Payment Policies

Payment is expected at the time of treatment by cash, check, or HSA/debit card unless other arrangements are made in advance. We do not accept credit card payment.

Patients who pay in full at the time of service will receive a 10%-15% discount.

Financial assistance is available to those with demonstrable hardship.  

Insurance

We can file insurance with all companies regardless of network participation.  If you are a member of an in-network participating insurance plan, then your co-pay or co-insurance amount is due at the time of treatment. If your insurance provider is out of network, then payment is due at the time the services are rendered, and we will file with your primary insurance company.

Medicare

Please note we are a non-participating provider. Payment is made by the patient at the time services are rendered, and we will file a claim with Medicare. Medicare will mail a reimbursement check directly to the patient for all covered services.

Blue Cross and Blue Shield

We are a non participating Blue Cross/Blue Shield PPO provider. Note: We are out of network with Blue Cross/Blue Shield HMO

Sagamore Plus

We are a fully participating PPO provider.

All Other Insurance

We are out of network with United Healthcare, Aetna, Humana, Cigna, UMR. We will be happy to file your claim with your insurance provider. 

New Patient Forms

For your convenience, intake forms are available for download and printing.

Good Faith Estimate

You have the right to receive a "Good Faith Estimate" explaining how much your medical care will cost under the No Surprises Act. This is the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees. 

You may ask your healthcare provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.  A Good Faith Estimate should be provided in writing at least one business day before your medical service or item.

You may dispute any bill received that is at least $400 more than your Good Faith Estimate. 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.

Request a Good Faith Estimate

Address

34 West Main Street
Pittsboro, IN, 46167, US

Office Hours

Monday         9:00 AM - 5:30 PM Lunch 1-2
Tuesday         5:30 PM - 8:30 PM
Wednesday 9:00 AM - 5:30 PM Lunch 1-2
Thursday      5:30 PM - 8:30 PM
Friday            9:00 AM - 5:00 PM Lunch 1-2

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