MEDICAID POLICY CHANGE

ATTENTION:  MEDICAID PATIENTS

AS OF  TUESDAY,  JUNE 15, 2010

THE OFFICES OF:

DIANE L. OZOG, M.D.,S.C.

WILL NO LONGER ACCEPT MEDICAID INSURANCE PLANS

for  EXISTING PATIENTS

CURRENTLY OUR OFFICE DOES NOT ACCEPT NEW PATIENTS ON MEDICAID

IF YOU DO NOT HAVE OTHER INSURANCE COVERAGE YOU WILL BE CONSIDERED SELF PAY

AND RESPONSIBLE FOR PAYMENT IN FULL AT THE TIME SERVICES ARE RENDERED.

IF YOU CHOOSE TO TRANSFER CARE DUE TO THIS POLICY CHANGE, WE WILL PROVIDE YOU WITH

A COPY OF YOUR MEDICAL RECORD AT NO COST TO YOU UPON OUR RECEIPT OF THE

APPRORIATE AUTHORIZATION.

IF YOU NEED ASSISTANCE IN LOCATING ANOTHER ALLERGY PRACTICE

WE SUGGEST YOU CONTACT YOUR PRIMARY CARE PHYSICIAN OR THE LOCAL COUNTY

HEALTH DEPARTMENT FOR A REFERRAL.