Payment Policies

Our goal is to provide and maintain a positive physician-patient relationship. Providing you with our financial policy in advance allows for a good flow of communication and enables us to operate efficiently. To prevent misunderstanding between patients and our practice, David J. MacGregor MD APC (the ‘Practice’) adheres to the following patient financial policy. Your complete understanding of your financial responsibilities is an essential element of the physician-patient relationship and continued medical management. Please read this carefully and if you have any questions, please do not hesitate to ask a member of our staff.

  • Full payment is due at the time of service for copays, deductibles, and coinsurance. For your convenience we accept cash, personal check, credit cards (Visa, MasterCard, American Express, Discover), and money orders. The Practice is required to collect these based on your benefits contract and the Practice’s contractual agreement with your insurance carrier. The Practice must collect copays at the time of service and is required to report to the carrier any enrollees failing to pay the co-pay.
  • It is your responsibility to provide the Practice with current, accurate insurance information at the time of check in and to notify the Practice of any changes in this information. A valid insurance card(s), picture ID, and Social Security number of the adult insured (policyholder and guarantor of bill) must be presented at the time of service.
  • It is the patient’s responsibility to obtain insurance carrier coverage limitations (i.e. preventive, contraception, maternity, place of service restrictions, out-of-network benefits, and prior authorization and referral requirements) and member out-of-pocket financial requirements (copay, deductible, coinsurance). The amount of your co-pay may be different for specialists than for primary care.
  • If the Practice does not participate with your insurance, you are expected to pay in full for our services at the time of visit. The Practice may provide assistance in submitting the charges to your insurance company; however payment is expected up front.
  • If you do not have medical insurance, payment for services is required at the time of the visit. Self- pay patients are given a discount on all services.
  • If you have Medicare PART B only you are responsible for your Medicare deductible and your 20% coinsurance at the time of service.
  • It is the patient’s responsibility to ensure that an authorization and/or referral is obtained prior to your appointment if required by your insurance (ex. Tricare Prime, HMO Medicaid plans). For insurance plans that require referrals or authorization, if we do not have a valid referral on file for your scheduled appointment, your appointment will either be rescheduled or you will be asked to pay for services in full until such time the referral is obtained and payment is received by your carrier. Prior authorization or referral is not a guarantee of payment. Patients are responsible for any bills not paid by your insurance carrier.
  • Patients will receive a separate bill from outside laboratories such as UCSF Dermatopathology, CPMC Dermatopathology for processing of skin biopsies and cultures. Questions about these bills are directed to the respective lab.
  • The Practice does not accept post-dated checks.
  • The Practice does not offer financial hardship or charitable discounts. We are a private practice independent of Roper/St. Francis Health System. They may award such discounts because they are a non-profit charitable organization with a different tax status that receives financial assistance from the federal government.
  • Checks written to the Practice that are canceled or returned for non-sufficient funds results are assessed a $30 fee. To rectify your account, you will be required to pay with cash, money order, cashier’s check, or credit card.