Patient

Thanks for choosing Southside Diabetes for your Healthcare needs!

Diabetes & Primary Care Services
Insurance verification before each visit
Clear copay & billing policies
Required patient consent forms
Medication list and diabetes device check
Appointment support & telehealth option
Updated Medication & Device Checks

Please carefully review our office policies prior to your appointment:

We accept most insurance plans. Please call our office to verify if we participate with your specific plan.

Call or Text
(757) 659-9903

ALL copayments, deductibles, and account balances are due on arrival for your visit and PRIOR to seeing the healthcare provider.

Copayments cannot be waived. Copays are contractual agreements between you and your insurance company, as well as between Southside Diabetes and your insurance company. If we do not collect your copay, you and SSD are both in breach of contract with your insurance company. Your insurance company is then entitled to cancel your coverage, drop our contract, and you will be responsible for the cost of the entire visit.

Office Guidelines and Procedures

Insurance & Payments

We verify your insurance before each visit. If inactive or not used, you’ll be treated as a Self-Pay patient. Prices below apply to cash payments only.

Diabetes Visits

Primary Care Visits

Financial Agreement

A signed Financial Agreement (Assignment of Benefits) is required from all patients prior to their scheduled appointment. This document also authorizes Southside Diabetes LLC to securely maintain your credit card information on file.

Please review our Financial Agreement [here]; printed copies are available upon request. This agreement ensures transparency and mutual protection. It outlines the responsibilities of both the patient and the practice, confirming that services rendered will be billed appropriately under your insurance plan or self-pay terms.

Billing

Our office submits insurance claims as a courtesy; however, payment responsibility ultimately rests with you. We recommend reviewing your insurance coverage and verifying your benefits directly with your provider.

Once your insurance has processed the claim, any remaining balance is your responsibility and should be paid promptly.

For any billing questions, please contact our billing department at

Copayments

All copayments, deductibles, and outstanding balances are due upon arrival and must be paid before seeing your healthcare provider.

Copayments cannot be waived, they are contractual obligations between you, your insurance carrier, and Southside Diabetes. Failure to collect copays places both you and our practice in violation of these agreements. In such cases, your insurance provider may cancel coverage, terminate our contract, and hold you responsible for the full cost of services rendered.

Cancellations

Same-day cancellations and no-shows will result in a $50 fee, which must be paid prior to rescheduling. Please review our No-Show & HIPAA Policy [here]; printed copies are available upon request.

We understand that unexpected circumstances arise. However, missed appointments leave a 20–40 minute gap in our schedule, resulting in lost productivity and revenue for SSD. Because the clinic continues operating even during missed visits, this fee helps recover a small portion of the lost time and resources.

The following consents are required to be signed and on-file for all patients

We have made our office policies transparent and accessible to help you avoid any surprises that may arise from your visit to our office. We also hope it helps you to understand your role in your healthcare, including your responsibilities with your insurance company. Please do not hesitate to contact your plan or our office if you have questions. We look forward to seeing you!