Office Policies

Before requesting a consultation, please check to see which insurances we accept by clicking here, then read this important insurance and billing information:

*Little Flower Family Medicine has an upfront billing policy. If you have not met your deductible or out-of-pocket maximum, you will be responsible for paying at the time of service. A simple phone call to your insurance company can help you to determine these costs. For cash-pay patients, we offer a 25% discount at the time of service.

If calling your insurance company regarding tongue and lip tie procedures, the procedure codes for the surgeries are 40819 (lip-tie) and 41115 (tongue-tie).

*Make sure to bring your insurance card(s) with you to your appointment!

*As of 1/1/2022, we are not in-network with any MO or IL Medicaid sponsored plans.

*To hold an appointment, we will ask that a credit card be put on file. If for some reason, you need to reschedule or cancel the appointment, we ask that you give us 24 hours’ notice. If you miss the appointment or fail to give us the 24-hour notice, the credit card will be charged $40. In the cases of breastfeeding visits, there are two appointments, so the card is charged for both mom and baby.

After reviewing the above information, please click the button below and fill out the form to submit a request to Little Flower Family Medicine for a consultation. We will contact you within 1 business day about making an appointment.

Registered primary care patients should schedule appointments through the Updox Patient Portal System. Patients who have been referred for consultation should use the appropriate forms to request an appointment:

If you need a same-day appointment, please message us through the portal system. If you do not receive a prompt reply, please call the office at (636) 875-1140.

We use an online check-in process which should be completed at home. Patients are sent a link via email so if you don’t see an email from Phreesia, please check your junk mail folder. If the online check-in is not completed the day prior to your appointment, your appointment may be cancelled.

At this time our process includes a pre-visit phone call. Our team will phone you prior to your appointment to get medical information. This call helps ensure that your visit is scheduled appropriately, that we receive any needed forms and this call is part of your visit. If you are unable to talk when we phone, we will ask you to call back. If you cannot complete the pre-visit call, your appointment may be cancelled.

Patients are required to arrive 20 minutes before the appointment time to complete the check-in process before their appointment starts. If you need to cancel or reschedule your primary care appointment, you must do so more than 4 hours before your appointment. If your visit is a breastfeeding evaluation or tongue/lip tie evaluation, you must cancel more than 24 hours before your appointment.

A $40 fee will be charged if the patient:

  • Arrives so late that the appointment needs to be rescheduled
  • Fails to show up for their appointment
  • Breastfeeding/tongue tie evaluation cancels or reschedules with less than 24 hours’ notice.  
  • Primary care visit cancels or reschedules with less than 4 hours’ notice. 

Please note that breastfeeding consultations and tongue/lip tie evaluations will be charged a $40 fee for both mother and baby.  A credit card is required to be put on file for all patients and will automatically be charged for no-show fees.

Our currently accepted insurances can be viewed here.

Payment is due at the time of service, either at checkout or when you check-in.  This includes any copay, co-insurance, or amount that will be applied to the deductible. Current insurance cards must be brought to every office visit.

Payment can be made by credit card, cash, or personal check. If your check is returned for any reason, you will be charged a $35.00 fee for processing.

A discount is available for patients without insurance.

If any balance remains after your insurance has been billed, then a billing statement will be sent electronically to each Patient Portal account. Patients are responsible for ensuring these statements are received and paid for through the Portal system. 

For ALL balances, if a billing statement is sent and payment is not received within 14 days, the stored credit or debit card will be AUTOMATICALLY charged for any balances due on the account. The stored card can be a flexible spending account card or HSA card if your plan includes such a card. 

If your card is declined, you will be notified via the Portal and will have 7 days to provide a new card. After that time, your balance will be sent to a collections company.

Balances remaining after 14 days will be sent to a collections company.  A fee of up to 50% will be applied to the total balance on your account that requires collection. Should legal action be required for the collections process, an additional fee of up to 50% will be applied to your account. 

