Insurance plans vary widely in terms of coverage and the percentage of the total amount which will be paid. You should be aware of any restrictions in your coverage, such as needs for prior authorization, co-payments and deductibles. Your health insurance benefits may be denied or reduced if you fail to follow any policy requirements.
Sound Family Health is preferred with most insurance carriers. To find out if we are in-network with your plan please contact your insurance plan or our office. The office will bill and process your insurance claim on behalf of the patient as a courtesy; after the insurance processes the claim the patient will receive a patient statement if there is a balance due. Ultimately, knowing your covered benefits is up to the patient.
We make every effort to advise the patient if a certain service is possibly a non-covered benefit. In certain situations, a service may be done due to medical need or recommendation by a provider and your insurance plan . If the medical staff is uncertain if something will be covered by your insurance plan because of medical necessity, a Medicare advanced beneficiary notice of noncoverage (ABN) or waiver of non-covered service will be requested to be signed by the patient or guardian. This advises the patient that Sound Family Health will bill your health insurance however, if the service is denied by your health plan you will be responsible for the charge.
If your insurance plan changes, we require that you bring in an updated card to your next visit so that there is no delay in service.
Some of the insurance carriers we are in-network with:
- First Choice Health PPO