Billing & Insurance

Our contracts with health insurance plans change each year. But as of January 1, 2019, we accept the following forms of health insurance:

      • Aetna
        • Medicare
        • PPO
      • Cigna PPO
      • First Choice Health Network
      • First Health
      • Health Exchange
        • Ambetter (Coordinated Care)
      • Medicaid
        • Amerigroup
        • Coordinated Care (for Foster Care only)
        • United Healthcare Community
        • Straight Medicaid (Original Medicaid)
      • Medicare
        • Amerigroup Medicare Advantage
        • Straight Medicare (Original Medicare)
        • United Healthcare AARP
        • United Healthcare Dual Complete
      • Premera PPO
      • Regence PPO
      • United Healthcare PPO

As a courtesy, we’ll process your health insurance claims on your behalf to your respective insurance provider. Please keep in mind that you are solely responsible for any service fees rendered when your coverage is not in effect, or when payment falls under “patient responsibility” as determined by your insurance provider.

I have insurance. Why did I receive a bill?

Before we start answering this question, let’s define some key terms first.

A deductible refers to the amount of money that you have to pay for your medical visit before your insurance kicks in. If you have a deductible of $1000, it means that you’ll have to pay up to $1000 towards certain healthcare services before your insurance will begin to pay on your behalf.

After you satisfy your deductible, your insurance will cover a certain amount of money to be used each visit that you have with us. This is called an allowed amount.

You may have to pay a certain percentage of the allowed amount per visit. This is called coinsurance. For example, if the allowed amount your insurance covers is $100 per visit, you may need to pay 20% of that amount ($20) when you see us.

Deductibles and coinsurance rates depend on the type of insurance plan you have. With that in mind, you may have received a bill from us for one of the following reasons:

    • You haven’t satisfied your deductible, as outlined in your insurance plan
    • Your insurance denied our claim
    • You’ve met your deductible, but have not paid your coinsurance for the visit

If you have questions about your plan, we encourage you to call your insurance provider today. Their number can be found on the back of your insurance card.

For more general information about understanding your coverage, please visit the site below:

https://www.healthcare.gov/blog/understanding-your-health-coverage/