How To Use Your Health Insurance
- Milos Starovic MD
- Jun 18
- 2 min read
We do accept all insurance plans with out of network benefits however each insurance policy is different. That is why we are trying to help and make it simple for you by verifying if you do have the out of network benefits and then by explaining to you in advance what your benefits are and what you can expect for your insurance to pay.
This is what will happen:
After you send us your insurance card and your date of birth our billing team will verify your policy. We will then explain this information to you and this will help you understand your financial responsibilities and know in advance what can you expect from your insurance before making a desision to enrol in treatment.
We can always explain to you in more detail all the elements of your plan such as your plan's deductible, your coinsurance and your copayment but our insurance use concept is quite simple.
We provide complimentary billing to your insurance. Any payment collected from your insurance will reduce your out-of-pocket responsibility.
Let me give you an example: At our practice direct pay flat fee is 475 dollars for each follow up appointment. Your maximal responsibility can never be more than this $475 fee even without any insurance use or coverage. Once we submit claim to your insurance, any payment collected from the insurance will be reducing your out-of-pocket cost.
If your insurance approves a payment of for example $275 your fee is reduced by this $275 and you are responsible for the remaining balance that is in this case $200. Same principle applies for any other insurance payment we collect. We will inform you in advance what to expect.
It is as simple as that. I really hope this was helpful.
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