If you are unable to keep your appointment, you must cancel at least 24 hours prior to an appointment to avoid a fee ($25 or the amount equal to your co-pay).
At Capital Health OB/GYN - Bordentown, we value our patients' time, and we strive to see every patient as close to their appointment as possible. When our schedule runs on time, the practitioners are able to efficiently meet our patients' needs and address any issues that are presented. We ask that you support this process by arriving in advance of your appointment (this is suggested in the reminder call that you receive).
If you arrive 15 or more minutes late for your appointment, we will make every effort to see you. However, priority will be given to the patients who arrive on time. It may be that this will incur a considerable wait to be seen. If this is not convenient, you will be given the option to reschedule your appointment. Please understand that when one or more patients arrive late, it becomes burdensome for the entire remainder of the schedule, an inconvenience to everyone that we hope to avoid. This applies to all types of appointments, whether obstetric, gynecologic, or for ultrasound procedures.
Our practitioners, our staff, and your fellow patients thank you for your understanding.
Disability forms policy
All forms must have your name and first date of disability filled out. Forms are completed in 7-8 business days. There is no charge for the State of New Jersey Temporary Disability form. All other forms will be $10.00.
Capital Health OB/GYN - Bordentown is not permitted to mail or fax disability forms. All forms must be picked up. This includes insurance forms that are mailed to our office. We will contact you by phone or the Patient Portal when the forms are ready.
Adolescent policy (patients 18 years of age and younger)
It is Capital Health OB/GYN - Bordentown policy and practice to provide the best clinical care possible for all patients, at all times. We believe that it is in the best interest of each adolescent patient to be seen initially by their provider prior to including a parent, guardian or other supportive guest. This policy will be communicated at the time the appointment is scheduled and again when the appointment is confirmed.
At the time of the appointment, the patient will be called back, individually, to see the provider they are scheduled to see first. After an initial conversation between the patient and the provider, the parent, guardian or other supportive guest will be included in the visit at the request of, or with the permission of the patient. It is the responsibility of the provider to ask the patient if they would like a parent, guardian or other supportive guest to be included in the remainder of the visit and document their response.
Our office staff is available to take calls from 8 a.m. to 4 p.m. (Monday - Friday). Please call our office during these hours for routine needs such as test results, prescription refills, referral requests, medical questions or setting up appointments.
Please bring your insurance card(s) and photo ID with you to all appointments. Your co-pay payment will be expected at the time of your appointment.
For routine prescription refills, please contact your pharmacy and your pharmacy will request authorization from our office. Your refill will be ready at your pharmacy within three business days.
For mail order prescriptions or a prescription that cannot be refilled over the telephone, please call our main number and select option 5 to leave a message with your refill request. When leaving a message for a prescription, be prepared to provide the following information: patients' name, date of birth, the name of the medication(s) and a phone number where we can reach you. Please call us no later than three business days prior to your refill supply running out. Please allow 48-72 hours for us to process your request.
We are employed by Capital Health and utilize the medical services that are provided at the health system's two hospitals - Capital Health Regional Medical Center and Capital Health Medical Center - Hopewell. This provides our patients with access to the area's most advanced medical services, including the Capital Institute for Neurosciences, the level II Bristol-Myers Squibb Trauma Center at Capital Health Regional Medical Center, our Regional Perinatal Center (including the area's only level III Neonatal Intensive Care Unit), our Pediatric Emergency Services, Center for Oncology (including the area's only CyberKnife® Robotic Radiosurgery System) and much more.
Hospitalists from Capital Health may see you if you're admitted to one of our hospitals. This allows us to provide a better continuum of care from the time you're admitted until after you're discharged. The hospitalist will take care of you while you're at our hospitals and provide pertinent details of your hospital visit to your regular physician after you leave so that he or she can continue to provide your care on an outpatient basis.
Thank you for choosing Capital Health OB/GYN - Bordentown as your health care provider. We are committed to providing you with the best possible health care. The following information is provided to ensure you are aware of and understand our financial policies.
Please ask if you have any questions about our fees, our policies, or your responsibilities. It is your responsibility to notify our office of any patient information changes (i.e. address, name, insurance information, etc.).
