Fees & Insurance
We accept most traditional forms of payment, including cash, personal checks*, and major credit cards (American Express, MasterCard, and Visa).
*We charge a $25.00 fee on all personal checks returned for insufficient funds. This amount is subject to change without notice.
Health Insurance Plans
Today’s health insurance policies and coverage offer more options than ever before. Each patient is responsible for knowing his or her plan’s benefits package, co-payment, deductible, non-covered services, and restrictions. You can usually obtain this information by calling the 800 number listed on the back of your insurance card or by visiting their website. Many plans have participating or preferred practitioners. We participate in most area health plans, but will be glad to research any others if your plan is not listed below. Please be sure to bring your insurance card with you when you visit us.
- Aetna of NC/SC
- Beech Street
- Blue Choice
- Blue Cross Blue Shield of SC – All PPO Plans
- Blue Cross Blue Shield of NC – All PPO Plans
- Blue Cross Blue Shield – (All States’ Plans With PPO Suitcase Logo)
- Carolina Care Plan
- Champ VA
- Coventry – Urgent Care Only
- First Health
- Health Care Solutions
- Humana Choice Care
- Humana Gold/Humana – No HMO
- Medicaid NC
- Medicaid SC
- Medicare Part B
- Mutual of Omaha (Premier Health Systems)
- One Health
- Primary Physician Care
- Premier Health Systems
- Tricare/Champus (Humana Military) – We accept, but are out of network. POS option applies.
- United Healthcare– Specialist Co-pay
- Wellpath – Urgent Care Only
Omnicare Medical Discount Plan
Providing Affordable Healthcare for You and Your Family
We are here to offer you and your family medical care whenever you need us.
You can count on a friendly professional staff, convenient hours, expedient treatment and expert physicians.
We realize that rising healthcare costs make insurance cost-prohibitive for some people in our community, and we would like to assist by offering a discount plan for our services. We appreciate the opportunity to take great care of you!
For a $130 annual fee, the Omnicare Medical Discount Plan offers:
- $60 per visit – Unlimited Sick Office Visits
- $85 – One Annual Physical (includes CBC labwork and urinalysis)
- 20% discount – Procedures (laceration repair, dislocation, sprains, strains, burns, foreign body removal, etc.)
- 50% discount – X-Rays
- 20% discount – All other services (supplies, physical therapy, immunizations, IV Fluids, EKGs, etc.)
To obtain an Omnicare Medical Discount card and receive great savings on your healthcare costs, please visit us at 1393 Celanese Road in Rock Hill or at 9720 South Tryon Street in Charlotte. Please call 803-329-3103, ext. 243 for further details.
Health Coverage Categories
Preferred Provider Organization (PPO)
PPO members are given a Directory of Preferred Practitioners who are plan participants (members may have an option to see doctors who are not in this network of Practitioners, but the option will be at a different benefit level). Some PPOs require subscribers to select a primary care physician and to have a referral from that physician before seeing any specialist. PPO policies usually require a co-payment, deductible or co-insurance amount from the patient that is due at the time of each visit. The co-pay amount usually appears on your insurance card. We will collect your co-payment, deductible or co-insurance amount and file your claim with your PPO plan. After the claim has been processed, we will send you a statement for any balance due from you. Some plans are fully funded by the insurance company or employer and do not require any payment at the time of service.
Health Maintenance Organization (HMO)
HMO plans require that patients have a primary care physician who is a participating provider with the HMO. HMOs also require a referral from your primary care physician before you can seek health care (including X-ray, lab, or specialty services) from any other provider. If we are designated as your PCP and you seek such care on your own, we cannot provide referrals. We are not allowed to provide retroactive referrals. A co-pay due at time of service is required for every visit. There may be a higher co-pay if you are being seen by us as on an urgent care basis and we are not your primary care physician. There may be services that are “non-covered” by your HMO and you should make yourself familiar with those. If any non-covered service is provided, payment is due at the time of your visit.
Health Savings Account (HSA)
For patients with Health Savings Accounts, we collect payment for the office visit and file a claim with your plan on your behalf. Because you are ultimately responsible for payment, you will receive a statement from us if further payment is due. Most plans are associated with a health insurance company and if we are a participating provider with that plan, you will only be charged our contracted rates for services covered.
Indemnity/Commercial Insurance Plans
For patients with such coverage, we collect 20% or 30% of charges at the time of your visit and file a claim with your plan on your behalf. Because you are ultimately responsible for payment, you should contact your plan if it does not pay your claim. You will receive a statement from us until the account is paid in full.
If you have Medicare, we will bill your visit to Medicare. If Medicare has your supplemental insurance information, they will send your claim directly to the supplemental carrier. Please provide our staff with your supplemental policy information, if applicable. All unpaid balances may become your responsibility, depending on your plan type and benefits.
If the bill is related to treatment for an on-the-job injury or accident, we will file a claim with your employer or your employer’s workers’ compensation insurance carrier after authorization. Claims that are denied may ultimately become your responsibility, but we’ll work with you on payment options.
We recognize the needs of patients who may be uninsured, have high deductibles or the advantage of a flexible spending account. For patients without insurance coverage, payment is expected at the time of service, but we are pleased to offer discounted rates for office visits for self-pay patients. To be eligible for the discounted rate, full payment is required at the time of service and we will be unable to file the claim with insurance.