FAQ

Does your office take walk-in patients?

In order to give our patients the quality care they deserve, we prefer that patients make an appointment, so our providers can see each patient in a timely fashion.

Do I have to pay for my visit at the time of my appointment?

Payment for your medical service is requested at the time of service. If you have insurance, please note that most insurance plans include an up-front “co-pay” for which the patient is responsible. In addition, most insurance plans include a deductible (they start payment when the dollar amount exceeds a certain dollar amount, say $250, $500 or $1000).

We accept most major insurance plans, Medicare, and self-pay. We are in-network with most major insurance providers. We recommend you call your insurance company if you have specific questions about your insurance plan and coverage.

Do you accept my insurance?

We accept most insurances; however we recommend that you contact your insurance company to find out if our providers are listed in your plan’s network.

I don’t have insurance; can I still be seen by your providers?

Yes, you would be considered a self-pay patient, for which discounted rates are available. Payment must be made at the time of service in order for you to be seen and to qualify for the discount.

Do your providers accept Medicaid Insurance?

Yes, however we only accept Traditional Medicaid, Anthem Medicaid and MDWise of St. Catherine’s Network.

How late are you open?

Our office hours are Monday, Tuesday, and Thursday 9am-7pm; Wednesday 9am-5pm and Friday 9am-3pm.

What should I do if I need treatment after hours?

Our office is open until 7pm Monday, Tuesday and Thursday to accommodate our patients, however if you have an emergency after hours, you can go to Pinnacle Express Care which is open until 9pm Monday-Friday and 2pm on Saturday. Or you may call 911, or go to your local Emergency Room.

Do I need a referral to see a specialist or have a procedure done?

If our providers give you an order for a procedure or refer you to a specialist, it is your responsibility to check with your insurance company to see if you will need a precertification or prior authorization. If you do need one, you will need to contact our referral department at 219-226-1529 EXT. 7 and let them know. A referral takes approximately 3-5 business days to process, so please allow ample time when scheduling your procedure or appointment with a specialist.

Do I have a right to my medical records?

Yes. The HIPAA medical privacy law gives you the right to see and get copies of your own medical records. There are a few exceptions. For example, HIPAA does not give you the right to access psychotherapy notes or information compiled for use in litigation. Your request may also be denied if the provider decides access to the records could result in harm to you or another person. HIPAA gives providers 30 days to provide the records.

Do I have to pay for copies of my medical records?

Yes, there is a minimum $20 charge for your medical records. If we mail them, we charge an additional $5 fee. However, if your records consist of more than 20 pages, there is an additional charge of $.50/page up to 50 pages, then $.25/page after that.

Is my child due for immunizations?

Immunization schedule for children 0-6 years old:
http://www.cdc.gov/vaccines/parents/downloads/parent-ver-sch-0-6yrs.pdf

Immunization schedule for children 7-18 years old:
http://www.cdc.gov/vaccines/who/teens/downloads/parent-version-schedule-7-18yrs.pdf

Immunization schedule for adults:
http://www.cdc.gov/vaccines/schedules/downloads/adult/adult-schedule-easy-read.pdf

How do I get my medications refilled?

The best way to refill your prescription is to contact your pharmacy and let them know you are due for a refill and they will submit the request to our office. In order to refill narcotics you must be seen every 3 months and for maintenance medication you must be seen every 6 months.

How do I get my lab results?

Lab results can take up to 1 week before we get them back, then you may call the office at 219-226-1529 and press prompt 6 in order to speak with a nurse, who will go over your labs with you or assist you in scheduling an appointment, if necessary, to follow up.