Co-pays/Co-Insurance/Deductibles - The patient is expected to present an insurance card at each visit. All co-payments, co-insurance, deductibles and past due balances are due at the time of your appointment. We accept cash, checks, Visa, MasterCard, Discover and American Express for your convenience. If a patient is a minor (18 years and younger) and is using a parent’s insurance benefit, the parent or guardian must sign below. The parent or guardian is responsible for any payment due at the time of service.
If you are unable to pay for necessary medical care, you may be eligible for financial assistance or a payment plan. It is your responsibility to inform us of your financial need prior to your visit. Please ask to discuss arrangements with our billing department.
Annual Exams – These visits are intended to be preventative in nature and typically include ageappropriate history, exams and counseling. These visits are not intended to be problem-focused. While we are happy to manage additional problems that exist at the time of an annual exam if possible, it may be appropriate to change the type of visit such that a co-payment would be required. This decision cannot be made until your visit has been completed and may depend upon the nature of the problem and the amount of time required to adequately address it.
Insurance Claim - As a courtesy to you, we will submit medical claims to your insurance company. Any balance after processing of our claim by your carrier is your responsibility. Your insurance policy is a contract between you and your insurance company. You are responsible for verifying if providers are in network with your insurance company. In order to properly bill your insurance company we require that you disclose all insurance information including primary and secondary insurance, as well as, any change of insurance information. Failure to provide complete insurance information may result in patient responsibility for the entire bill. It is your responsibility to know your insurance benefits as it may not cover all of the services provided to you. Although we may estimate what your insurance company may pay, it is the insurance company that makes the final determination of your eligibility and benefits. If your insurance company is not contracted with us, you agree to pay any portion of the charges not covered including, but not limited to those charges above the usual and customary allowance. If we are out of network, and your insurance pays you directly, you are responsible for payment in full and agree to forward the payment to us immediately.
Self-pay Accounts - Self-pay accounts are patients without insurance coverage, patients covered by insurance plans in which the office does not participate, or patients without an insurance card on file with us. It is always the patient’s responsibility to know if our office is participating with their plan. If there is a discrepancy with our information, the patient will be considered self-pay unless otherwise proven.
Cancellation of Appointments - Capital Health OB/GYN - Bordentown requires 24-hour notice of appointment cancellation so that we can offer the appointment to another patient who needs to be seen. There is a fee of $25 for appointments that are missed and not previously cancelled.
Returned Checks - The charge for a returned check is $25 payable in cash or by credit card. This will be applied to your account in addition to the insufficient funds amount.
Outstanding Balance Policy - A medical practice, like any business, depends on timely payments. It is our policy that all accounts remain current. In the event that a patient balance remains outstanding and no resolution can be made, your account may be sent to a collection agency and/or you may be discharged from the Practice.
Assignment of Benefits - I hereby assign all medical and surgical benefits to include major medical benefits to which I am entitled. I hereby authorize and direct my insurance carrier(s), including Medicare, private insurance and any other health/medical plan to issue payment directly to Capital Health OB/GYN - Bordentown. I understand that I am responsible for any amount not covered by insurance.
Laboratory Fees - Most laboratory charges, such as blood work, PAP and pathology tests, ordered through our office are billed directly to your insurance by Quest Diagnostics or LabCorp. If you receive a statement from one of these laboratories, we request that you contact them directly to resolve any billing questions.
Financial policy for obstetric care
Please be advised of Capital Health OB/GYN - Bordentown's policy concerning your pregnancy and insurance coverage. Unlike other types of services, prenatal care is billed globally and will be billed at the end of your pregnancy, after delivery. Prenatal care includes your routine office visits and delivery charges.
During your pregnancy, physicians may order additional studies, such as ultrasounds or non-stress tests. These services will be billed to your insurance at the time of the service, and are not included in the global prenatal care fee. Additionally, if you are seen for any problem or condition unrelated to your pregnancy, we are required to bill for the office visit. You may be responsible for co-pays and/or additional fees for these services, which will be determined by your contract with your insurance company.
Please be aware of the cost of delivery. Some insurance companies apply part of the delivery charges as co-insurance and/or deductible. This balance is considered part of the total reimbursement to the doctor, and will be your responsibility.
This financial policy helps the office provide quality care to our valued patients. If you have any questions or need clarification of any of the above policies, please feel free to contact us.
It is your responsibility to inform our office of any changes in your insurance.