INSURANCE LIST AND PAYMENT POLICIES*

Appointments (618) 277-3197 Weekday AM Appointments and Exchange (618) 277-3214

AARP (Medicare Supplement)

Aetna (including Medicare)

( In Network for St. Elizabeth's Hospital Aetna PPO)

Anthem Blue Cross PPO, including BCE Blue Choice Preferred PPO, the BCBSIL exchange product (NOT THE HMO )

Care360 HSHS Hospitals (including St. Elizabeth's of O'Fallon)

Cigna HMO/PPO

(including in network for Memorial Hospital/BJCEmployees)

First Health, including mailhandlers and CCN/Meritain

GEHA

Healthlink PPO and HMO

HFN

Humana PPO

Medicare, Medicare Railroad, and some Medicare PPOs

(Including AETNA/UHC/Humana Advantage Plans)

Medicare Complete PPO is accepted (not the HMO)

Meritain

PHCS (Private Healthcare Systems)

Railroad Medicare

Tri-Care reserve select, standard, and Tricare for Life

United Health Care/UMR/UHC Choice+

 (Including Medicare)

Out of network for Medicaid, Harmony HMO, Meridian HMO, Illinois All Kids, and Healthconnect.

 

If your insurance plan is not listed, you have another doctor's name on the insurance card, or you have insurance that has expired, then you may be a self paying patient, meaning you will pay the visit fee at the time of the visit.   Self paying patients and accident patients will need to pay cash or credit card for any visit costs. Third party insurance is not accepted for accidents, with the exception of limited workers compensation on a patient by patient basis.

 

Please note two phone lines exist for appointments on weekdays. From 8-noon you can call 277-3197 or 277-3214 for appointments and general questions. After noon on weekdays, 277-3197 is the contact method for appointments and general questions. Messages are accepted at 277-3197 Monday-Saturday and will be returned during regular hours.

 

Please visit our RECORDS REQUEST & NEW PATIENT FORMS for our new patient forms and old records request form. You are a new patient if you have never be seen in the office for a visit or if you have not been to an office visit within the last three years.

• The Country Doctor is the first St. Clair County practice to publish its common fee schedule.

Having an insurance card does not guarantee coverage of your care. Patients must verify that each insurance plan is active by calling their appropriate insurance company. New patients are patients who have never seen Dr. David Mitchell or who have not been seen for at least three years.

Please note that 98% of our patients are high-quality patients. To the less than 2% who attempt not to pay their bills, this payment policy has been created.

• Payment is due at the time of the office visit for copayments, deductibles, and Self Paying Patients.
• Cash is the preferred method of payment
• Checks are the second preferred method of payment. If you write a check with insufficient funds, future visits will need to be paid by cash, credit card, debit card or money order. There is a returned check fee.
• Mastercard, Visa, Discover, and American Express are acceptable forms of payment, with a due convenience fee.
• If you do not show up to a visit, you may be charged at least a $30 no show fee, which is why the no show rate is less than 1%.
• In the event that part of a missed copay, percentage copay, or deductible is billed, the amount must be paid within two weeks of the billed date. If the due bill is not paid within two weeks of the the billed date or if the fee is billed twice, a billing fee may be assessed.
• If a new or established patient attempts not to pay the copayment at the time of appointment, the patient may or may not be rescheduled.

The amount a physician can charge for copying medical records in the state of Illinois is regulated by Illinois General Assembly. The Country Doctor, Ltd. follows the fee schedule established by state law.

Patients must be seen in the office for medications and paperwork. There may be a fee for paperwork completion.

 The Country Doctor, Ltd.

2310 Country Road

Shiloh, IL 62221-2570

Voice (618) 277-3197

Exchange (618) 277-3214

E-MAIL The Country Doctor