At Ababe Health Care Center, we are committed to providing high-quality healthcare services to our patients. To ensure transparency and clarity regarding financial responsibilities, we require all patients to review and agree to this Financial Responsibility Agreement. This agreement outlines your financial obligations for the services you receive and helps us maintain a clear understanding of payment expectations.

By agreeing to this Financial Responsibility Agreement, you acknowledge and accept the following:

1. Payment for Services:
   • You are responsible for all charges associated with the healthcare services you receive at Ababe Health Care Center, including office visits, procedures, tests, and treatments.
   • Payment is due at the time of service unless other arrangements have been made in advance.
2. Insurance Coverage:
   • If you have health insurance, you are responsible for providing accurate and up-to-date insurance information at the time of service.
   • You are responsible for any co-pays, deductibles, co-insurance, or non-covered services as outlined by your insurance plan.
   • If your insurance company denies a claim or does not pay within a reasonable time, you will be responsible for the outstanding balance.
3. Self-Pay Patients:
   • If you do not have health insurance, you are considered a self-pay patient and are responsible for the full cost of services rendered.
   • We offer payment plans or discounts for self-pay patients, subject to approval. Please contact our billing department for more information.
4. Missed Appointments:
   • If you fail to cancel or reschedule an appointment at least 24 hours in advance, you may be charged a missed appointment fee.
5. Collections:
   • If your account becomes delinquent, it may be referred to a collections agency. You will be responsible for any additional fees associated with the collections process.

• Statements: We will send you a statement for any balances due. Please review your statement carefully and contact our billing department with any questions.
• Payment Methods: We accept cash, credit/debit cards, and checks. Payment can be made in person, online, or by mail.
• Payment Plans: If you are unable to pay your balance in full, you may request a payment plan. Approval is subject to our billing department’s discretion.

If you have any questions about your financial responsibilities, billing, or payment options, please contact our billing department:

• Phone: (240) 651.6958
• Email: support@ababehcc.com
• Fax: (240) 391.7844

Thank you for choosing Ababe Health Care Center. We are committed to providing you with exceptional care and transparent financial policies. If you have any concerns or need assistance, please do not hesitate to reach out to our team.