Payment is expected at the time services are rendered. Individuals who have insurance plans are responsible for any co-payment amount and any unsatisfied deductible required by their insurance plan. When more than one insurance company is involved, there is often no direct payment from the individual receiving services (except for annual deductibles). Reports, test results, and medical records are not released prior to payment for services. Co-payments and balances may be paid with Visa® or MasterCard®, check or cash.