INSURANCE

Vanguard Medical Center is a Self Pay Clinic ONLY Effective April 1st, 2020.
  • We DO NOT accept insurance, and will NOT bill your insurance company.
  • All payments are required in full at the time of service.
  • If you would like to submit an out-of-network claim to your insurance company for reimbursement, of for application towards your deductible, we will provide you with the appropriate and customary codes that reflect the services performed.
  • Not all policies reimburse out-of-network claims.
  • We recommend that you inquire with your insurance provider or Human Resource Department to determine whether your plan has out-of-network benefits or if you are subject to an out-of-network deductible or out of network maximum.
    • An out-of-pocket maximum is the total amount of money you can be required to pay towards your health care before your health insurance policy begins to pay 100% of the costs. This amount differs from plan to plan but usually resets each year. There is usually one maximum per person and a higher maximum per family.
    • A deductible is a set amount of money you are expected to pay before your insurance will start paying for your care. This amount is determined by your specific policy and is set in advance.
    • We make NO guarantee of any insurance reimbursement.
  • Typically, a PPO or a POS type plan will have some type of out-of-network coverage, while most HMO and EMO plans only reimburse for out-of-network care in the case of an emergency.
  • If your insurance will ONLY send payments directly to providers then you may NOT submit forms for reimbursement as we will NOT accept any payments of these types. 
    • Our services cannot be submitted to these insurances for reimbursement. 
  • All fees are settled directly between patient and provider.
  • We accept Cash and Credit Cards ONLY.  WE DO NOT ACCEPT CHECKS.
  • We accept Health Savings Account (HSA) and Flexible Savings Account (FSA) cards. Please check with your card holder or Human Resource department for a full list of eligible medical expenses account holders allowed for their FSA or HSA funds.  
  • Do you accept insurance?

    • We are NOT participating providers for ANY insurance plans.

 

  • ​What type of payments does the clinic accept?​

    • We accept Cash and Credit Cards ONLY.  WE DO NOT ACCEPT CHECKS.

    • We accept Health Savings Account (HSA) and Flexible Savings Account (FSA)

  • Can I ​submit my Superbill to my insurance for Out-of-Network reimbursement?

    • Yes, you may but we make NO assurance of reimbursement​. 

    • Out--of Network claims as NOT reimbursement by ALL insurances or plans.

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FAQs 
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711 S. Hwy 27, Suite E

Clermont, FL 34711