Financial Policy

Last Updated: December 4, 2025

On This Page:

Introduction

Insurance-First Billing Commitment

Rheumatology Associates is an Out-of-Network (OON) specialty provider. Our primary policy is to bill your insurance carrier first. In the majority of cases, insurance carriers provide reimbursement for our services. You will only be responsible for payment if your insurance denies the claim, applies the amount to your deductible, or pays an amount lower than our protected "Capped Rate".

Patient Financial Protection (Capped Rate Guarantee)

To provide transparency and protect you from unpredictable out-of-network costs, we guarantee that your maximum out-of-pocket responsibility for professional services is strictly capped at our self-pay rates:

  • New Patient Consultations: Maximum Capped Rate of $375.
  • Established Patient Follow-up Visits: Maximum Capped Rate of $275.

Agreement

You will never be "balance-billed" for any professional service amount that exceeds this cap.

Credit Card on File & Payment Agreement

Payment Options

If a balance becomes due per the terms of our financial policy, you may choose one of the following:

  • Option A : Full payment of the capped rate.
  • Option A : An interest-free payment plan.

Credit Card on File (CCOF) Requirement

To secure your appointment and confirm this agreement, a valid credit or debit card must be placed securely on file at check-in. Your card will only be charged the applicable capped rate (or your first payment plan installment) if your insurance applies the payment to your deductible, denies the claim, or pays less than our capped rate (in which case you are only charged the difference).

Stay Connected

Want updates sent directly to your inbox?

Or follow us on social media for new blog posts, tips, and behind-the-scenes content.