Financial Policy

Payment is expected at the time of service.

Co-Payments/Deductibles and Co-insurance:

All Co-pays, Deductibles and Co-insurance will be collected according to the most recent information provided by your insurance policy benefits. We verify your insurance benefits 24-48 hours prior to a new patient visit.

We accept the following method of payments:

  • Cash
  • Credit Cards (Visa, MasterCard, American Express and Discover)
  • Checks (with appropriate ID)

All New patients are required to complete patient registration documents via an electronic registration tablet prior to seeing the physician.

All Established patients are required to update their information forms at least once a year via the same electronic registration tablet.

We will ask to see your insurance card and driver’s license on every visit and will scan your card into our system as needed to keep our information current.

Insurance Policies:

Your insurance policy is a legal and binding contract between you and your insurance company. If you did not follow your insurance plan’s terms, they may not pay for all or part of your care, and you may not qualify for any managed care discounts. If your insurance company does not pay within 60 days of the date of service, you may be expected to pay the balance in full.


If your Insurance Plan (Primary or Secondary) requires a referral from your Primary Care Physician it is entirely YOUR responsibility to obtain said referral prior to your appointment and to have it with you at the time of the appointment. If you do not have your referral, you will be responsible for all charges or you may be required to reschedule.

Out-of-network Insurance Plans:

Same applies as above. You are responsible for making sure our practice / clinicians are in your specific policy network.

Third Party Insurance:

We do not bill third party insurance companies such as: Auto or Liability Insurance; therefore, payment is expected in full at the time of service.

Self-Pay Patients:

Payment is due at the time service is rendered. For your convenience, we accept cash, check (in state only), VISA, Master Card, Discover, and American Express. You may also pay your bill online at

Orthopedic Supplies:

Some orthopedic supplies are not covered by your insurance. These must be paid for at the time service is provided. Durable Medical Equipment such as braces, slings, crutches etc.


We will submit to Medicare for the Medicare allowed amount. The patient will be responsible for the deductible and the co-insurance, which can be billed to a secondary insurance if applicable.

Returned Check Fees and Payment Plan Default:

Any returned check from the bank for non-payment (Non-sufficient funds) or payment default, shall result in the patient's account being assessed a $35 fee per check returned. The account will then be put in a probation state and payment will be required in the form of cash or credit card prior to scheduling any future appointments.

Delinquent accounts:

Patients with an outstanding balance 60 days or more must make payment arrangements prior to scheduling appointments.

Parental Consent:

The responsibilities of payments for minor children whose parents are divorced, rest with the parent who seeks the treatment (The parent is the guarantor). Any court ordered responsibility judgment must be determined between the individuals involved, without the inclusion of TMI Sports Medicine & Orthopedic Surgery.

Forms Completion/Medical Records Requests:

There is a fee for all form requests. A 15.00 or 30.00 rush fee will be collected prior to forms being completed.