Dr. Massa Letter To Patients
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Office Policies

Policies Regarding Our Ob/Gyn

Thank you for your continued support of Pacific Gynecology and Obstetrics Medical Group.Our San Francisco Ob/Gyn would like to take this opportunity to inform you about our office policies.

Contact Pacific Gynecology and Obstetrics Medical Group in San Francisco, California, at 415-923-3123 for more information about the office policies of our San Francisco Ob/Gyn.

Notice to Patients:
– Effective May 1st, 2014 we are no longer accepting CA Medi-Cal health insurance.
– Effective July 1st, 2014 we are no longer accepting American Express for payment.
– We accept Cash, Checks, Visa or MasterCard only.

Questions?

If you have any questions about the treatment and care offered at PGOMG, please contact us today!

Contact PGOMG

Insurance

There are numerous insurance plans available, therefore, it’s impossible for our staff to know the covered benefits of each plan. It is your responsibility to know and understand the policies and benefits of your plan, including referrals, authorizations, copayments, deductibles, covered hospitals, labs, and x-ray facilities.

In order for us to bill your insurance, you must provide a copy of your current insurance card at the time of the service. Failure to provide any necessary insurance information for billing will require you to pay for your visit at the time of service.

Appointments

To allow us to provide quality care and prompt service, we request that you cancel any appointments that you cannot make at least 24 hours prior to the scheduled visit. This allows patients who require immediate care to have that appointment.

Failure to cancel appointments will result in a $50 missed appointment fee. Failure to cancel any surgeries or procedures within 72 hours of your scheduled appointment will result in a $100 fee. Please call 415-923-3123 to cancel appointments or to leave a message after business hours.

Fees & Costs

  • Co-Payments
    All co-payments are required at the time of the service or we may need to reschedule the appointment.
  • Copy of Records
    There is a $25 charge for each copy of medical records. Please complete a request for medical records and allow 7 to 10 business days to process your request.
  • Completion of Forms
    There is a $15 charge for completion of all applications and forms, such as disability and insurance forms.
  • Prescriptions
    There is a 24-hour turnaround time for all prescription requests. If you need a prescription before the weekend, please call ahead to allow time to process your request.