Common use of Uninsured Clause in Contracts

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

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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

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