Effective Date: May 22, 2024
When you schedule a visit at ZoomCare or ZoomCare Urgent Care (collectively, “ZoomCare”), you understand you are reserving a dedicated visit time. ZoomCare requires that credit or debit card information be provided to schedule visits and to cover any costs related to treatments or services you receive at ZoomCare. Our third party payment processing vendor retains this information on file in accordance with its privacy policies until your card expires. By scheduling a visit with ZoomCare and acknowledging this policy, you consent for us to direct our third party payment processing vendor to retain your card information and charge your card for any treatment fees, pharmacy fees, and other fees related to your care.
ZoomCare may charge you a non-refundable fee of up to $99 if you arrive late for your scheduled appointment and do not reschedule another visit for the same day, fail to show up for your scheduled visit, or cancel your scheduled appointment with less than 1 hour of notice for urgent care or less than 24 hours for all other services (the “No Show/Late Fee”). If applicable, you authorize ZoomCare to keep your signature on file and to charge your credit/debit card the No Show/Late Fee.
You acknowledge that you are financially responsible for and agree to pay for all services and products received at or from ZoomCare. You acknowledge that payment is required at the time of service unless other arrangements – such as the billing of insurance - have been made. Payment for services includes payment of applicable coinsurance, copayments and deductibles for participating insurance companies. ZoomCare accepts VISA, MasterCard, Discover Card and American Express. ZoomCare does not accept cash.
As a courtesy to you, ZoomCare will bill your health insurer for services provided to you if ZoomCare has a contract with your health insurer. However, you understand and agree that you (not your insurance company nor any other entity) are ultimately responsible for all fees for services received at or from ZoomCare, unless otherwise specified by state or federal law, or other billing arrangements have been made.
If you have health insurance, you authorize your health insurance and health plans to make payments directly to ZoomCare and consent to these payors to release information to ZoomCare. You agree to pay for any charges you owe to ZoomCare which are not paid by your health insurer.
You understand that if the health insurer that provides you with primary health insurance does not pay ZoomCare within 60 days of your visit, ZoomCare may then bill you directly or charge your credit or debit card on file the total amount due.
As a courtesy, ZoomCare will bill the health insurer that provides you with secondary health insurance. However, if payment is not received from any secondary insurer within 30 days of ZoomCare billing the secondary insurer, ZoomCare may then directly bill you or charge to your credit or debit card on file the total amount billed to the secondary insurer.
Not all services provided at ZoomCare will be covered by your health insurance. As a courtesy, ZoomCare may, but is not required to, ask your health insurer about coverage on your behalf, but ZoomCare cannot know and is not responsible for the accuracy or completeness of any information provided. You acknowledge and agree that you are responsible for knowing your insurance benefits and guidelines regarding what is and is not covered by your insurance and for paying ZoomCare for all services and products provided that are not covered by your insurance.
You acknowledge and agree that you are responsible for knowing whether you are eligible to use any health insurance at the time of service at ZoomCare. You are responsible for providing ZoomCare with valid insurance information at every visit. If your insurance is not in effect at the time of service at ZoomCare, you are responsible for paying ZoomCare in full amount for any and all services provided by ZoomCare.
You are required to declare your method of payment when you schedule any ZoomCare service. You may declare your method of payment “uninsured” or you may select your insurance plan(s). Your selection determines whether ZoomCare will submit any claims for payment to a health insurer.
If you select an insurance plan(s) and ZoomCare is able to confirm the policy is active, then ZoomCare will consider you to be “insured”. As an insured customer, ZoomCare will estimate your financial responsibility when you receive care and collect that amount when you receive care. If you have selected an insurance plan and ZoomCare has verified this is an active plan, you may not change your payment method to “uninsured” at your visit.
If you select “uninsured” you may not submit your invoice to an insurance company for reimbursement. If you do, ZoomCare is not responsible for processing the claims and will not process any claims related to this matter.
If you are covered by more than one health insurance plan and ZoomCare is able to confirm that your primary insurance is non-participating with ZoomCare but your Secondary is participating, we may have to consider you as “uninsured”. If you decide to proceed with your care, you may need to self claim with your insurance company to get directly reimbursed for the uninsured rate you pay at ZoomCare.
You agree to pay ZoomCare any and all amounts owed and outstanding within 30 days of the date of service giving rise to the charge. You may have an outstanding balance if, for example, your credit or debit card expires or is declined or if your actual financial responsibility for services covered by health insurance coverage differs from the estimate made at the time of check-out.
Amounts not paid to ZoomCare within 90 days from the date of service may be transferred to a collection agency. If it becomes necessary to effect collections of any amount owed on this or subsequent visits, you agree to pay all legal costs and expenses, including reasonable attorney fees. You hereby authorize ZoomCare to release information necessary to secure payment.
Unless you specifically request otherwise, overpayments of $5.00 or less will be credited to your subsequent ZoomCare visits.
ZoomCare may recommend that you receive services, such as laboratory processing or testing or imaging services, at non-ZoomCare facilities. If a ZoomCare provider recommends that you obtain services at another facility or have laboratory samples processed at another facility, you are free to obtain such services from any provider you choose.
Any non-ZoomCare facility that provides you with services, including laboratory processing services, will bill you separately for the services provided at the non-ZoomCare facility’s prices.
As a courtesy, ZoomCare may provide you with pricing estimates for services performed at or by non-ZoomCare facilities. You understand that ZoomCare cannot guarantee the accuracy or completeness of these estimates.
ZoomCare is not responsible for non-ZoomCare facilities’ prices, their billing practices, or for payment of any charges incurred for services performed.
ZoomCare strives to adhere to the highest standards of ethical conduct in the healthcare industry. Your healthcare and satisfaction are our highest priorities. We follow the following policies:
ZoomCare prohibits pharmaceutical industry representatives from meeting with or providing gifts to ZoomCare employees, including physicians and physician assistants. ZoomCare employees are also not permitted to serve as paid consultants to the pharmaceutical industry. ZoomCare recognizes that the pharmaceutical industry discovers and produces therapies of vital importance to the health of the people we serve. However, ZoomCare evaluates pharmaceutical products on the merits of the scientific evidence of a product's safety and efficacy. Pharmaceutical industry sales and marketing may distort this evaluation and consume time devoted to caring for you.
ZoomCare employees, including physicians and physician assistants, may not receive gifts from medical device and technology companies, serve as consultants to such companies or otherwise have a financial relationship with such companies.
ZoomCare employees, including physicians and physician assistants, may not receive gifts or other forms of inducement from any hospital, laboratory, imaging center, emergency department or any other individual physician or provider of care to whom you may be referred.
In the case of hostile or inappropriate behavior by the patient, the provider may terminate a visit at any time at their discretion, and will advise you that the visit is being terminated. A terminated visit will be treated as abandoned, meaning that treatment recommendations will not be entered into the patient chart, and new or refill prescriptions will not be processed; however, depending on the duration of the visit your credit card may be charged the regular service fee in effect at that time.