Fees and Insurance
My practice is in-network for First Choice Health and Medicare, and out-of-network for all other insurances.
If you have First Choice Health or Medicare, we will bill them directly. You will be responsible for deductible and co-pays.
For all other insurances, we don't bill them directly, which means payment in full is due at the time of service. However, most of my patients get reimbursed by their insurance. In many cases the difference between my fees and what your insurance may pay you back is equivalent to what your co-pay would be.
Payment is due at the time of service, by credit, debit, or HSA card.
How to Get Reimbursed by your Insurance
Contact your insurance and ask:
"What are my out-of-network benefits?"
"How much is my deductible?"
"After I meet my deductible, how much will I be reimbursed for each visit?"
(your insurance needs the codes below to answer that)
Intakes: CPT code 99205-95 + 90838
Follow-up: CPT code 99214 -95 + 90833-95
"Do I have a limit of how many visits I can have?"
"How do I submit the receipt my doctor gave me to get reimbursed?" (This is also called a "superbill".)
© 2017 - 2022, Niels Nielsen, MD