Bailey Health Financial Policy

Effective Date: [5/01/2024]
Thank you for choosing Bailey Health as your healthcare provider. We are committed to providing quality care to our patients. This financial policy outlines our practices regarding payment and insurance.

1. Insurance and Billing
- Patients are responsible for providing accurate and complete insurance information at the time of service.
- As a courtesy, we will bill your insurance provider; however, patients are ultimately responsible for all charges not covered by insurance.
- Co-payments and deductibles are due at the time of service.

2. **Self-Pay Patients**
- Patients without insurance or those choosing not to use insurance are required to pay for services at the time they are rendered.
- We offer transparent pricing and can provide estimates upon request.

3. **Payments**
- We accept cash, debit, and major credit cards.
- Payment plans may be available for patients who qualify. Please speak with our billing department for more information.

4. **Missed Appointments**
- Missed appointments or late cancellations (less than 24 hours' notice) may be subject to a fee.

5. **Returned Checks**
- A $35 fee will be charged for returned checks due to insufficient funds.

6. **Collection Policy**
- Accounts over 90 days past due may be referred to a collection agency.
- Patients are responsible for any additional costs incurred due to collection efforts, including legal fees.

7. **Financial Assistance**
- We understand that healthcare can be a financial burden. If you are experiencing hardship, please contact our office to discuss payment options or financial assistance programs.

By signing below, you acknowledge that you have read, understand, and agree to this financial policy.