Uninsured. If you do not have health insurance, payment in full is expected at the time of service. It is our policy to collect a deposit of $195 for new patients at check-in. If at the time of check-out, your charges were less than the $195, you will be immediately refunded. If your charges at check-out exceed the amount of your deposit, payment will be due at that time. We collect a deposit of $127 for established, uninsured patients.
Appears in 2 contracts
Samples: Financial Agreement, Financial Agreement
Uninsured. If you do not have health insurance, payment in full is expected at the time of service. It is our policy to collect a deposit of $195 235 for new patients at check-in. If at the time of check-out, your charges were less than the $195235, you will be immediately refunded. If your charges at check-out exceed the amount of your deposit, payment will be due at that time. We collect a deposit of $127 153 for established, uninsured patients.
Appears in 2 contracts
Samples: Financial Agreement, Financial Agreement