All late fees, fees associated with collections, and legal action are the sole responsibility of the patient and or legal guardian of the patient. All late fees, fees associated with collections, and legal action are the sole responsibility of the patient and or legal guardian of the patient.

Our office uses standardized assessment tools to provide excellent care.  These tools help ensure no medical condition is missed.  These may include the Edinburgh Postpartum Depression screening, the MCHAT screening for autism, Ages and Stages, and other similar screenings. 

These may not be covered by some insurance plans, resulting in patient responsibility.  If you have a concern about these assessments, please discuss them with your provider during your visit.

To maintain and ensure privacy, Little Flower Family Medicine does not use email for communication between providers and patients. 

Instead, registered patients should use the secure Updox Patient Portal for non-urgent communication with the office, such as:

  • Making/canceling appointments
  • Medical/follow up questions or any communication with your provider
  • Receiving forms/documents
  • Registering newborn children

For more detailed information on using the Portal system, please visit the Patient Portal page

All communication through the Portal system is only responded to during office hours.

A telehealth visit is a visit conducted via HIPPA-compliant secure video using a webcam or internet-enabled phone. These visits are perfect for issues that may need in-depth discussion but do not require a physical exam.  

Examples include:

  • Discussion of cholesterol results
  • Requesting /renewing prescriptions
  • Troubleshooting some breastfeeding problems
  • Visits for a stable, chronic thyroid condition.

These visits are billed to your insurance the same way as an in-person visit. 

If you are interested in a telehealth visit, please contact us through the portal and specify the condition you would like to address. We will let you know if a virtual visit is appropriate or if you need an in-person visit.

An E-visit is for matters that the provider determines can be addressed by communicating through the Portal system or by telephone. These visits are different from a video visit because they may be conducted only by telephone or using the patient portal to communicate back and forth. 

These visits are also billed to insurance. These visits are typically not covered by insurance, but we will provide a receipt you can submit to your insurance company if you wish. 

Fees for an e-visit are as follows:

  • $60 for visits less than 15 minutes and $85 for visits 16 – 30 minutes
  • $20 for the cost of each progesterone follow-up communication

Little Flower Family Medicine neither prescribes nor refers for contraception or sterilization services. The office recommends Natural Family Planning (NFP) for family planning needs.  For more details on NFP, please visit the NaPro Technology page.

Breastfeeding medicine and lactation consultations involve the treatment of both the mother and child.  For this reason, these visits will be conducted as two visits with two separate fees or co-pays, one for the mother and one for the child. 

Exceptions may be made by the provider only at the time of the visit should the provider conclude that the evaluation of one member of the dyad was not needed.  

If your insurance company requires a referral, it is your responsibility to make sure this is received by the office before the Breastfeeding Medicine visit.

Little Flower Family Medicine provides vaccinations for patients. For some vaccines that are not given frequently, such as some travel vaccinations, patients may be referred to a nurse vaccine service that makes home visits.

Some vaccines must be discarded if they are drawn up and not used. If you request a vaccination for yourself or child and the vaccine is prepared but not administered, you will be responsible for the cost of the vaccine. This balance cannot be billed to insurance companies since the vaccine was not actually administered. 

Little Flower providers write prescriptions with sufficient refills to last until the provider would next see the patient for a follow-up. When you do not have any refills left on a prescription, please schedule an appointment so that you do not run out of your medication.

Should an extenuating circumstance necessitate a refill outside of an office visit, please contact your provider through the portal system.

For urgent concerns, call the office at 636-875-1140 for the on-call number.  If no one is available to answer, calls will go to voicemail which are transcribed and emailed to the on-call provider. The provider will return calls as the urgency requires.

If you have a medical emergency, please call 911 or go to your nearest emergency room.

For all other non-urgent concerns, please use the portal system (see the communication/e-mail policy).

Upon request, a paper or electronic copy of all or a portion of your medical records can be provided to you with a $10.00 charge, plus a fee of $0.25 per page.

Our team practices only outpatient medicine. If a patient requires admission to the hospital, the patient will be under the care of a hospitalist, a physician who specializes in inpatient medicine.