Fees for Non Covered Services

FEE FOR NON FACE-TO-FACE SERVICES

Phone Consults initiated by patients

•          Calls to discuss test results that require more than just a few minutes of explanation or that involve a referral or require more tests.
•          Calls to review treatments plans and ask additional follow-up questions
•          Calls leading to a diagnosis of a new problem
•          Calls regarding advice about an existing problem or recurrent problem

Forms Completion require an office visit:

•          School forms
•          Camp forms
•          Sports participation forms
•          Employment Physical forms
•          Disability paperwork
•          FMLA forms
•          Life Insurance forms
•          Referrals

Prescription refills requested outside an office visit

•          New prescriptions or prescription changes all require an office visit and must be made part of the patient record.
•          Refills of existing prescriptions (does not include bio-identical hormones or NP Thyroid prescription refills).
•          Replacing a lost prescription.

o   No prescriptions will be refilled on Saturday, Sunday or Holidays.

o   No prescriptions will be approved if it has been 4 months since your last office visit.

o   All controlled substance prescriptions require an office visit every 6 months.

o   Existing prescriptions when there are insurance changes or pharmacy changes (Example: patient is on vacation and needs a prescription called in)

Lab Scripts

•          Replacing a lost lab script

Test Results

•          To ensure the confidentiality of your protected health information and to give you the time and attention you need from Dr. Adrian, you will be asked to schedule a follow-up appointment to discuss

                      your test results (including lab work).

•          If patients request copies of their labs or test results mailed to their home.

Prior authorizations outside an office visit

•          Medications that require prior authorizations.  Depending on your insurance this process may involve several steps.  You may be required to make an appointment to complete this process.

Email consultations:

•          No Email consultations.  All questions must be reviewed as part of an office visit and made part of the patient record. 

Missed appointments with no 24-hour notice

•          $25 for missed follow-up appointments
•          $50 for missed new patient appointments