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Financial Policy
Ferstl Chiropractic
Clinic, P.C.
If you have any questions
regarding our financial
policies, please feel free to
contact us during regular
business hours.
Joseph F Ferstl DC FACO
Director at Large, Illinois
Chiropractic Society
Second Vice President
American College of
Chiropractic Orthopedics
1557 Weatherstone Ln
Elgin IL 60123
847-741-3355
847-741-3597 fax
info@ferstlchiropractic.com
Copyright 2010 Ferstl Chiropractic Clinic, P.C. Web Design and Hosting by MEMNetService
Thank you for choosing us as your chiropractic health care provider. We are committed to successfully treating you
and establishing a long-term relationship for excellent health. Please understand that payment of your bill is
considered a part of your treatment. The following is a statement of our financial policy.
All patients must complete the "Patient Registration Form" before seeing the doctor.
We do work with many insurance plans and our office will assist you in billing your claims. We are participating
providers for most PPO plans. We are required by most of our insurance agreements to collect your copay and copy
of your insurance card, in order to verify eligibility of benefits. Chiropractic care is also covered by many private
health insurance plans, including Medicare.
Our practice will require you to assign all insurance carrier payments directly to our office. Any portion of services
rendered, which are denied or not paid by your insurance carrier, will become your responsibility.
Your insurance coverage is a contract between you and your insurance carrier; however, we will assist you to
maximize your insurance benefits. If an insurance problem occurs, you will be asked to assist us in contacting your
insurance carrier. We feel that it is financially beneficial to you if we work together to resolve any insurance issues.
Our practice firmly believes in establishing excellent doctor/patient relationships, which are rooted in good
communication and understanding. Missed appointments hinder that relationship. As a courtesy to Ferstl
Chiropractic Clinic's patients and staff, please give 24-hour notice for all cancelled appointments if it is within your
control.
For your convenience, we accept Visa, MasterCard and Discover, in addition to cash or check.
We understand that some patients may urgently need chiropractic care, but are unable to pay practice fees due to
financial hardship and/or lack health insurance. Under those circumstances, special payment and/or a cash discount
agreement can be established between the patient and Ferstl Chiropractic Clinic, P.C.
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Copyright 2010 Ferstl Chiropractic Clinic P.C. Web Design and Hosting by MEMNetService
Financial Policy