At The Country Doctor same day and next day
appointments are available to most established patients from
these insurance plans:
- AARP
(Medicare Supplement)
- Aetna
- Blue Cross
PPO, any state (NOT THE HMO; Blue Cross HMO = Self
Pay)
- (Fully
Credentialed on Missouri Blue Cross PPO, including for
employees of Dierburgs, Harts, and Schnucks)
- Cigna
- CMR
- First
Health, including mailhandlers and CCN
- GEHA
- GHP (not Advantra)
- Healthlink
PPO and HMO
- (including in network for Memorial
Hospital Employees and St. Elizabeth's UMR
Employees)
- HFN
- Medicare
and some Medicare PPOs
- Meritain/Egyptian (Healthlink
subcontracted)
- We accept Medicare assignment
- (NOT Medicare Complete HMO,
NOT Advantra, and Not Essence)
- UMR
(Healthlink subcontracted)
-
- We are out
of network for all Medicaid, Harmony HMO, Illinois All
Kids, Healthconnect, or other state Medicaid
plans.
-
- Mercy (allows Memorial
Hospital Admissions)
- Pyramid (Medicare PPO)
- PHCS
(Private Healthcare Systems)
- Sterling
Plans (Medicare PPO)
- Unicare
- United
Health Care
- Tri-Care
Standard and Tricare for Life as a Medicare
supplement (in network)
-
If your
insurance plan is not listed or you have insurance that
has expired, then you will be a self paying patient,
meaning you will pay the full visit fee at the time of
the visit. For the in network plans and workers
compensation, the Country Doctor will file a claim for
each patient. Motor vehicle accident patients and self
paying patients will need to pay cash or credit card for
any visit costs at the time of each visit. Third party
insurance is not accepted accidents, such as Country
Companies, State Farm, USAA etc.
-
- We
accept a limited group of self paying patients. Self
paying patients, unless prior approval has been obtained,
will need to pay by cash or credit card at the time of
the visit. Some self pay visits will be styled similar to
an acute care visit, meaning the self pay patient may be
a one time visit and may not exist to establish long term
care.
-
- We see
patients at both Belleville Hospitals and in the
outpatient setting in the office. We do not send our
established patients to hospitalists, who are
inpatient-only physicians and who will not see you for
follow up outside of the hospital setting.
Please
visit our RECORDS
REQUEST & NEW PATIENT FORMS for our new patient forms and
old records request form. You are a new patient if you have
never be seen in the office for a visit or if you have not
been to an office visit within the last three
years.
The established visit
for an insured patient usually is less than $100, with the
patient responsible for the insurance-required copayment
ranging from $10-$50, not including any deductibles or
laboratory fees. Copayments, deductibles, and any other
other fees are due at the time of the appointment. A valid
insurance card must be presented at each appointment. This
arrangement is part of your contract with the insurance
company. If you fail to provide us with the correct
insurance information, your claim is not paid by insurance
within 45 days of the visit, and/or you have insurance that
has been terminated, then you will be responsible for the
balance of a claim at the full visit cost at self-paying
patient rates.
Having an insurance
card does not guarantee coverage of your care by the
insurance plan. Patients must verify that each insurance
plan is active by calling their appropriate insurance
company. Additionally, some insurance companies require that
you choose a primary care provider. It is the patient's
responsibility to choose a primary care provider, prior to
receiving care as a new patient. If you do not have Dr.
David Mitchell listed on your card, then you may be
responsible for any assigned costs from the insurance
company, including the full visit cost. We do not accept
capitation, and simply listing Dr. David Mitchell on your
insurance card does not establish care or any doctor-patient
relationship. Until you are seen for a paid visit in the
office, you are not an established patient.
Please note that 98%
of our patients are high-quality patients. To the less than
2% who attempt not to pay their bills, this payment policy
has been created. This payment is based on the standard
Metro East medical practice standards:
- Payment is due at
the time of the office visit for copayments, deductibles,
and Self Paying Patients.
- Cash is the
preferred method of payment
- Checks are the
second preferred method of payment. If you bounce a
check, future visits will need to be paid by cash or
money order. Bouncing a check requires a $30 fee, in
addition to the already due amount. You may be reported
to a credit agency, collections agency, and/or the
Illinois State's Attorney for writing checks that are
returned with insufficient funds.
- Mastercard, Visa,
Discover, and American Express are acceptable forms of
payment, but the credit card company charges 3% - 4%.
- Self pay patients,
unless they have prior approval, will need to pay all
fees in cash or credit cards. Prepayment may be required
for self paying patients by phone.
- People who do not
show up to a visit may be charged at least a $30 no show
fee, which is why our no show rate is less than 1%.
- In the event that
part of a missed copay, percentage copay, or deductible
is billed, the amount must be paid within two weeks of
the billed date. If the due bill is not paid within two
weeks of the the billed date or if the fee is billed
twice, a billing fee will be assessed.
- If a new or
established patient attempts not to pay the copayment at
the time of appointment, the patient may or may not be
rescheduled.
The amount a physician
can charge for copying medical records in the state of
Illinois is regulated by Illinois General Assembly Senate
Bill 721. The Country Doctor, Ltd. follows the fee schedule
established by state law.
Patients must be seen
in the office for medication refills, referrals,
antibiotics, narcotic/benzodiazapine medications, and
paperwork, such as the FMLA, disability forms, and work
excuses. There may be a fee for paperwork completion.
*Clicking one time on any of the links will take you
to the referenced web page.
- The Country Doctor, Ltd.
- 2310 Country Road
- Shiloh, IL 62221-2570
- Voice (618) 277-3197
- Exchange (618) 277-3214
- E-MAIL
The Country Doctor
Website created by Dr. David Mitchell on his home-built, Power Macintosh Computer
|