PATIENT RESPONSIBILITY
It is your responsibility to read your own policy, know your coverage, and review the explanation of benefits statements regarding payments. Please remember your insurance policy is a contract between you and the insurance company, we cannot guarantee payment of your claims. It is ultimately your responsibility to pay for any balance not paid or covered by insurance. Any charges that are not covered by the given insurance company will be billed to you.
How to Confirm Benefits
For specific questions regarding your health plan and benefits, call the #1.800 on the back of your insurance card to speak to your representative directly. Specific Questions to ask:
Is Acupuncture covered?
Is Massage Therapy covered by a licensed massage therapist? (CPT 97124 or CPT 97140)
This question is important to ask as some insurance plans have specific massage benefits where "massage is only covered if performed by a physical therapist or chiropractor and not covered by licensed massage therapists.”
What is my copay or coinsurance? What is the difference between copay vs coinsurance?
Does my deductible need to be met before my massage benefits are available?
Has my deductible been met for the year? What date does my deductible reset?
Is a preauthorization or a referral required?
Ask for a call reference number for future reference.
Medical SERVICES.
Medical Services is a term that refers to special techniques used in part of the overall treatment of medical problems stemming from trauma to the body such as a car accident. Your therapist will conduct a thorough health intake during each massage session and develop a treatment plan to provide you with the most appropriate treatment for your injury. Therapists will document progress and work closely with other health care providers to ensure you receive the best care possible.
Billing Services
As a courtesy, Elk Rock Wellness will bill your insurance on your behalf. Insurance information given to us by your insurance company is not a guarantee of payment. Medical services are billed in accordance with UCR (usual, customary, and reasonable) fees and is based on actual time spent during treatment on credit, billing, tracking, collecting payment for services and requires well documented records and chart notes for billing purposes.
Federal Savings and Health Savings Accounts
If you are enrolled in a high-deductible health plan, you may use your health savings account to pay for treatment. By using your HSA debit card, you may pay for treatment with pre-tax dollars while working toward your deductible.
