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Insurance Coverage
We bill for in-network plans. We offer a 20% cash discount for patients who do not have coverage or a health plan that does not cover our services. Some of the specialized treatments we provide are not covered by health insurance and we try to keep these as affordable as possible. Upon request, we will provide receipts with appropriate coding for HSA accounts and for patients to submit their own claims when out of network.
- Aetna
- Cigna (Limited Plans)
- OHP (Limited Plans)
- Pacific Source
- Premera Blue Cross
- Providence
- Regence / BCBS
As a courtesy, Revitalize will bill your primary and secondary insurance on your behalf. For your protection, we require all patients to provide a copy of their insurance card and proof of identification at check-in before every visit. This policy is in place to protect our patients from fraudulent claims in the event of identity theft.
Billing Policies
New Patients
You must provide us with complete and accurate information about your insurance carrier 5-7 days before your visit to give us time to verify your coverage because it may take up to 5-7 business days to verify the information you’ve provided us regarding your insurance carrier and coverage. Before we bill your insurance company, your policy coverage must be verified. If your insurance coverage is not verified at least 24 hours before your first office visit, you will be required to pay for the visit in full at the time of service. Once we are able to bill your insurance company and they have paid us, your account will then be credited in accordance with the payment you made.
You are entitled to full disclosure from your insurance carrier regarding your insurance coverage.
Your plan is an agreement between you and your insurance carrier. Your insurance plan is NOT an agreement between the insurance carrier and Revitalize Health & Wellness, llc and as such the carrier does not guarantee provider (RHW practitioner) payment.
You are responsible for any co-pays, co-insurance, and deductibles. And in most cases are responsible for amounts not covered by your insurance.
Insurance information given to Revitalize by your insurance company is not a guarantee of payment. This includes information provided about covered treatments, copays, coinsurance, deductibles, and pre-authorizations. It is your responsibility to know your coverage. If you do not know, please contact your insurance company. You are required by your insurance company to pay co-pays, co-insurance, deductibles, etc, at the time of service. If you do not know what the amount of your copay is, we will charge you $25, as that is the most common rate, until your rate is verified by your insurance. For co-insurance, we will charge $40. If this ends up being more than required by your insurance, we will be happy to apply the overage to a future visit or, upon your request, issue a refund.
Charges that are not covered by your insurance company will be billed to you.
In the event that your insurance does not cover or only partially covers your visit, you’re responsible for full payment of your provider’s services within 30 days. This is most common with acupuncture visits that may include a “visit code” for your initial visit, or future visits to check in on your progress, or massage or heat/ice treatments.
Established Patients
If your insurance has changed, please present your new insurance card and photo ID at your visit. If we are not notified in advance that your insurance has changed you may be responsible for the full amount of the service or procedure.
If you do not have your insurance card and photo ID with you at the time of your visit,
You will be charged the full amount of the visit at the time of service. This charge may be refunded should the proper information be obtained.
We will do our best to schedule you with a provider who is contracted with your insurance company.
Please verify before your appointment that the doctor you are seeing is covered under your insurance plan.
In the case of a Motor Vehicle Accident (MVA) or Personal Injury Protection (PIP) claim,
you are responsible for any balance that is incurred after the claim has been closed. If your claim goes to litigation, you must pay the balance before litigation starts.
Our Cherished Patients Under Age 18
An adult or legal guardian must accompany all minors to the office visit, unless otherwise specified by the legal guardian in writing, or in accordance with state law. The adult or legal guardian accompanying the minor assumes all financial responsibility for the cost of the minor’s visit. We can provide a receipt or proof of services. We cannot bill insurance if your child does not accompany you at their visit.
Account Balances
Any balances due on your account will be billed to you every 30 days (waived on a temporary basis pending insurance reimbursement). After 30 days of the first billing, an interest of 5% of your balance will be applied to your account if there is NO payment or communication made with Revitalize Health & Wellness, llc regarding this matter. 10% interest will be applied after 90 days. Balances that are 120 days past due will be submitted to collections and will be assessed a $75 fee.
Appointment Cancellation
We are committed to serving you with the highest level of respect and integrity in the most cost-effective manner. We take great pride in the TIME and SERVICE we provide to our patients and believe you deserve our undivided attention. We make the effort to better serve you by not overscheduling our physicians each day. Short notice cancellations make it difficult to fill an open patient slot. Please provide a 24-hour notice for all cancellations. Our policy is to charge a $50 cancellation fee for missed appointments if 24-hour notice is not given. This amount cannot be billed to your insurance company.
The only exception to this policy is in the event of a sudden emergency or sudden onset of inclement weather, at which time you will still be expected to contact our clinic to indicate you are unable to make your appointment. Otherwise, the $50 fee will be applied to your account. This amount cannot be billed to your insurance company.
If you are late for your appointment, your visit will be shortened and you will also be charged for the reserved time on the schedule. In the event you plan on billing your insurance company, and there is not adequate time for an appointment, you will be rescheduled.
We Look Forward to Helping You Get on the Right Track Toward Accomplishing Your Health Goals!