Most insurance companies have a yearly deductible amount that has to be paid by the patient before the insurance takes over. This amount is often $500, $1000, or more. Every company has different rules regarding what is and isn't considered a "deductible" amount. When we know your office visit will apply to a deductible we usually collect $50 at the time of service. This is because we know that $50 is the minimum amount your insurance will apply to your deductible. If they apply more than $50 we will send you a bill for the rest.