Our practice participates in many insurance plans. An updated list is available on this web site or by contacting our office. Since each plan has different requirements and coverage limitations and exclusions, it is the responsibility of the patient to understand and meet the requirements of their individual plan. Most patients will have a "co-pay" (a portion of their charges which is not covered by insurance). Those covered by Medicare and some other insurance plans may have "deductibles" as well. Many insurance plans and Medicare do not consider "routine" check-ups (those performed without regard to a specific medical problem) or "screening" laboratory studies to be covered services. Co-pays, deductibles and non-covered charges are payable at the time services are rendered. Our billing staff is available to assist you with questions you may have about coverage conditions and payment arrangements. We accept payment by cash, personal check, Visa, MasterCard, Discover and American Express.