LoneStar Foot & Ankle Group

Insurance Information

Insurance Information

Primary

Secondary

Name of Insurance Company

Policy Number

Group Name

Group Number

Name of Insured

Insured Date of Birth

Insured Social Security Number

Employer of Insured

Please Read Carefully:

Lonestar Foot & Ankle Care will apply for patient insurance benefits. The patient is responsible for ALL fees, regardless of Insurance Coverage. All charges are due at time of service.

PAYMENT METHODS

Our commitment is to your optimal well-being. In order to make it as easy and convenient as possible for you, we offer a variety of payment methods including:

Insurance

Insurance can be complicated. We try to make it easy for you. We will be happy to file insurance claims and verify benefits as a courtesy to you. Please bring all necessary insurance information with you on your first visit. We are happy to bill all traditional insurance plans.
Feel free to contact us with any questions pertaining to your insurance benefits at:
(817) 573-FEET (3338).