Practice Policies

Practice Policies

It is our philosophy to help you look your personal best with a minimum of downtime. We are dedicated to providing the highest level of patient care. This includes providing every patient with:


Monday 8:30 am – 5:00 pm Tuesday 8:30 am – 5:00 pm Wednesday 8:30 am – 5:00 pm Thursday 8:30 am – 5:00 pm Friday 8:30 am – 1:00 pm
Please provide us with at least 24 hours advance notice for any appointment changes. This will enable us to better accommodate another patient.


For our non-surgical cosmetic surgery patients we do ask for full payment at the time services are rendered by check, cash, credit card or see Dr Shoukas Financing Options.

All elective surgical cosmetic procedures must be paid for in advance.

Note***Cosmetic Procedures*****

Cosmetic procedures are performed as self pay procedures and as such, Dr. Shoukas will not be submitting any claims seeking reimbursement from your insurance carrier at any time or for any reason. It is also understood that generally, most insurance carriers require prior authorization for surgical procedures. Should you personally attempt to submit a claim to your insurance carrier for reimbursement of a cosmetic procedure, your claim will not be paid by your insurance carrier, as no prior authorization will be conducted on your behalf. Neither Dr. Shoukas nor his office staff will facilitate seeking reimbursement from your insurance carrier for cosmetic procedures as this is unlawful.


Your appointment time is set aside especially for you to meet with Dr. Shoukas. We have scheduled adequate time for your appointment with Dr. Shoukas to have all of your questions answered. In consideration of other patients, failure to cancel appointments within 24 hours and “no shows” will result in a charge.


Prescription refills are handled during office hours when we have full access to your medical records. Refills are not routinely filled on holidays, weekends, or if you have not been seen for more than six months.


We participate in many insurance plans. Please be certain to provide our office with completed and signed insurance forms, billing information (insurance card) and all required referral and authorization forms prior to, or at the time of each visit.

Payment for our office visits is due at the time services are rendered. For your convenience, we accept checks, cash, debit cards, VISA, and MASTERCARD.

For Medicare patients, our office accepts assignment and files claims with Medicare. Medicare patients are responsible for any and all coinsurance amounts as well as deductible amounts. Medicare patients must present their Medicare card at the time of registration. We do file secondary insurance for Medicare patients.

If you are an HMO/PPO (managed care) patient of a plan in which we participate, our office has agreed to accept the plan’s fee schedule and file the claim with your insurance company. HMO/PPO patients ARE responsible for co-pays and deductibles at the time of service.

HMO/PPO patients must present their insurance card prior to or at the time of registration.

HMO patients are responsible for obtaining a referral from their primary care physician. You cannot be seen without a referral from your primary care physician.

Payment Policy:

Surgery patients: We file insurance claims (including Medicare) for all surgery patients.

We inform you of estimated deductibles and co-insurance amounts. These amounts are due prior to the time of service. Any balance due from the patient that is still remaining once insurance has paid its portion will be billed to you.

Insurance Claims:

We make every effort to seek insurance reimbursement on covered services. Filing insurance is a service we provide to you; however, insurance is a contract between you and your carrier. Once your insurance company has paid, you will receive a bill for any remaining balance on the account.

Collection Efforts:

We work with you to make payment arrangements. If these efforts do not result in a resolution of the account, the account may be referred to a collection agency and the local credit bureau. Any collection fees incurred by our office are charged to your account.

Schedule your consultation with our office.

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