Clinic Sofia participates in most major medical healthcare plans (except Minnesota Medical Assistance). Please check your individual policy to confirm that Clinic Sofia is within your network and your medical services will be covered. An insurance card and photo ID must be presented at each visit. If proof of active insurance is not given, you may be asked to pay for services up front until proof of insurance is provided.
It is your responsibility to inform your clinic of any changes to your billing or insurance information. If your insurance company requires a referral form or authorization, you must obtain this from your primary care provider or insurance company prior to your visit. Clinic Sofia may require your assistance to resolve non-payment issues with your insurance provider. You are responsible for any portion of a bill that is denied or is not covered by your insurance provider, or if your provider does not pay within a reasonable period. Patient account balances are due within 30 days of receipt of the billing statement.
Co-Pays and Deductibles
Many insurance plans require a co-pay at the time of your visit. Your insurance card should note if your plan requires a co-pay. An additional $25 fee may be charged to your account if your co-pay is not paid at the time of service. Please familiarize yourself with your deductible status. If you do not know your deductible status, check with your insurance company before your visit. If you have questions about insurance, please call 952-516-7967. Clinic Sofia will do our best to advise you; however it is the patient’s responsibility to know what is or is not covered by their insurance.
Self-pay patients must pay for services at check-in. If you are self-pay and being seen for prenatal care, a down payment of $3,000 at the first visit is required to cover your routine OB appointments (13 visits), vaginal delivery and postpartum care. This payment does not cover any additional visits past 13, ultrasounds, injections, labs, hospital charges or any tests or ultrasounds that are performed or billed outside of Clinic Sofia. Please contact your Clinic Sofia business office at 952-516-7967 to make arrangements.
Clinic Sofia will be happy to work with you to create a mutually agreed upon automatic payment plan. Please contact Sofia if you are not able to pay the full balance due. Accounts with an outstanding balance over 60 days past due that have not made approved payment arrangements will be charged an additional $100 fee and turned over to a collections agency. At that time, you will be terminated from the practice and patient services from Clinic Sofia will no longer be available after an account is turned over to collections.
Medical Assistance (Minnesota Medicaid)
Clinic Sofia participates with Minnesota Health Care Programs (MHCP) such as (but not limited to) Health Partners, Medica MA, Ucare and Blue Plus. We do not participate with straight MHCP or straight Medicaid (MA). If your insurance falls to a straight MA status, you will be considered self-pay and will need to pay for all services at the time of your visit. It is your responsibility to know your insurance status.