Even though I have a high deductible health plan, where I am told specifically NOT to pay upfront for a doctor service, this office DISREGARDS this and asks to pay $80 for a general appointment BEFORE seeing the doctor. Repeated discussions with their staff did not help. I mentioned that I would be close to meet my deductible this year. Anyways, when the claim report came from the insurance company, I was only supposed to pay $10 for the visit. Now, as you can guess in the last 6 weeks I have not got any check back for the extra amount and it is such a pain to get refund back. I have to go back to the office just for this. Be aware of this!