We are committed to providing medical care that is affordable for you. Your treatment plan will include a breakdown of all applicable fees, and we will inform you of all costs before treatment is administered. Payment and/or insurance co-pays are due when services are rendered.

A member of our staff will review our payment options with you to find an option that best accommodates your financial needs. If special arrangements are needed, please speak with our office manager prior to receiving service.


Our office staff will be glad to assist you with your insurance coverage. When you first visit our office, bring your current insurance card with you. If you change insurance companies or join another employer’s plan, please be sure to let our insurance department know. If an insurance referral is necessary, please bring the completed form with you to your appointment.

We will submit all insurance claims for you. We will fully attempt to help you receive full insurance benefits; however, you are personally responsible for your account, and we encourage you to contact us if your policy has not paid within 45 days. If we are not contracted under your insurance plan, “out-of-network” fees/costs may apply and you will be given a copy of services and charges to file with your insurance claim form.

If you have any questions, please don’t hesitate to ask.

Explanation for Good Faith Estimate

All Health care providers are required to give uninsured patients, those who don’t have insurance or who are not using insurance, an estimate of the amount they will be billed for scheduled items or services or upon request for other non-emergency items or services. Anyone with or without insurance may also request a good faith estimate.

If you are uninsured:

  • You have the right to receive a good faith estimate of the amount you will be billed for scheduled or non-emergency items or services. The estimate should include costs for items and services anticipated to be provided with the visit, such as medical tests and hospital fees.
  • You are entitled to receive the estimate in writing at least 1 business day before your scheduled medical service or item. You can also ask your health care provider, and any other provider you choose, for a good faith estimate before you schedule an item or services.

If you are Insured, you also may request a good faith estimate of the amount you will be billed for non-emergency items and services that you might like to schedule.

Whether or not you have insurance, if the estimate you receive for the anticipated items and services substantially exceeds the amount billed to you as your responsibility, you can dispute the bill.

Please contact our Billing department for a good faith estimate  215-230-8380  #6  

Below is information that is needed for a good faith estimate. The estimate can be provided via telephone, fax or email.

Peace Valley Internal Medicine, P.C.

  • Peace Valley Internal Medicine, P.C. - 5039 Swamp Rd., Suite 401, Fountainville, PA 18923 Phone: 215-230-8380

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