Chiropractor payment methods.
 


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WE OFFER AFFORDABLE CARE PLANS FOR INDIVIDUALS AND FAMILIES.

Please call our office so we can give you our
NEW PATIENT special rates: (310) 399-0337

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ALL NEW PATIENTS...


Review options 1-5 below and print the forms you will need.

#1 - HEALTH INSURANCE (Click HERE for forms)
If you have health insurance that covers Chiropractic care, we will bill your insurance directly and expect to be reimbursed by your insurance company. Please be aware that payment from your insurance company cannot be guaranteed, and benefits are not determined until your claim is processed. Until we have the completed, necessary insurance information to verify chiropractic coverage, you will be required to pay for your care. Our staff will collect any applicable deductible, co-payments, and any charge for non-covered services from you at the time of service. In the event the check should come to you, you are expected to bring the check to us. Most ordinary "health" policies are designed and intended to only take care of acute problems. Extended care in our office is available at affordable rates despite whether your insurance covers it or not.

#2 - MEDICARE (Click HERE for forms)
There is a $135 yearly deductible to meet, required by Medicare. Most Medicare patients have a secondary PPO insurance that picks up the balance of what Medicare does not pay. As we are not a Medi-cal provider, if you have Medi-cal or do not have a secondary PPO insurance, then you are responsible for a nominal co-payment for each visit that is covered by Medicare.

#3 - CASH PATIENT (Click HERE for forms)
Fees are discounted to $50 per visit after the initial visit. We can work with you visit by visit, however it may be more economical to consider our Wellness Program. If you decide to participate in our Wellness Program, the doctor will design a personalized regimen for you, which consists of weekly visits (2-3 per week), metabolic nutritional recommendations, re-evaluations and x-ray reviews. Necessary x-rays and nutritional supplements are not included. Our 12-week Wellness Program is $1050 paid fully in advance and is non-transferable. Any refund is based on the cash discount fee of $50 per visit.

#4 PEDIATRIC PATIENT (Click HERE for forms)

#5 AUTO/PERSONAL INJURY (Click HERE for forms)
Auto Accidents, Slips and Falls, and Trauma outside of the work environment. You need to supply us with a copy of your : 1) Driver's license, 2) your Auto Insurance Declaration Page, 3) your Auto Insurance Claim Number, medical adjustor's name & phone # , 4) your Health Insurance card, 5) Liable parties' Auto Insurance information, 6) Police report, if any, & 7) Attorney name & phone #, if any. We will bill your insurance directly after verification of coverage. In the event that the check should come to you, you are expected to bring the check to us. Most patients have either Medical Payments coverage or an attorney or both. The doctor will discuss the lien arrangements between all parties on your second visit.

If you have an ATTORNEY for this injury please
complete THESE ADDITIONAL FORMS


Please print out the forms and bring them into our office on your first visit. You are also welcome to fax them back to us, FAX: 310-399-3944 so we can be better prepared to serve you when you arrive.

 
   

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