. Therefore, we have several plans so those patients may receive complete care without undue financial difficulty. Ask about the acclaim!!! Chiropractic Discount Card which may be purchased for an annual fee of $30. Once purchased you will receive a 25% discount on all services performed in the office. Of course we are always happy to accept cash, your personal check, MasterCard, Visa, Discover or American Express cards.
PERSONAL INJURY OR AUTOMOBILE ACCIDENTS
Please notify your auto insurance carrier of your visit to our office immediately so that you can utilize the “Med Pay” portion of your car’s insurance. This feature of your insurance is an added feature that you pay for so that regardless of who is at fault in an accident you may receive any care you need now with payments being paid by the “Med Pay” feature of your policy. If the accident was not your fault your insurance company may then decide to collect from the insurance policy of the person at fault. Please notify our insurance department immediately if an attorney is representing you.
MEDICARE
We do NOT accept assignment from Medicare. The check is sent directly to you for the services that Medicare will cover. Medicare will ONLY pay for spinal adjustments and NOT any examinations, x-rays, therapy or rehab services which a chiropractor may provide. Medicare pays 80% of the allowable fee once the deductible has been met. You are required to pay the deductible, the remaining 20% as well as any non-covered services. Our office completes and files the forms for Medicare at no charge.
SECONDARY INSURANCE
Please inform us of any secondary insurance you may have. We will assist you if you need help in filing.
