At The Country Doctor same day and next day
appointments are available to most established patients from
these insurance plans:
- Blue Cross
PPO, any state (NOT THE HMO)
network for the St. Elizabeth's Hospital Blue Cross
- Coventry/Foreign Service/Personal
Blue Cross PPO, including for employees of Dierbergs,
Harts, and Schnucks)
HMO/PPO including Cigna Great West
Health, including mailhandlers and CCN
- GHP/CMR/PPO/HMO/POS/Carpenters etc.
- Healthalliance (Healthalliance
subcontracts with Healthlink)
PPO and HMO
- (including in network for Memorial
- Humana (does not allow Memorial Hosp.
Medicare RR, and some Medicare PPOs
- (NOT Medicare Complete HMO,
NOT Advantra, and Not Essence)
- UMR (Healthlink or UHC
- Mercy (allows Memorial
- Meritain/Egyptian (Healthlink
- Personalcare.org (state of IL)
(Private Healthcare Systems)
Standard and Tricare for Life as a Medicare
supplement (in network)
- We are out
of network for all Medicaid, Harmony HMO, Illinois All
Kids, and Healthconnect.
- 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, 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 for
motor vehicle accidents.
note that we are using two of the phone lines for
appointments on weekdays. From 8-noon you can call
277-3197 or 277-3214 for appointments and general
questions. After noon on weekdays, 277-3197 is the
contact method for appointments and general questions.
Messages are accepted at 277-3197 Monday-Saturday and
will be returned during regular hours of approximately
8-4 M-F and 8-11:30 on Saturday.
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/debit card at the time
of the visit. Some self pay visits will be styled similar
to an acute care visit, meaning the self pay patients may
be seen as a one time visit.
- 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 who will not see you for follow
up outside of the hospital setting.
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
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 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
For 2012, the total
average premium for PPO insurance premium for a family of
four is $19,500. Establish visits usually are less than a
$100. Most of the premium money does not go to the doctor.
Deductibles often are over $1,000 and as high as $10,000. We
have no control over the cost of the deductible. The
deducible and copayments are assigned by your insurance
company. We accept no capitation from insurance companies
and exist as a fee for service practice. The one way
negotiation between insurance companies and our fee schedule
means that most insured PPO patients get an average of 10%
savings off our fee schedule.
Having an insurance
card does not guarantee coverage of your care. 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 HMO or
equivalent card, then you may be responsible for additional
costs, 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. New patients are
patients who have never seen Dr. David Mitchell or who have
not been seen for at least three years.
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 policy 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, credit
card, debit card or money order. Presenting a check that
is returned for insufficient funds requires a $30 fee, in
addition to the already due amount. You may be reported
to 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%. A
convenience fee may apply to credit/debit/HSA card
- Self pay patients,
unless they have prior approval, will need to pay all
fees in cash or credit/debit 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 may 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
The amount a physician
can charge for copying medical records in the state of
Illinois is regulated by Illinois General Assembly. The
Country Doctor, Ltd. follows the fee schedule established by
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
The Country Doctor
Website created by Dr. David Mitchell on his home-built, Power Macintosh Computer