We value your time and we want to ensure a smooth and easy visit.
Here are some tips, videos and FAQ so you know what to expect at your first appointment.
Tips for Your First Appointment
- Plan to arrive at least 15 minutes early to your appointment if your paperwork is completed
- Plan to arrive at least 30 minutes early to your appointment if your paperwork is NOT completed
- Come to your appointment wearing a mask over your nose and mouth and be willing to follow COVID-19 safety precautions
- Wear comfortable/athletic clothing and flat athletic shoes
- Don’t forget your insurance card, photo ID and any referrals or imaging results (if applicable)
- To protect others against COVID-19, please plan to arrive alone unless needed as a parent/guardian for minor, translator, or to assist due to a disability
How To Fill Out Your Paperwork
Frequently Asked Questions
It depends on many factors including whether you were in an accident, what insurance coverage/benefits you have, and the services you have each visit.
Accidents – If you were involved in an accident and you have an open claim with your car insurance and/or have an Attorney you won’t have any up-front costs. Depending on the results of your case, and how much treatment you receive, you may have some costs later which we will work with you to resolve, if necessary. If you are billing a health insurance company for your accident, you may still be responsible for paying any copays, coinsurances, or deductibles at the time of service.
Insurance Coverage/Benefits – If you are billing an in-network health insurance you will be responsible for paying any copays, coinsurances, or deductibles at the time of service. The price of these varies and is very specific to your individual policy. We will verify your benefits and review them for you before your first visit.
If you have a health insurance that we are not in network with Services – each visit will be unique in terms of which services or levels of services you receive. If you have a coinsurance or deductible or are self-paying this may result in the amount that you owe to be different at each visit.
We will collect copays at the time of service, and we are also often able to collect deductibles and co-insurances at the time of service as well.
In cases when we are not able to collect a deductible or co-insurance at the visit to which it applies, we will collect it at your following visit or we can call you to collect it. This gives us time to accurately calculate what is owed based on our database of allowed fees so that we don’t under or overcharge you! In these cases we would reach out after your final visit to settle your remaining balance.
Most patients keep credit cards on file in our secure, encrypted account vault to use for their payments.
A deductible is the amount you will need to pay for services before your insurance will start paying toward them. For example, if you have a $500 deductible, you will be responsible or paying us the full contracted rates (also called allowed fees) for your services until you have paid the $500. At that point, your insurance will start paying at least a portion and sometimes in full for any further treatment.
Your deductible decreases each time they process a visit with us and then at the end of your plan year (usually the end of the calendar year but could be any date) the deductible resets and the process starts again.
Even though you must meet your deductible before your insurance starts to cover your costs, having in-network insurance entitles you to those reduced contracted rates (allowed fees)! Plus, we have interest-free payment plans that many people utilize to help spread out the cost so they can meet their deductibles quicker but pay us over time.
A copay is flat fee that that is owed by you at each appointment; your insurance pays the remaining cost of the visit.
When you have a co-insurance, you owe a percentage of the contracted rates for the services you receive rather than a flat fee. Your insurance pays the remaining percentage. For instance, if you have 20% co-insurance, you pay 20% of the discounted, contracted rates (also called allowed fees), and your insurance pays 80%.
An out-of-pocket maximum is a cap, or limit, on the amount of money you have to pay for covered health care services in a plan year. If you meet that limit, your health plan will pay 100% of all covered health care costs for the rest of the plan year. Some health insurance plans call this an out-of-pocket limit.
Authorizations are generally obtained by your treating provider’s office (that’s us!). If we need anything from you (such as a form/questionnaire) we will let you know!
For health insurances that require referrals you will need to have seen your primary care physician recently and they need to have evaluated your current injury/condition in order to get a referral from them. If you provide us your doctor’s contact information, we will be more than happy to contact them to try to obtain that!
For worker’s comp the referral can come from any Medical Doctor.
That will depend on the insurance you have. Some insurances will apply benefits based on each separate service, whereas others will apply only to one service based on different criteria. This is something we can go over with you once we have checked your benefits!
The first thing we need to do is check your benefits when you first come in for treatment. We will call your insurance to find out what your benefits are, but what they tell us is not guaranteed – so we also strongly recommend that you contact your insurance to ask for your chiropractic, physical therapy, and specialist benefits so that we can compare and make sure we’re getting the same information!
Then, if your insurance does not cover your appointments the way we were told they would, we will contact them and ask them to reprocess and will appeal if necessary. If they do not reprocess even after appeal, then that balance will become the patient’s responsibility. You still have the option to appeal to your insurance yourself, and we are happy to help you with that appeal! If they deny your appeal, then we will be happy to work with you and set up a payment plan (with no interest added!) to help settle the outstanding balance.
We offer a simple, interest-free payment plan that does not require any credit check! Just let us know that you are interested in a payment plan agreement, and we will provide you the one-page registration form to complete.
- You choose the amount you are comfortable paying per visit or per week.
- You choose the amount you are able to pay monthly once you have completed treatment.
- You even choose the day of the month that is best for you for those monthly payments.
- You provide a credit or debit card or checking account information for us to store on file in our encrypted system.
Each visit or each week we will automatically run your chosen payment amount, and once your treatment is completed we will set up an automatic monthly payment to begin on your chosen day of the following month. No interest is ever added, so you do not have to pay any extra for this benefit, and as long as you are making your payments your account will never be put in collections!
These can be added to any health insurance, ChiroHealth USA, or self-pay accounts to help spread the cost out over time. Unfortunately, we are unable to extend discounts or payment plans to accounts relating to accidents involving legal action.