[ INSURANCES WE ACCEPT ]
>> If your insurance is not listed below, please contact us to determine if we are able to work with your specific carrier and plan! <<
We accept most major insurances, including (but not limited to):
Aetna* Auto Accidents BCBS Cigna First Choice Health Kaiser Permanente*
Medicare Labor & Industries Premera* Regence Tricare UHC*
* Depends on individual plan benefits
INSURANCE, EXPLAINED
COPAYS:
This is a fixed amount that you must pay for a covered service, as defined by your health plan. Copays usually vary for different plans and types of services. We will always collect this amount at the time of service. Again, copay amounts are fixed—which means you will always pay the same amount, regardless of visit length. In most cases, copayments go toward your deductible.
DEDUCTIBLES:
This is the total amount you must pay out-of-pocket before your insurance starts to pay. For example, if your deductible is $1,000, then your insurance won’t pay anything until you have paid $1,000 for services subject to the deductible (keep in mind that the deductible may not apply to every service you pay for). Furthermore, even after you’ve met your deductible, you may still owe a copay or co-insurance for each visit.
If you have not yet met your deductible, we generally collect the following at time of service (please note, this can vary) until you have satisfied your deductible amount:
$175 for initial evaluations
$155 for follow up visits
OTHER NOTES:
Most insurance companies offer several different plans or subsidiaries. Thus, two patients with Blue Cross Blue Shield, for instance, may have completely different benefits, and therefore, completely different financial responsibilities. Some plans have no copays or deductibles; others may have a $10,000 deductible. Furthermore, we may not accept all plans from a particular insurance. This is why it is crucial that you investigate the details of your specific plan, and contact us for more detailed explanation.
If your insurance offers an online patient portal, sign up for it! These resources typically enable you to:
Check your benefits,
Track your deductible,
Track your claims, and compare claims to your receipts from the doctor’s office (if they don’t match up, you can then follow up on any discrepancies).
COINSURANCES:
This type of out-of-pocket payment is calculated as a percent of the total allowed amount for a particular service. In other words, it’s your share of the total cost that is allowed by your insurance (NOT what we bill to the insurance company).
NOTE: We will provide an estimated amount to you prior to start of care, which is collected at time of each visit. While we strive to ensure accuracy, this amount is subject to change depending on insurance processing of our claims.
Self Pay
For services insurances will not accept, such as maintenance, prevention, and performance training, we accept self-pay at a fixed rate of $125 per visit or appointment.
Explanation Of Benefits
Stay tuned for more information regarding your explanation of benefits
Billing
Because our policy is to collect all cost-shares, including payments towards deductibles, co-pays, and co-insurance amounts, at time of service, we generally do not bill on the backend. In rare cases, we will contact you with a final balance owed in circumstances which insurance did not process claims as expected, we were unable to collect at time of service, or other unforeseen situations of underpayment.