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KC Foot Care
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Practice of Dr. Thomas Bembynista

Patient
Information

Call Now
Quick Online Appointment

    Scheduling Appointments

    What to Bring to Your Appointment

    Insurance and Payment Information

    Cash Services

    Welcome Sheet & Notice of Privacy Practices

    Notice of Nondiscrimination

    Scheduling
    Appointments

    We realize that our patients’ time is valuable, and we make every effort to see patients at their scheduled time. However, occasionally, our office falls behind schedule.

    We ask for your understanding; we, also, ask that patients provide as much advanced notice as possible when running late
    for an appointment or when needing to cancel. With this advanced notice, the time can be scheduled for another patient.

    Quick Online Appointment

    Common Problems We Treat• Nail fungus• Painful Corns and calluses
    • Heel pain / Plantar fasciitis
    • Tailor’s bunion• Bunions / Hallux valgus
    • Weak ankles / ankle instability
    • Ingrown toenails• Pain on top of the foot
    • Hammertoes• Bone spurs

    Insurance:
    We are out of network with all insurance carriers by design so we can place patient care first. For surgeries performed at a hospital or accredited surgical center, federal law requires insurance companies to apply the same deductible and cost-sharing structure that would apply in-network when you have out-of-network benefits.
    For office visits and in-office procedures, we provide transparent prompt pay- based model pricing listed below. In many cases, our direct-pay fees are significantly less expensive than going through insurance, allowing patients to receive high-quality personalized care without large hospital charges, safely performed in our office

    Surgical Care for patients with out of network benefits the following applied.
    If surgery is necessary and performed at an in-network surgical center in Kansas, it is paid at in-network levels as required by federal law (No Surprises Act). Deductibles and copays apply, as they would with any network physician.

    Initial visit fees typically range from $150–$200
    Five-star foot and ankle care—personalized, independent, and experience-driven for over four decades

    For your convenience, we offer cash fee services for patients with no insurance that outline the cost of common treatments:
    HSA and FSA funds are accepted for medical treatments and services
    Cash Fee Schedule & Patient Care Policy (PDF)

    What to Bring to
    Your Appointment

    If you are a first-time patient, please plan on arriving early in order to complete a patient registration form and please bring the following items to the appointment:

    • Welcome sheet and notice of privacy practices
    • Insurance card(s)
    • Referral forms (if required)
    • List of all prescription and over-the-counter medications that you are currently taking
    • Any required co-payment
    • Pertinent medical and surgical history information
    • X-ray films

    We are able to respond normally within 24 hours of request.

    We can normally see you within 1 to 3 days.

    Common Problems We Treat
    • Nail fungus• Painful Corns and calluses
    • Heel pain / Plantar fasciitis
    • Tailor’s bunion• Bunions / Hallux valgus
    • Weak ankles / ankle instability
    • Ingrown toenails• Pain on top of the foot
    • Hammertoes• Bone spurs•

    Insurance:
    We are out of network with all insurance carriers. After 44 years in practice, I made the decision to move to a prompt pay-based model because insurance companies too often limit or delay the care, I believe our patients need. By being out of network by design, I can focus entirely on providing timely, high-quality treatment without compromise. For surgeries performed at a hospital or accredited surgical center, federal law requires that—when out-of-network benefits are available—your insurance applies the same deductible and cost-sharing structure as if the care were in network.
    For office visits and in-office procedures, we provide transparent cash pricing listed below. In many cases, our direct-pay fees are significantly less expensive than going through insurance, allowing patients to receive high-quality personalized care without large hospital charges, safely performed in our office

    Out-of-Network Status
    Our office is out of network, but we accept patients with UnitedHealthcare, Cigna,Blue Cross and Aetna. For office services please refer to cash fee PDF below. You can check if out of network benefits are available for office treatments. Medicare doesn’t have out of network benefits

    Surgical Care
    If surgery is indicated and performed at an in- network surgical center in Kansas, it pays at in-network levels as required by federal law (No Surprises Act). Normal deductibles and co=insurance apply, as they would with any network physician.

    Initial visit fees typically range from $150–$200
    Five-star foot and ankle care—personalized, independent, and experience-driven for over four decades

    For your convenience, we offer cash fee services for patients with no insurance that outline the cost of common treatments:
    Cash Fee Schedule & Patient Care Policy (PDF)

    Cash
    Services

    For your convenience, we offer cash fee services for patients with no insurance that outline the cost of common treatments:
    Cash Fee Schedule & Patient Care Policy (PDF)

    Welcome Sheet & Notice of
    Privacy Practices

    Please arrive 15 minutes early for your first appointment to allow time to complete our welcome sheet and notice of privacy practices, or you may print and complete the forms at home prior to your visit.

    • Welcome Sheet – Page 1 (PDF)
    • Welcome Sheet – Page 2 (PDF)
    • Notice of Privacy Practices. Please read. (PDF)

    Notice of
    Nondiscrimination

    Notice of Nondiscrimination in English and Available Language Services (PDF)

    • Español (Spanish)
    • Tiếng Việt (Vietnamese)
    • 繁體中文 (Chinese)
    • Deutsch (German)
    • 한국어 (Korean)
    • ພາສາລາວ (Lao)
    • العربية (Arabic)
    • Tagalog (Tagalog – Filipino)
    • မြန်မာအက္ခရာ (Burmese)
    • Français (French)
    • 日本語 (Japanese)
    • Русский (Russian)
    • Hmoob (Hmong)
    • فارسی (Farsi)
    • Kiswahili (Swahili)

    Locations

    Our Clinics

    Overland Park Office
    Suite 220
    (In Bank of America Building)
    Green Hills Office

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