While we are contracted with most insurance carriers, PPOs, and Medicare, we always recommend giving your health insurance plan provider a call to confirm your coverage and benefits. The number can be found on your insurance card. Please note that Medicare and Medi-Cal are only accepted in select locations. Out-of-network service and benefit coverage can vary based on geographic location or between an urgent or primary care visit.
A co-pay, short for copayment, is a fixed amount a healthcare beneficiary pays for covered medical services. The remaining balance is covered by the patient's insurance company. Co-pays typically vary for different services within the same plans, particularly when they involve services that are considered essential or routine and others that are considered to be less routine or in the domain of a specialist. Co-pays for standard doctor visits are typically lower than those for specialists. Note that copays for emergency room visits tend to be the highest.
A deductible is a fixed amount a patient must pay each year before their health insurance benefits begin to cover the costs. After meeting a deductible, beneficiaries typically pay coinsurance—a certain percentage of costs—for any services that are covered by the plan. They continue to pay the coinsurance until they meet their out-of-pocket maximum for the year.
When you come in for your visit, our team will take your insurance information and quickly check the status of your coverage with your insurance provider. There may be times when an insurance plan can’t be verified. For example, your insurance information may be inaccurate or out of date, or the insurance company’s eligibility system may not respond. In cases where we are unable to verify your insurance at the time of your visit, we will charge you the flat rate for this service. These rates are standard and vary by treatment type. You can find them https://foothillcare.com/insurance-pricing/
As a courtesy, we will submit your claim to your insurance company after your visit. Please check the Carbon Health app for a status on your bill, which may be adjusted based on total treatment costs and your insurance benefits.
We always suggest checking with your insurance company about your out-of-network coverage and benefits before seeking care. Our policy is to estimate your payment by charging our flat self-pay rate for your treatment prior to the visit.
You can check out our flat self-pay rates at https://foothillcare.com/insurance-pricing/ inquire at the front desk before we request payment for your visit. Many insurance companies will still reimburse for out-of-network care at Carbon Health. As a courtesy, we will submit your insurance claim and refund you the balance depending on your benefit.
If you have any questions about your bill or claim, please contact us at https://foothillcare.com/contact/
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