What are the Out of Pocket Costs for Care?

We bill the same price no matter what insurance coverage you have. Visits are billed based on complexity of care, time spent with the doctor, and procedures done in the visit. Our providers may be in-network or out-of-network depending on your insurance plan. When you see a doctor or other health care provider, you may owe certain out-of-pocket costs, such as a copayment, coinsurance, and/or a deductible. You may have other costs or have to pay the entire bill if you see a provider or visit a health care facility that isn’t in your health plan’s network. “Out-of-network” describes providers and facilities that haven’t signed a contract with your health plan. Out-of-network providers may be permitted to bill you for the difference between what your plan agreed to pay, and the full amount charged for a service. This is called “balance billing or surprise billing.” This amount is likely more than in-network costs for the same service and might not count toward your annual out-of-pocket limit. No Surprise Billing/Balance Billing Notice Insurance often covers your Office or Telemedicine visit and basic Lab work, however there are many services that they do not and we try to give you the best information we can regarding costs that will be out of pocket such as for LENS Therapy,(javascript:void(0)) Craniosacral Therapy,(javascript:void(0)) Specialty Labs (javascript:void(0))and Evaluations, Injection therapy, IV Therapy,(javascript:void(0)) or Supplements. When you have a question about a cost, we will provide you with the necessary codes to contact your insurance company to determine coverage. While we do offer complementary insurance billing, we do not do insurance verification for our patients. We do this primarily because insurance companies are much more likely to take accountability for mistakes in reporting if the patient calls as compared to when a clinic calls. Keep track of what the insurance representative tells you with our Insurance Verification Worksheet.(undefined) It is IMPORTANT for you to understand your health insurance. If you would like to understand more about how health insurance works, see HERE. For some common insurance issues we have encounters, see HERE.

For those who pay at time of service for visits, we keep services affordable and offer discounts to our patients on all generally insurance-covered services. This can be for those with no current health insurance, for those with Medicare who do not have Naturopathic, Acupuncture or Nutrition coverage, or for those with private health insurance plans that do not have an In-network covered provider.

• Patients are protected from receiving surprise medical bills resulting from out-of-network care for emergency services and for certain scheduled services without prior patient consent. • Patients who do not have insurance or who are not using insurance to pay for care have a right to receive a Good Faith Estimate of their potential bill for medical services when scheduled at least three days in advance. Individuals with Medicare, Medicare Advantage, Medicaid, Indian Health Services, VA health care, or TRICARE insurance plans are not covered under the No Surprises Act because these federal insurance programs have existing protections in place to minimize large, unforeseen bills.