Policies

Payment is due at the time of service. This includes all co-pays, deductibles and co-insurance. If your insurance company requires a referral, it is the patient’s responsibility (or guarantor) to obtain the referral prior to your appointment.

For your convenience, we accept Cash, Debit or Credit cards, Care Credit, Cash App, or Zelle.

Insurance Plans: It is the responsibility of the patient to notify Babies Etc. of any insurance plan and benefit changes. Our office will file claims to your insurance company for professional services rendered. We cannot bill your insurance carrier unless you give us your current insurance information. Please remember, INSURANCE COVERAGE IS A LEGAL CONTRACT BETWEEN THE PATIENT AND THE INSURANCE COMPANY. Benefits may differ depending upon what type of contract you have with the carrier. Please be aware that some or perhaps all the services provided may be non-covered services and not considered necessary under your insurance

policy. 

Copayments and/or Deductibles: All co-pays and deductibles are due at the time of service. We require payment in full for your portion (coinsurance, deductible, or out-of-pocket fees) at the time of service. In-office we accept Visa, MasterCard, Discover, American Express, Zelle, Care Credit and Cash. If a check is returned from your bank, there will be a $35 returned check fee added to your total amount due. Ultimately, you are responsible for all charges incurred in our office. The insurance contractual obligation does not allow us to write off co-pays or deductible amounts. 

Self-pay Patients: If you do not have health insurance, have coverage through a carrier with which we do not participate, or are receiving a known non-covered service, it is our policy that you must pay for your service in full before receiving the service. 

Balances: Monthly statements payments are due the end of the month. After three mailed paper statements you may be turned over to a collection agency. If you are turned over to a collection agency, there will be a processing fee of 40% added to your balance. Collection proceedings may result in permanent dismissal from Babies Etc. 

I understand that in the event I do not cancel my appoint within 24 hours of the scheduled appointment that the clinic may charge a cancellation (NO SHOW) fee. I authorize direct payment of my insurance benefits to Babies Etc. OB/GYN P.C. for services rendered to myself or dependents. 

Insurance will be filed for services rendered. Any charges for services not covered by insurance will be the responsibility of the patient or his/her guardian. 

I understand that it is my responsibility to know my insurance benefits and whether or not the services rendered are covered benefits. Patient or guarantor is responsible for notifying our office of any changes to demographics or insurance and billing information. Out of Network services not paid by the health

insurance company will be the  responsibility of the patient or his/her guardian. Babies Etc. OB/GYN P.C. or its authorized agent will provide medical

information to the insurance company as required for payment of claims for services rendered.

Notice: Our office does NOT file auto insurance claims for visits relating to motor vehicle accidents or worker’s compensation

I consent to treatment necessary to the care which has been discussed and directed by the provider. 

• I authorize the release of all medical records to specialists and/or consulting physicians if applicable to my care and condition 
• I authorize any holder of medical or other information about me to release to the Social Security Administration, Health Care Financing Administration, its intermediaries, its carriers, or any other insurance carrier of any information needed for this or any other related claim to be processed. 
• I permit a copy of this authorization to be used in place of the original and request payment of medical insurance benefits either to me or to the party who accepts assignment. 
• I understand it is mandatory to notify the health care provider of any party who may be responsible for paying for my treatment. 
• I further authorize and request that insurance payments be directed to Babies Etc. OB/GYN P.C

Everyone's Time is Equally Valuable.

Please help us serve you and other patients better by notifying Babies Etc. if you cannot keep your scheduled appointment. We understand that there are times when you will miss an appointment due to emergencies or obligations. However, it is the patient’s responsibility to give our office at least 24 hours cancellation notice. 

We reserve the right to charge a $50.00 NO-SHOW FEE for missed or canceled appointments with less than 24 hours’ notice.

Babies Etc. OB/GYN P.C. recommends keeping your credit or debit card on-file as a convenient method of payment for any balances that are a patient’s responsibility, as well as for any refunds if insurance pays more than anticipated. Your credit card information is kept confidential and secure. Whenever a payment is processed, you will receive a credit card receipt by email if you choose. If you decide not to keep your credit card on-file, statements are sent monthly, and your first statement is mailed at no charge. If a second statement is required to settle the account, a billing fee of $5 will be added to your account.

If you have questions or concerns regarding your options, please contact our Billing Specialist at (256) 461-1766, option 3.

I (We), the undersigned, authorize and request Babies Etc. OB/GYN P.C. to charge my credit card, indicated above, for balances due for services rendered that my insurance company identifies as my financial responsibility, or other self-pay balances that incur on the account. This authorization relates to all payments not covered by my insurance company for services provided to me by Babies Etc. OB/GYN P.C. This authorization will remain in effect until I (We) cancel this authorization. To cancel, I (We) must give a 30-day notification to Babies Etc. OB/GYN P.C. in writing.

Decline Credit Card On-File

I decline to keep my credit card on file, and understand that any balance over 30 days past due will incur an additional $5.00 charge for our office to continue collection efforts.