Annual exams are preventative visits that include:

1. head to toe examination
2. filling of birth control
3. or oral contraceptive medications
4. preventative blood orders
5. Additional items discussed outside of the scope of the annual you will also be billed in addition to the annual for an office visit
6. To verify the specific benefits of your insurance plan we would recommend contacting your insurance directly

We submit your claim to the insurance company. After the insurance company processes, they decide what is paid and what is marked to the patient. Once we get the information from the insurance company ERA (Electronic Remittance Advice) we then collect from you according to your insurance companies’ advice as to what is marked toward patients’ responsibility.

Our office follows USPSTF | United States Preventive Services Taskforce with regards to recommendations for annual screenings. For counseling our office uses CMS and AMA guidelines. Patients receive counseling when the provider offers risk reduction counseling which is appropriate for the patient’s age, family history, and areas of concern. The subjects covered relate to prevention and risk factor reduction.

According to the insurance contracts. We can only bill for services provided that day. Services received after that day which includes text, portal, emails, phone calls, or visits would be billed separately based on AMA and CMS coding guidelines.

We can provide a cost estimate for services you receive. However, your bill will be in an estimated range. Ranges depend on the type of patient and type of visit.

For example: *Disclaimer Medical Arts Clinic tries to provide patients with accurate information on prices and estimated costs. But several things may affect pricing, including, but not limited to:
1. Timing. Prices can change at any time.
2. Other costs. There may be other services attached to the service that may not be included in this estimate. For example, some laboratories, tests, counseling and other professional fees.
3. Other services: Your health problem may need more services or care beyond what’s defined. For example, you may need extra time with the same doctor or specialist. Or you have a different medical problem than scheduled.

These averages do not include complex cases, for unique situations please contact the billing department.