Understanding Your Costs and Coverage
Thank you for choosing Piedmont Minor Emergency Clinic. We know that understanding your healthcare costs can be a challenge — we’re here to help. Your healthcare costs depend on many factors such as your insurance plan and its cost-sharing features, where you are cared for and the type of services you receive.
There are ways to prepare for your financial responsibilities before, during and after your medical care. From knowing your insurance coverage ahead of time to reading your explanation of benefits to understanding your bill, we want to help you know how best to manage your financial responsibilities.
Insurance coverage varies among individual insurers and policies. Most insurers publish benefit information online or in a benefit manual that you can obtain directly from your insurer. We encourage you to call your insurance company before your visit to understand what your insurance will pay, which providers are in network and your out-of-pocket responsibility.
Piedmont Minor Emergency Clinic staff will ask for your insurance information before your visit. After your visit, we will file claims for services rendered to your insurance plan(s). If you have coverage with more than one insurance company, it may be necessary for you to help coordinate billing and payment information between payers.
After your insurance has processed the claim, you should receive an Explanation of Benefits (EOB) from your insurer. This statement explains what services were billed, what was covered by the insurer (including a reason if a service was not covered) and any balance you will owe. You will receive a statement either in the mail (or electronically if you have selected to receive your statements in this manner) from us. This statement will show the balance you owe after your insurance has processed your claim.
What insurance plans does PME CLINIC accept?
Piedmont Minor Emergency Clinic participates in a wide variety of health insurance plans. Most of those plans are listed below. Since plan coverage is frequently updated it is always a good idea to check with your insurance company for current information about your plan and the coverage it provides for your choice of hospital, physician, service or procedure.
If you don’t see your particular plan listed, contact your health insurance provider or give us a call and we would be happy to help.
How do I update my insurance or other billing information?
Call us right away if your insurance information has changed since you last registered as a patient, or if you believe your claim may have been denied because of missing or incorrect billing or other personal information. We will update your account information and/or re-bill your health coverage with your new information. Have your account number ready when you call.
What do I do if I can’t pay my bill?
All patient responsibility balances are due and payable 30 days from the date you receive your statement. If you are unable to pay your bill contact the location you are seeking or have received care to determine your options.
What will I need to bring to my visit?
Please bring the following items with you when you visit Piedmont Minor Emergency Clinic to ensure a smooth and efficient check-in process:
- Proof of insurance
- Proof of guardianship (if you are accompanying a patient who is under 18 years old)
- Photo identification, such as a passport, driver’s license or student identification card
- Medical history information
- A list of your allergies
- A list of your current prescriptions and any medications you are on
What is my Co-pay?
Please check your insurance card, many times they will have a copay listed next to Urgent Care or Specialist Visits. You can also call the number on the back of your insurance card and they can verify your payment. Or please feel free to call the office and our receptionist will help you