Billing and Insurance
Milford Regional Physician Group’s Patient Billing department is no longer located at our Corporate Office. If you have questions about your bill, you may call our Billing Office at (857) 282-2300 to speak with a billing specialist.
Please remember that because of the wide variety of medical insurance plans and options available today, it is impossible for us to know if you are covered for all your visits to your doctor. Please contact your insurance company directly, prior to your visit, to verify coverage especially for annual physical exams.
Milford Regional Physician Group Payment Policy
Thank you for choosing Milford Regional Physician Group as your health care provider. We are all concerned about the rising cost of healthcare and we are committed to providing you and your family with quality and affordable healthcare. The following is a summary of our financial policy.
Insurance
We participate in most insurance plans, including Medicare. At each visit, we must validate your current insurance. If you fail to provide us with correct insurance information you will be responsible for your bill. Due to the number of insurance plans, it is impossible for your doctor or the staff to know your plan limitations. It is your responsibility to be aware of coverage issues. Please contact your insurance company directly with any questions you may have regarding your coverage.
If we are unable to verify your insurance coverage, you will be expected to pay a deposit associated with your type of service at time of check-in. Once current insurance information is made available and insurance payment received, we will either issue a refund or send as bill for the balance to the address on record.
We provide equal access to our patients regardless of the source of payment. If you are uninsured, please visit the MA Health Connector website for more information.
Co-payments
All co-payments must be paid at the time of service. This arrangement is part of your contract with your insurance company, and co-payment/coinsurance amounts are determined by your contract.
Referrals and Authorizations
If your insurance company requires a referral from your Primary Care Physician (PCP) it is your responsibility to obtain one. If a valid referral is not on file, you will be responsible for payment in full at the time of service. It is your responsibility to verify that your PCP is listed correctly with your insurance company. If the PCP is not correct at the time of service, you will be responsible to pay for the services at the time of the visit. At the completion of your visit you will receive an itemized bill for the services provided and the amount due.
Will I Have a Co-Pay After My Physical?
Recently, there has been some confusion around coding and billing for patient visits. We would like to take this opportunity to ensure that all of our patients understand the differences between a “preventive health visit” (annual physical) and an “office visit.” Please click here to learn more.
Telehealth Policy for After Hours Care
In the event that you need care after our offices have closed, please contact the office to connect you with the on-call provider. Depending upon the nature of your issue, the provider may determine that a “billable virtual/telehealth visit” is necessary to evaluate, manage and treat your healthcare concern. For example, this may occur if the provider is prescribing a new prescription and/or you have multiple, complex health issues to address. Please know your on-call provider will make you aware if the phone call needs to convert to a telehealth visit. If this happens, your insurance will be billed for an office visit and a co-pay or deductible may also be applied. Our outstanding providers strive to provide the highest quality of care and to do so, we must be reimbursed for all the care we provide.
Non-Covered Services
Please be aware that some, perhaps all of the services, you receive may be non-covered or not considered reasonable or necessary by Medicare or other insurers. If you and your provider agree non-covered services are needed to provide you with the highest level of care, payment in full for these services is expected at the time of the visit.
Claims Submission
We will submit your claims and assist you in any way we reasonably can to help get your claims paid. Your insurance company may need you to supply certain information directly. It is you responsibility to comply with their request. Your insurance benefit is a contract between you and your insurance company.
Treatment of Minors
Patients under the age of 18 will not be seen unless accompanied by a guardian or unless we receive a signed authorization from the legal guardian allowing the physician to provide medical treatment. The person accompanying the patient is responsible for all co-payments or other money due at the time of service.
Non-payment
If your account is 60 days past due, we may refer your account to a collection agency. The collection agency may report your delinquency to a credit bureau, which could impact your credit rating. You may also be discharged from this practice.
Returned Checks
Checks returned by the bank will be assessed a $25.00 processing fee. These charges will be your responsibility and billed directly to you. Repeated returned checks will result in acceptance of cash only at the time of all future visits.
Missed Appointments
Our policy is to charge for missed appointments not cancelled within 24 hours. These charges will be your responsibility and billed directly to you. Please help us to serve you better by keeping your regularly scheduled appointment.
It is our privilege to provide quality health care to our patients. Please let us know if you have any questions or concerns about our payment policy.
Your Rights and Protections Against Surprise Medical Bills
When you get emergency care or are treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from balance billing. In these cases, you shouldn’t be charged more than your plan’s copayments, coinsurance and/or deductible. To learn more about your rights and protections and the "No Surprises Billing Act," click here.