Terms of Payments
Payments of all copays, deductible, and/or coinsurance are due at the time of service. As a service to you, our office will bill your insurance company. We do not bill secondary insurance companies. This will be your responsibility. Being a participating provider with most insurance companies, the insurance companies require that we collect these fees, as they are terms of your health care contract. Additionally, patients are ultimately responsible for all balances.
For your convenience, we accept cash, checks, debit, and credit cards including Visa, MasterCard, Discover. We cannot guarantee that your HSA, HRA, or Benefits credit card will work in our office.
Due to the constant changes in health insurance it is your responsibility to know your health coverage. If you should have any questions regarding if a certain procedure is covered, it is to your advantage to call your insurance company and find out exactly what your contract covers.
Self Payment Discount
Patients paying in full at the time of service without using insurance may receive a 10% self-pay discount for mental health clinical services (excluding services provided by students/interns) and a 20% self-payment discount for rehabilitation clinical services (occupational and speech therapy). These discounts do not apply to Groups, Clubs, or Summer Camps. These services are already offered at a discounted rate. There may be other benefits of paying privately (without insurance) for services, including increased confidentiality and freedom from the requirement that a diagnosis be applied to you, your child, or your family (necessary to obtain insurance reimbursement).
You will be charged full fee in the event that you don’t cancel your appointment within 24 hours or you don’t show for your scheduled appointment.
Release of Medical Records
If you wish to release your medical records to another healthcare provider or someone else, you must sign a release with that office/facility. They will notify us and we will process the request. Most requests are handled in seven to ten business days.
Our providers will be happy to fill out any medical form for patients. However, ample time must be given. It will take approximately four to five business days for the forms to be completed. There is a pro-rated per hour charge.
New Horizons Wellness Services, LLC Financial Policy
New Horizons Wellness Services, LLCs’ mission is to provide you with the highest quality of care possible. With this in mind we are constantly trying to control our costs while conforming to the standard fee schedules approved by most major insurance companies.
ADDRESSING PRIVACY CONCERNS
If you have any questions about this Privacy Statement please contact us:
New Horizons Wellness Services, LLC
13333 SW 68th Parkway, STE 020
Tigard, OR 97223
(971) 279-5635 (fax)
WHAT INFORMATION IS COLLECTED
This Privacy Statement applies only to information collected through our Website. Our Clinic collects information about you through the information you provide to us. On some areas of our Website, we may collect certain information that you provide in order to register for services or request additional information. Such information may include:
- Information you enter in forms and optional surveys
- Demographic information, such as zip code, age gender
- Information provided in e-mail requests and communications
- Contact information, such as name, mailing address, e-mail address and phone number
- Information provided in connection with online registration for groups or other events offered through our Website
- Patient contact information, such as name, mailing address, phone number, e-mail address and medical and insurance information
WHAT INFORMATION IS SHARED WITH THIRD PARTIES?
Our Clinic may disclose information you provide to us to independent contractors, service providers and consultants, who assist us in providing healthcare services to you. However, we will only share such personally identifiable information, as we deem necessary for them to carry out their obligations to our Clinic.
Our Clinic may also disclose personal information it has collected if necessary to fulfill our service obligations or if we are required to do so by law, or in our good faith judgment, such action is reasonably necessary to comply with legal process.
Our Website may offer links to other Websites. Please be aware that we are not responsible for the privacy Practices of such linked Websites, including Websites of our partners. We encourage our users to be aware when they leave our Website to read the privacy statements of each every Website that collects personally identifiable information. This statement applies solely to information collected by our Website.
Unfortunately, no data protection method or combination of methods can be guaranteed 100 percent secure. We strive to protect your personal information as described throughout this policy, but we cannot ensure or warrant our ability to do so. As a result, you use our content, products, and services at your own risk. We will not be liable for disclosures of your personal information due to errors in transmission or unauthorized acts of third parties.
New Horizons Wellness Services, LLC