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Fees for Non Covered Services

The following NON-FACE-TO-FACE SERVICES will incur a fee.  Charges will vary according to time spent and complexity of request.

 

 Phone Consults initiated by patients that will be charged a fee

  •         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

 

Prescription refills requested outside an office visit will be charged a fee

  •         Refills of existing some prescriptions (does not include Bio Identicl hormones or  Nature Throid)
  •         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 that will incur a fee

  •         Replacing a lost lab script

 

Test Results that will incur a fee

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

 

Prior authorizations outside an office visit may incur a fee

  •         Medications that require prior authorizations.

 

Missed appointments with no 24-hour notice will incur a fee

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

 

Chart Photocopies / Records Release to patients (2018 fees)

Amount charged per page for pages 1 – 20

$ 1.51

Amount charged per page for pages 21 – 60

$ 1.12

Amount charged per page for pages 61 – end

$   .38

Amount charged per page for microfilm copies

$ 2.23

Flat fee for production of records to support any claim under Social Security or any Federal or State financial needs-based program

$28.48

Flat fee for supplying records requested by a district attorney

$22.48

* Search and retrieval of records

$22.48

Schedule an appointment call : 717.832.5993

Schedule an appointment CALL : 717.832.5993

Have a question?Email Us:doctoradrian@verizon.net

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