Effective Date: 03/03/2025
MD Genetic Clinic. LLC
1201 6th Ave W, Suite 100-668,
Bradenton, FL 34205
Phone: (941) 202-2260 |
Fax: (941) 279-3154
Email: nfalah@mdgenetic.com
Website: www.mdgenetic.com
Financial Policy
Thank you for choosing MD Genetic Clinic (referred to as “MDGC”). We are committed to providing excellent medical and genetic care. To ensure transparency, this policy outlines your financial responsibilities for services received. Please read it carefully.
1. Appointment and Consultation Fees
In-Network Patients: If MDGC is contracted with your insurance, we will bill your insurer directly. You are responsible for any co-payments, coinsurance, or deductible amounts based on your health plan. These are due at the time of service or upon claim processing.
Out-of-Network and Self-Pay Patients: If MDGC is not in-network with your plan or you choose to self-pay, a flat-rate fee of $200 is due at the time of your initial consultation.
This covers a scheduled consultation (up to 60 minutes), review of records, documentation, and coordination of care, including test ordering, insurance submission, and referrals.
Our standard consultation value is $400. As a courtesy, we may submit a claim to your insurance for possible reimbursement.
If your insurance reimburses more than $200, you will be refunded the difference. If your insurance reimburses less or not at all, you will not be billed further.
Follow-up Visits are typically scheduled for 30 minutes. Any additional fees will be discussed if the complexity or time required significantly exceeds this duration.
2. Insurance and Billing
Your insurance policy is a contract between you and your insurer.
It is your responsibility to inform MDGC of any insurance changes before your appointment.
If your insurance sends payment directly to you, you agree to forward that payment to MDGC promptly.
For certain procedures or tests, prepayment may be required. You will be notified if this applies.
3. Cancellations and Missed Appointments
Please notify us at least 24 hours in advance if you need to cancel or reschedule.
Missed appointments or late cancellations (without emergency reason) may result in a $25 fee.
Patients who arrive more than 15 minutes late may need to be rescheduled.
4. Account Balances and Payments
Balances not paid by insurance within a reasonable time will become your responsibility.
Payment is due within 30 days of receiving a statement.
Unpaid balances older than 90 days may be referred to collections and may be subject to additional fees.
A $25 fee applies to returned checks.
Refunds for overpayments will be processed after insurance adjudication and may take up to 6 weeks.
5. Code of Conduct
We reserve the right to terminate care in the event of:
Repeated missed appointments or late arrivals
Disrespectful or disruptive behavior
Non-adherence to treatment recommendations or clinic policies
Acknowledgment and Agreement
By signing below, I acknowledge that I have read and understood the MD Genetic Clinic Financial Policy and Consent. I agree to the terms outlined above and accept financial responsibility for all services received. I authorize MD Genetic Clinic to bill my insurance and receive payment on my behalf.