Insurance
We accept all major in-network insurance plans including, but not limited to, Blue Cross Blue Shield, Aetna (formerly Coventry), Midlands Choice Network, United Health Care, Medicare, Medicaid, and Heritage Health Plans.
Please contact your health insurance company for more information or to verify if Lexington Regional Health Center is in-network with your health insurance policy.
Payment Policy
We do everything possible to minimize the cost of medical care. You can help by reading and following our payment policies.
For your convenience, we accept credit cards including Visa, MasterCard, American Express, and Discover.
Payment Prior to Being Seen
Payments of all copays, deductibles, and/or coinsurance are due at the time of service.
If you have no insurance, $50 is the minimum requirement to be seen. For those with high deductible insurance plans, we will require an upfront deposit of $50 per visit which will be applied to your office visit and your deductible.
These amounts are initial payments and do not necessarily reflect the entire amount due from your visit. The outstanding balance from the office visit can be paid after the visit or can be billed to you.
Upon reaching your full deductible or maximum out of pocket expenses for the year, please provide us documentation from your insurance company that these requirements have been fulfilled and subsequent visits for the calendar year will no longer require the payment amount noted above.
If you have a policy that requires a co-pay, that amount is due at the time of service and the $50 per visit does not apply to you.
We file all services to your insurance company. If payment is not received from the insurance company or other responsible party in 60 days, we have the right to bill you directly for all services.
Please notify us immediately of any changes in your insurance.
Medicare & Medicaid
We do accept Medicare assignment and will file all supplement insurances. As a Medicare patient you are responsible for your deductible, which we will bill you for after we have heard back form both insurances.
Medicaid, Arbor Health or Coventry cares will be verified through the website. If they have a copay, this is due at the time of service. If their site shows no coverage, a minimum $50 payment will be required for the visit.
Workers Compensation
If you have a work related injury, we require information regarding both health insurance and your employer’s workers compensation insurance. We will also verify that your employer assumes responsibility. If payment is not received form these third parties within 60 days, you are responsible for the balance.
Accident Claims
If you are here as a result of a motor vehicle accident, we require your auto insurance information. If payment is not received in 60 days from your auto insurance carrier, you are responsible for the balance.
Outstanding Balances
Patients with an outstanding balance of 60 days overdue must make arrangements for payments prior to being seen. We realize that people have financial difficulties and will work with you to find a solution. Please communicate with our business office so that they may assist to create a financial plan for payments, or set up an appointment with our Social Services for Medicaid eligibility or eligibility for Affordable Care.
