Insurance/ Payment

Methods of Payment

Our office policy requires that the fee for services be paid at the time of your visit. This includes co-pays deductibles, and additional fees not ordinarily covered by insurance. Have your insurance card handy because we will need to verify it every visit. You may pay with

  • Cash
  • Check
  • Mastercard, Visa, or Discover

If payment is a problem for you, speak to our friendly team member at the check out counter to discuss this.

Lobby Desk

Medicare

Amarillo Family Physicians Clinic, P.A. accepts assignment for Medicare patients. That means that you will be expected to pay in full for office services until you have met your annual Medicare deductible ($147). Then, you will only pay the 20% co-pay that Medicare does not pay. Co-pays must be paid at the time of service. There are a few services that Medicare does not cover that you will need to pay. Let us know if you have a Medicare supplement. There is no charge to Medicare patients for lab services.

How We Handle Insurance

Our physicians are in-plan providers for the networks affiliated with BSA Health System and Northwest Texas Hospital Health Systems, First Care, BlueCross BlueShield, Aetna, and many others. Check your insurance directory for in-plan providers. Always present your insurance card at each visit and tell us if your insurance changes. If your insurance is one of our contracted plans we will accept your co-pay and handle the rest of the billing procedures. We will bill you for fees not covered by your insurance.

Failure to present your current insurance card will result in you being responsible for full payment. Many insurance plans have a filing deadline such as 60 or 90 days after the date of visit so it is important that we have current information.

Your benefits will be substantially different if we are an out-of-plan provider. It is important that you know the provisions of your insurance policy.
A reminder:

  • Check for in-plan providers
  • Present your card at each visit
  • Pay your co-pay at time of service
  • Know your benefits
  • Follow authorization procedures

Referrals/Authorizations

Some insurance plans require a referral from your primary physician before seeing a specialist physician. Make an appointment with your family physician first.

If you and your doctor have already discussed seeing a specialist physician, allow 2 business days for a completed referral. If the specialist physician is out of network the referral takes longer for approval. We also need 2 business days for referral updates.

Some insurances also require pre-authorization for services such as MRI, CT scans, mental health visits and in-patient hospital treatment,

Be aware which hospital your insurance wants you to use. Failure to follow your insurance company procedures usually results in denial of payment. Be alert to your responsibilities.