For Patients
Frequently Asked Questions
We know you have questions. And we try hard to have ready answers at hand. Please review the contents here, and don’t hesitate to call on us if you need further assistance or information.
Insurance Matters
Who should I call if I have questions about my billing?
It is best to call your MetCare medical office; they will guide you to answers for your specific questions.
Why do you need to see my insurance card?
Your insurance card contains a great amount of essential information needed for billing purposes. Once we capture this data in our system, we will want to review your insurance card in subsequent visits to ensure that our records are current and there have been no changes to your insurance plan. This step prevents confusion and limits the likelihood of us billing you personally due to incorrect insurance information.
Note: When your insurance coverage changes, always be sure to notify your MetCare medical office.
Will my insurance pay for the whole visit?
As an informed consumer it is vital that you understand exactly what your health care insurance policy covers – and what required co-pays and deductibles you may be responsible for.
Not all health plans offer the same benefits. For example, your specific plan dictates whether you should be billed for unpaid balances. There may also be services not covered because they are considered routine, preventive or unnecessary. Providing quality care is our primary concern, and our goal is to provide that care within your insurance contract guidelines. However, since those guidelines differ substantially from one policy to another, we must rely on you to know what your plan covers.
Can I have my co-pay billed?
Like most medical practices, we require that you pay your co-pay at the time of your appointment. Medical practices have contracted agreements with insurance companies to submit claims on the patient’s behalf with the exception of co-pays which are the patient’s direct responsibility. Please do not request us to break policy to “just bill you” for co-pays since the bookkeeping cost of sending and tracking a statement is often as much as – or more than - the actual co-pay amount. We appreciate your cooperation!
What if I am insured by a Medicare Advantage Plan?
If you are insured with a Medicare Advantage plan, please be sure to familiarize yourself with your Evidence of Coverage and the Benefits portion of your enrollment package. This may vary by county and region.
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