Scheduling and Billing FAQs

faqDo you accept new patients?  Yes.

How soon can a new patient be seen?  Please call our office for availability, or use the this application.

What insurance do you accept?  Our office works with most insurance plans, including Cigna, Aetna, Regence, Premera, United Healthcare, First Choice and Kaiser Permanente.

Do I need a referral?  If required by your insurance plan to see a specialist, please contact your Primary Care Physician for a referral.

How does the billing work in your office?  We work hard to minimize billing surprises.  According to InstaMed, 92% of consumers want to know payment responsibility prior to a provider visit. Our team is trained, certified and experienced in insurance, billing and coding.  We verify eligibility and benefits and collect at the time of service.  We check for eligibility, copays, deductibles, co-insurances.  If you’re responsible for any copays and/or deductibles or co-insurances, you’ll be expected to pay them at time of service.  Please also be ready to pay in full at the time of service if you: 1) are not insured by a plan we participate with, 2) do not have a valid insurance card, 3) do not have a referral if you need one.

Most patients have deductibles.  In fact, 46% have a deductible between $1,000 and $2,999, according to the International Foundation of Employee Benefit Plans, 2018.  If you have an unmet deductible or co-insurance, we will collect an estimated amount.  For example, if your insurance has a $2,000 deductible and you have only met $100, and your visit is estimated to cost $200, a usual cost for a visit, you’ll be expected to pay that $200 before leaving the office.  We also collect a set amount for any copays.  Our Billing Department will submit your claim to our insurance company if applicable and will invoice or assign credit for any patient responsibility after the insurance has responded.  When we submit your claims to your insurance, you will also get credit for your payments made in the office.

How much will the visit cost?  Please check this page to learn about how a medical bill is generated.

Do you have payment plans?  Payment plans can be arranged by calling the Billing Department upon receipt of any bill.

“Ava and Dr. Hoy were very professional and friendly. My experience was very smooth and stress free. Ava works with your insurance company to figure out your coverage and Dr. Hoy is a bright smiling face. His exams are very thorough and you leave with a solid plan of action!” -Gabrielle A.