When scheduling an appointment please have the following information ready:

• Your name, address, phone number, date of birth, social security number, employer information, insurance, and policy holder information
• Your calendar, so that you can schedule the appointment when you know that you are available
• Why are you scheduling the appointment
• Are you self referred or did your Primary Care Provider suggest you be seen in our office

What to bring to your appointment

• Your current insurance cards, if you have a primary and secondary insurance please bring both cards with you
• Photo Identification
• Physician referral forms if required by your insurance company
• A list of current prescription and over the counter medications you are taking, including dose and frequency
• Pertinent information about your medical and surgical history
• Any recent x-rays or medical records you may have
• Payment for out-of-pocket expenses that you incur, i.e., copays, deductibles, coinsurance, etc. We accept VISA, MasterCard & Discover.

Cancellation Information

• There is a $25.00 charge for appointments cancelled with less than 24 hours notice. This amount is your responsibility.
• There is a $50.00 charge for procedures cancelled with less than 72 hours notice. This amount is your responsibility.

Payment and Insurance Information

RGAL is a provider for Medicare and most major insurance plans. We provide courtesy insurance billing for plans in which we participate. Any services not covered by insurance will be your responsibility.

We require payment at the time of your visit for services that are not covered by your insurance. This includes copays and deductibles. Your insurance company may also require you to pay a co-payment at the time of your appointment. Insurance plans vary considerably, and we cannot predict or guarantee what part of our services will or will not be covered by your particular insurance coverage. You are ultimately responsible for all your medical expenses. When necessary, our staff will work closely with patients who require a payment plan.

If you have any questions or concerns regarding which insurance plans we accept or any patient billing matters, please call our billing office at 717-544-3405 between the hours of 9:00 AM - 5:00 PM.

Questions regarding your coverage and benefits are best directed to your employer and your insurance company.