For Multiple Sclerosis Patients
Bring to Your Appointment
You can make the check-in process more efficient by printing and completing these forms before your clinic visit:
New Patient Form - Medical History
New Patient Form - Designation of Individuals Involved in Care
Returning Patient Form - Symptoms & Concerns
Please call your pharmacy first using the number located on the prescription bottle. Many times your prescription can be refilled without authorization. If your prescription requires an authorization, your pharmacy will contact our office for you.
For a new prescription or a dosage adjustment request, please call the main clinic at (425) 899-5350, using option #4. When leaving your message, please speak clearly and slowly and leave:
- Your name
- Phone number
- Date of birth
- Name and phone number of your pharmacy
- Name of the medication you are requesting
We retrieve our prescription requests twice each business day at 9 a.m. and 2 p.m. Please give us 48 hours to process your request.
For those medications requiring dosage adjustments, please read the directions on the label of your current prescription bottle then include any special or new instructions.
In Network Provider
All of our MS Center providers are contracted with major commercial insurance carriers, Medicare and Washington State Medicaid.
To save yourself headaches later with your bill, call the customer service number on the back of your insurance card and ask if the MS Center provider you are scheduled with is contracted with your plan.
HMO style plans often require a referral from your primary care provider to see a specialist at the MS Center. Call the customer service number on the back of your insurance card and ask if you need a referral to see the MS Center doctor you are scheduled with.
If a referral is needed, you will need to contact your primary care provider and have a referral faxed to our office at (425) 899-5355. You are responsible for obtaining your referrals, keeping your referrals up to date, checking that the MS Center specialist you are seeing is listed on your referral and making sure we have your referral prior to your visit.
The MS Center does not request referrals for you, nor can we request back-dated referrals for your prior visits. You will be financially responsible for your visit if your plan requires a referral and you did not obtain one prior to your visit.
Professional and Facility Fees
Because we are a provider-based clinics and are licensed as part of a hospital, you will receive two billings; the professional (provider) portion as well as the hospital (facility fee) portion of your service. These two components will be billed on separate insurance claim forms and will be reflected on your hospital and professional statements. You may contact your insurance provider to see what your policy will pay and what out-of-pocket amounts you may need to pay.
Many insurance companies have a deductible, co-payment or out-of-pocket patient liability. Some also do not pay for items they consider your responsibility, or "convenience" items. Please contact your insurance company or your employer, or review your benefits booklet for more information on your individual insurance plan if your personal liability balance is larger than you expected.
The MS Center is a Medicare contracted group. Medicare currently does not reimburse groups and clinics for all costs, therefore the MS Center must collect all deductible and co-pays.
Medicare generally pays 80% of the assignment allowable, leaving a 20% patient responsibility. The MS Center will send you a statement bill for your 20% responsibility if you do not have a secondary insurance carrier.