Office Policies

Co Pays:

Our billing department will be happy to bill your insurance carrier for services rendered. However, insurance company guidelines mandate that office visit co-pays are due at the time of service. If a patient must be billed for their normal office co-pay; a $10 additional service charge will be applied.

Some insurance carriers require additional co-pays for services such as radiology or durable medical equipment. If an insurance carrier applies any additional co-pays, these will be indicated on the “Explanation of Benefits.” Once we have received payment for the claim, we will bill patients for any supplementary required co-pays at no additional cost.

Missed Appointments:

There is a $25 fee for all “no-show/missed appointments.” In the event a patient must cancel an appointment, please give 24 hours notice to avoid a missed appointment fee. To cancel an appointment after hours, please leave a message in our after-hours voicemail box. Always get the name of the person canceling the appointment or the voice mail extension if leaving a message. Missed appointment fees will only be waived under extreme circumstances.


Please provide correct insurance information and keep us informed of any changes in coverage or insurance provider.

Accepted Insurances:

  • Aetna
  • AARP
  • Anthem Blue Cross
  • APWU
  • Beechstreet
  • Blue Cross
  • Blue Shield
  • Cigna
  • Department of Labor
  • Farmers
  • Fireman's Fund
  • Gallagher Basset
  • GEHA
  • Great West
  • Healthnet
  • Mail Handlers
  • Medicare
  • Pacificare
  • Plan Handlers
  • Railroad Medicare
  • San Diego County Schools
  • Secure Horizons
  • Tricare UMR
  • United Healthcare
  • United Military and Veterans
  • Veterans Administration
  • Other Insurance

Payment Plans:

Financial payment plans are available case by case. If a patient cannot pay a bill in full, please contact our billing office at (760) 489-1876 ext 104 to discuss setting up a payment plan.

Insurance Benefits:

It is not our responsibility to know the patient’s insurance benefits. We will try to obtain benefits before treatment; however, this is not always possible. We will be happy to provide the procedure codes to verify benefits before receiving treatment, should the patient request this.

After Hours:

Our after-hours telephone number is reserved for urgent matters which cannot wait until the following business day. This number is not intended for emergency situations or for routine care. Should you have an emergency, do not use the after hours number – dial 911 immediately. Otherwise, our after hours phone message will provide you with a number to call for urgent after hours situations.

We are not a walk-in clinic. All appointments must be scheduled in advance.

Contact Palomar Spine & Pain

Have a question? Get in touch now!

Call Us:

(760) 489-1748

Open Monday-Friday

8:30am - 5:00pm

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