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Nuestra Informacion


The goal of our clinic is to provide you with quality health care at a reasonable cost. Southwest District Health is not a free clinic. Some fees are based on a sliding scale based upon income and family size. In order to remain affordable, we depend upon you to make prompt payment for services and supplies. In an effort to do this, we have implemented a Financial Policy. This Financial Policy shares responsibility among all our clients.

FINANCIAL POLICY

The following is the Financial Policy, which we require you to read and sign prior to treatment.

  • FULL PAYMENT IS DUE AT TIME OF SERVICE INCLUDING PRESCRIPTION
  • WE OFFER A PAYMENT PLAN WITH PRIOR APPROVAL
  • WE ACCEPT CASH, CHECKS, AND CREDIT CARDS
  • DONATIONS ARE APPRECIATED FOR ALL SERVICES
  • NO ONE WILL BE DENIED SERVICES FOR INABILITY TO PAY IF SEEKING FAMILY PLANNING OR CHILDHOOD IMMUNIZATIONS
  • YOUR ACCOUNT BALANCE DOES NOT AFFECT YOUR ABILITY TO CONTINUE RECEIVING SERVICES
  • YOUR ACCOUNT MAY BE TURNED OVER TO A COLLECTION AGENCY IF PAYMENT HAS NOT BEEN RECEIVED 120 DAYS AFTER YOUR FIRST AGENCY BILLING STATEMENT.
  • REGARDING INSURANCE
    • All clients must complete a Financial Request Consent before receiving services. Please present your insurance/Medicaid/Medicare card at the reception desk.
    • Southwest District Health will bill your insurance {except for immunizations} company for you and the payment may come directly to the Health Department.
    • Currently, we are not participating in PPO, HMO, or Participating Provider Plans. You may use our services, but recommend you check with your insurance company regarding coverage.
    • If you have pharmacy coverage, ask for a prescription. This usually will save you money.
    • Whether your insurance company pays or not, the balance is your responsibility.
    • If your insurance company has not paid your account in a reasonable amount of time, the balance will automatically be transferred to your payment plan.
    • Please be aware that some, and perhaps all, of the services provided may be non-covered services and not considered reasonable and necessary under your medical insurance program.
    • Confidentiality cannot be guaranteed, insurance billing could result in billing information being sent to parent, guardian or spouse - who may be the holder of the insurance policy.