INSURANCE
1. What insurances are you contracted with?
In-network insurances accepted:
-
Pacific Source - Commercial, Exchange Coordinated Care
-
Samaritan Health Plans - Commercial Only
-
MODA - Commercial Only
Out-of-network: We can provide the necessary documentation for you to self-submit for reimbursement from insurance.
**This excludes all Medicare and Medicare Supplement Plans
*PLEASE NOTE: The best way to find out if your claims will be paid in- or out-of-network is to contact your insurance carrier directly and get specific details about your insurance plan before seeing us.
**For Medicare patients: You enter an agreement to be a private-pay patient. This is a voluntary agreement and you will pay for services rendered on the day of the visit.
2. Do you see injuries related to work or car accidents?
Our office does not accept Workers Comp (WC) or Motor Vehicle Accident (MVA) claims. Any visits that refer to an open WC or MVA claim are cash visits. You can then submit the bill to the appropriate insurance carrier for your work related or MVA claim. For new and established patients, if you are unsure if your visit is regarding your open WC or MVA claim, please check with our office before scheduling.
3. Why we chose who we are contracted with:
At AHA, we are passionate about what we do and feel that it is our calling to provide you with the highest quality care possible. We also emphatically believe that we will be saving our patients thousands of dollars of healthcare costs down the road by preventing and treating diseases from a whole body approach, sometimes even before you see outward signs of disease. Many of our patients have been able to come off expensive prescription medications, been able to go back to work, no longer required surgery, and staved off illness from the common cold to more chronic diseases.
While we fully understand the financial challenge not billing select insurance may present to some patients, we have chosen not to for a variety of reasons. When medical practices participate in insurance, the physicians must sign a contract that allows the insurance company to decide the type of care the doctor will provide. Insurance companies are often not interested in preventative-wellness care, but are highly invested in the conventional model of medicine. Prescription medication and surgery are often covered charges. We, on the other hand, are committed to treating the whole person in an Osteopathic/Functional Medicine approach.
Furthermore, physicians that are participating partners in insurance companies must accept the fees designated by them. Some of these fees cover only the briefest of appointments. Physicians are forced to see as many patients as they can per hour in order to keep their offices financially functional. This is why we are seeing many physician groups merging with larger hospital settings, where high-tech surgical and diagnostic procedures are priced to keep them financially afloat. At AHA, we don’t believe long-term health and the best care for the patient can be provided with these time and fee constraints.