Know Before You Go!
If we will be assisting you in billing your health insurance, it is essential for you to check your insurance benefits before your initial appointment. This helps patients to avoid incurring unexpected financial responsibilities for the services they seek.
If we will be billing your insurance for medical massage we will need a referral/ prescription prior to your appointment. This can come from your Primary Care Physician, Chiropractor or any physician that you are seeing regularly. The referral will need to include a start date, diagnosis and the duration of the referral.
Deductible is the amount you need to pay each year for covered services before your plan starts paying towards your benefits.
Co-pays are fixed dollar amounts (for example, $15) you pay for covered health care, usually when you receive the service.
Coinsurance is your share of the costs of a covered service, calculated as a percent of the allowed amount for the service. For example, if the plan’s allowed amount for an overnight hospital stay is $1,000, your coinsurance payment of 20% would be $200. This may change if you haven’t met your deductible.
Allowed Amount is the amount the insurance plan pays for covered services based on a fee schedule through an in-network provider agreement. If an out-of-network provider charges more than the allowed amount, you may have to pay the difference. For example, if you see an out-of-network provider that charges $152.00 for a massage and the allowed amount is $59.23 you may have to pay the $92.77 difference.
For additional questions, please email: [email protected].