Your Health Insurance and The Honor Box
1.
You may pay for your chiropractic fees out-of-pocket at the time of service, or use the Honor Box, or file claims with your insurance company. You may switch options but may utilize only one option at a time.
You may pay for your chiropractic fees out-of-pocket at the time of service, or use the Honor Box, or file claims with your insurance company. You may switch options but may utilize only one option at a time.2.The Honor Box exists for those patients who cannot afford chiropractic care otherwise. It is our mission to make chiropractic affordable for all people living on this island. Please do not wrongly utilize and take advantage of the Honor Box system. Pay as close as you possibly can to the $50.00 office visit fee.
The Honor Box exists for those patients who cannot afford chiropractic care otherwise. It is our mission to make chiropractic affordable for all people living on this island. Please do not wrongly utilize and take advantage of the Honor Box system. Pay as close as you possibly can to the $50.00 office visit fee.3.You will be given a treatment plan on your second visit which will give you a good overview of how long your chiropractic care will take and how often you will need to be seen. Because our fees are all up front, you should have a clear picture as to how much your treatment plan will cost all together. If you need help understanding or computing a good faith estimated amount for your treatment plan, please ask a doctor or a chiropractic assistant. If you are using CMS Medicare Insurance (not Medicare Advantage plans) we are required to have you complete and sign an Advance Beneficiary Notice of Noncoverage (ABN) form in addition to this one.
You will be given a treatment plan on your second visit which will give you a good overview of how long your chiropractic care will take and how often you will need to be seen. Because our fees are all up front, you should have a clear picture as to how much your treatment plan will cost all together. If you need help understanding or computing a good faith estimated amount for your treatment plan, please ask a doctor or a chiropractic assistant. If you are using CMS Medicare Insurance (not Medicare Advantage plans) we are required to have you complete and sign an Advance Beneficiary Notice of Noncoverage (ABN) form in addition to this one.4.If you are using insurance, your copay is due at the time of service. We will file all your claims for you. If your insurance company reports to us that your yearly deductible has not yet been met, we will ask that you take care of the balance as soon as possible.
If you are using insurance, your copay is due at the time of service. We will file all your claims for you. If your insurance company reports to us that your yearly deductible has not yet been met, we will ask that you take care of the balance as soon as possible.5.If your insurance company denies a claim, it will be your responsibility to cover the costs of your care that was not paid in a timely matter. If there is a balance due because of an insurance denial, you may cover your costs with our normal out-of-pocket office visit fees, including our prepayment plans.
If your insurance company denies a claim, it will be your responsibility to cover the costs of your care that was not paid in a timely matter. If there is a balance due because of an insurance denial, you may cover your costs with our normal out-of-pocket office visit fees, including our prepayment plans.6.Very rarely will insurance pay for care beyond your treatment plan. Usually, chiropractic services after your treatment plan will be considered maintenance or wellness care and not covered. Other reasons why your care may be considered not medically necessary are if your visits are spaced out too much, your symptoms are not getting better, or if you repeatedly report having minimal or no symptoms. You will be responsible for paying for your maintenance care fees when not covered by your insurance.
Very rarely will insurance pay for care beyond your treatment plan. Usually, chiropractic services after your treatment plan will be considered maintenance or wellness care and not covered. Other reasons why your care may be considered not medically necessary are if your visits are spaced out too much, your symptoms are not getting better, or if you repeatedly report having minimal or no symptoms. You will be responsible for paying for your maintenance care fees when not covered by your insurance.7.At times, an insurance company may consider your chiropractic visits medically unnecessary and therefore deny your claim even before the maximum visits per year are met. For example, your insurance policy may say that you have a maximum of 20 chiropractic visits a year. However, after only 12 visits, they decide that your treatments are no longer medically necessary. If this happens, you will be responsible for paying out-of-pocket for any claims which were denied and for any further care you wish to receive that calendar year. On January 1, your benefits reset and even if your care was considered medically unnecessary or all used up the previous year, you will be eligible to start your insurance claims again.
At times, an insurance company may consider your chiropractic visits medically unnecessary and therefore deny your claim even before the maximum visits per year are met. For example, your insurance policy may say that you have a maximum of 20 chiropractic visits a year. However, after only 12 visits, they decide that your treatments are no longer medically necessary. If this happens, you will be responsible for paying out-of-pocket for any claims which were denied and for any further care you wish to receive that calendar year. On January 1, your benefits reset and even if your care was considered medically unnecessary or all used up the previous year, you will be eligible to start your insurance claims again.