Insurances Accepted

All major insurances accepted. Please check with your provider...

Office Policies

Thank you for choosing Pinnacle Wellness and Healthcare. We take our role as your healthcare partner seriously and we are making changes to our practice to better serve you. We’ve set forth our practice policies and procedures below. These guidelines help us maintain a safe and efficient environment for everyone. Please read and review with your nurse or provider. A signed copy will be retained by our office and a copy provided to you, for your records.

Appointment Scheduling

We strive for fast, efficient scheduling of visits. You may contact our scheduling department as follows:

You may call our scheduling department at 561-896-4898, between 8am – 5pm Monday through Friday.
Text your scheduling request to 954-592-1252 and a scheduling team member will respond back to you within 24 hours.
Email your scheduling request to info@pwhboca.com

Once scheduled, we will call and/or text you to confirm the appointment within 24-36 hours prior to the appointment time. If you need to cancel or reschedule an appointment, please notify our office at least 24 hours in advance. We are very understanding of your busy schedule.

However, when patients do not show up for a scheduled appointment it causes serious issues for our Clinic and other patients. In order to maintain our business, we must enforce a fee if the appointment isn’t canceled at least 24 hours in advance.

We do not schedule appointments without your acknowledgement, and we will do our part to inform you of the upcoming visit. We ask that you help us by promptly informing us of any scheduled appointment timing issues.

Arrival and Check-In

Please arrive 5-10 minutes ahead of your scheduled appointment time to avoid delays and ensure adequate time for your visit. Upon arrival, please check in at the front desk and provide any necessary updates to your contact information and insurance details. It is our priority to make your experience fast and efficient.

Prescription Refills

Contact our office in advance for prescription refills. Please allow at least 48 hours for us to process your request. If you are on routine medications, we require an office visit or telehealth visit at minimum every 6 months, and more frequently for controlled substances. We require all patients on controlled substances to sign our Controlled Substances Contract annually, and adhere to our office visit protocols.

During these visits, the healthcare provider assesses the patient's response to treatment, monitors for any adverse effects, reviews medication usage, and adjusts the treatment plan as necessary.

We encourage you to keep track of your medication supply and request refills before running out to prevent any lapses in therapy.

Communication

Feel free to ask questions or seek clarification regarding your care. Our goal is to return calls within 48 hours. We recommend using our Patient Portal for communicating directly with your care team.

Lab and diagnostic testing

Labs and diagnostic testing will be ordered by your provider when medically necessary and with your consent.

Follow-up Policies

Routine lab and diagnostic test results will be communicated by our Care Team by phone. Please do not call the office for lab or diagnostic results within 5 days after the date of testing.

Preventative Care and Care Management

We take your healthcare seriously and we’ve invested substantial resources into our care management teams to make Glades Medical Group your trusted partner in your health. A few important things to know about our process:

If you have two or more chronic conditions, we must engage our Care Management Team to better serve you. If you are enrolled in Medicare or Medicare Advantage, our policy is to obtain your consent to engage our Chronic Care Management team. We strongly encourage you to participate in our care management program.
Our Care Teams will be actively managing your care plan. Your provider will review the care plan with you, and you are entitled to receive a copy.
Our Care Teams may contact you directly, via email, text or phone, during your choice of hours. Our typical work week is M-F 9am – 5pm.
You will be provided with a direct communication line for your Care Team.
Health insurance carriers, including Medicare, require physicians to manage patient health and outcomes. We are financially dependent on our ability to ensure our patients preventative services are met. We require our patients to comply with our Preventative Care guidelines, which will be provided on a per-patient basis.

Visit Reason:

We allow specific time depending on the nature of the visit reason. To stay on schedule, we ask that no more that two medical concerns are addressed per visit. We will expedite scheduling of a subsequent visit if additional time is needed.

Payment and Insurance:

We are committed to providing quality healthcare services to our patients. To ensure transparency and clarity regarding payment responsibilities, we have established the following patient payment policy. We kindly request that you review and understand these guidelines prior to your appointment.

1.Insurance Coverage:

Verification: It is the patient's responsibility to provide accurate and up-to-date insurance information during the registration process. We will make every effort to verify your insurance coverage before your appointment. However, it is essential for you to confirm the specifics of your coverage with your insurance provider.
Copayments and Deductibles: If your insurance plan requires copayments or deductibles, they will be collected at the time of service. We accept various payment methods, including cash, credit/debit cards, and personal checks.
Coverage Changes: If there are any changes in your insurance coverage, please inform our staff promptly to ensure accurate billing. Failure to provide updated insurance information may result in you being responsible for the full payment of services rendered.

2.Self-Pay Patients:

Full Payment: For patients without insurance coverage or for services not covered by their insurance plan, full payment is due at the time of service. Our staff will provide you with an estimate of charges upon request.
Payment Options: We accept cash, credit/debit cards, and personal checks for self-pay patients. Payment plans may be available on a case-by-case basis, subject to approval by our billing department.

3.Outstanding Balances:

Statements: In the event that you have an outstanding balance after insurance processing, we will send you a statement indicating the amount due. It is your responsibility to review the statement and promptly address any outstanding balances.
Payment Due Date: Payment for the outstanding balance is expected within 30 days of receiving the statement. Late payments may be subject to additional charges and may impact future appointments.
Collection Efforts: In the event of non-payment, we reserve the right to pursue collection efforts, which may include reporting to credit bureaus or engaging with a collection agency. We strive to avoid such measures and encourage open communication to resolve any payment issues.

4.Financial Assistance:

Eligibility: We understand that medical expenses can create financial challenges for some patients. If you require financial assistance, please contact our billing department to discuss available options. We are committed to working with you to find a suitable solution.
Payment Plans: Payment plans may be available for qualified individuals based on their financial circumstances. Our billing department will determine eligibility and establish a mutually agreed-upon payment plan.

Please note that this patient payment policy is subject to change, and updates will be communicated as necessary. We are committed to addressing any questions or concerns you may have regarding your financial responsibilities.

Compliance with Instructions:

Follow the instructions provided by our healthcare providers regarding medications, treatments, and lifestyle modifications. Adhering to these recommendations is vital for your health and well-being. If you are not engaging in your healthcare process, we reserve the right to discontinue services, in accordance with state law.

Respectful Behavior:

Please treat our staff, fellow patients, and providers with respect and courtesy at all times. We strive to create a welcoming and inclusive atmosphere for everyone.

Refrain from using offensive language, engaging in disruptive behavior, or causing any disturbances that may interfere with the care of others.

We appreciate your cooperation in following these practice rules, as they contribute to a positive experience for all patients. If you have any questions or need further information, please don't hesitate to contact our office.