We bill insurance. We don’t fight it.
Care that insurance covers is billed to insurance. Where a payer will not cover something cleanly, we tell you up front and price it in writing rather than putting you in the middle of an approval battle.
Plans we work with every day.
- Blue Cross Blue Shield
- Cigna
- Aetna
- Workers’ compensation
- Letters of protection
- Most other major plans
That list is not exhaustive and is not meant to be. Call with your card and we will confirm your plan before you book, so nobody finds out at the front desk.
Workers’ compensation
Work injuries are handled here routinely — evaluation, imaging, treatment and the documentation the claim requires. You do not need to have the paperwork sorted before you call. Bring your claim number if you have one, and if you don’t, tell us and we will help you work out what you need.
Letters of protection
If you were hurt in an accident and you are working with an attorney, we accept a letter of protection. That means you are treated now and the cost is settled out of your case later — you are not asked to pay out of pocket while it is pending, and you are not left waiting for treatment because of it.
Consultations, examinations, imaging review, injections, surgery and physical therapy
These are medical services and they are handled the way medical services normally are. We verify your benefits before your first visit and tell you what you are likely to owe.
Membership, the baseline panel, and elective regenerative and recovery services
No payer covers these, so we do not pretend otherwise or waste your time submitting them. They are quoted in writing and no part of them is billed to or reimbursable by insurance.
Do you take my insurance?
Almost certainly. Blue Cross Blue Shield, Cigna and Aetna are the plans we see most, along with workers’ compensation and letters of protection, and we work with most other major carriers. Call with your card and we will check before you book.
Why won’t you bill everything to insurance?
Because some of what we do is not something a payer will approve, and pretending otherwise wastes months. We bill what insurance covers. For the rest we give you a number and let you decide, which is faster and more honest than an appeal that was always going to be denied.
Is the sixteen-week plan covered?
Much of it is. Physical therapy, injections and the medical evaluation behind the plan are ordinary covered care. Elements that sit outside what a payer will approve are identified for you and quoted separately, in writing, before you start. You are never asked to commit to the whole plan on the day of your consultation.
Why is membership private pay?
Because what you are buying is access and time, and no payer reimburses those. Billing insurance alongside a membership fee for the same relationship creates a conflict we would rather not have. Membership is not insurance and does not replace it — members keep their health cover for hospital care, surgery and emergencies.
Will I get a surprise bill?
Not from us if we can help it. You get a written estimate before anything elective, and we tell you when a service sits outside your coverage before it happens rather than afterwards.
What if I don’t have insurance?
Call and say so. You will be given a price for the visit before you come in, and you will not be treated differently once you are here.
If the money is the thing stopping you, call and ask. It is a normal question.
Call (972) 741-7189