Below you will find the answers to some of the most frequently asked questions that we are asked. If you have a question that isn’t answered here, please give us a call and we’d be happy to answer any question you have.
We are in-network with almost all insurance providers. If you’re not sure, call or come in and ask us. We’ll check out your insurance for you and find out.
Absolutely! We have been providing Medicare patients coverage for chiropractic care for a long time.
There’s a couple of different terms to know. You might hear of copay, this is a flat dollar amount that you would pay for a certain service. We do have to have a conversation with our insurance company. A deductible is an annual amount that you pay for your insurance every year, you have to pay X out of your pocket before insurance will start to contribute. Once you meet that, you don’t have to pay anymore. After your deductible, your co-insurance is you splitting the bill with your insurance company and you have to pay a certain percentage of the cost of the services as contracted with your insurance company.
This varies on your insurance. It could be that you don’t even have a deductible. Maybe you just have copays, but if you do have a deductible it resets. For example, if you have a $1,000 deductible and then you are going to be paying that full amount until you reach $1,000, no matter if you reach that with us or if you reach it with somebody else.
So we get into something called the revenue cycle. Don’t worry I know it’s a big word, but it’s not too bad. There are a lot of moving parts here. When a person comes in, we take their card, we scan it into our system, we send that information onto our insurance specialist and they call your insurance benefits with your insurance company over the telephone. So we’re giving them codes. Then when you come in to see us, we are checking your insurance again just to make sure we have it entered correctly. The doctor’s going to see you to do some services.
We take good care of you and then treat you. With that, they are going to put some codes in the system that says what we did for you and what your diagnosis was.
Then we are going to take that information and move to the next step of the revenue cycle where we are going to send a claim to your insurance company. Your insurance company’s either going to like it or they’re not going to like it. And hopefully, we move all the way through the process and the doctor’s office actually gets paid for the services they gave. Once we get paid, we’re going to know whether you owe us something or whether or not it was all covered by insurance.
So this is a whole big cycle and it doesn’t end until your account balance is paid in full.
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