At Acupractic Natural Healing Center, the chiropractic and acupuncture offices of Dr. Lisa Oskardmay, we serve the Triangle with quality alternative healthcare and participate with major insurance companies. People call us every day with questions regarding their coverage. Patients want to know their out-of-pocket expenses for examinations, chiropractic care, and acupuncture services. Our insurance specialist strives to help patients understand their coverage to the best of her ability. Generally, she can offer assistance and clarity that helps to ease the confusion and concern about billing. Our office does our best to provide quality care at affordable prices, whether by using their insurance benefits or paying out of pocket. Our main goal is always to help the patient feel better faster.
At some, mostly hospital-based practices, patients are billed much more for care than they may be billed elsewhere, whether they are in the hospital or not. The following explanation from ChatGPT summarizes why this may occur.
- **Special Agreements**: A hospital may have a special agreement with an insurance company that doesn’t include the typical contractual reductions offered to other providers. This could be due to the hospital’s reputation, quality of care, or specialized services that demand higher rates.
- **Out-of-Network Status**: Even if a hospital-based clinic is generally in-network, certain services or specific locations might be considered out-of-network under your plan. Out-of-network services typically do not benefit from identical contractual reductions.
- **Tiered Network Plans**: Some insurance plans have tiered networks, where certain providers are placed in different tiers based on cost or quality metrics. A hospital-based clinic in a higher tier might receive reductions different from those of other providers.
- **Specific Plan Exclusions**: Your particular insurance plan might exclude specific service reductions, even for in-network providers like the hospital.
- **Billing Practices**: The hospital-based clinic might have specific billing practices that don’t align with your insurance’s usual reductions, leading to the denial of these discounts.
At Acupractic Natural Healing Center, we do our best to help you understand your bills, charge reasonable and customary charges for quality care, and answer your questions. Dealing with insurance companies and certain healthcare facilities can be stressful. When you choose to receive chiropractic and acupuncture services at our Chapel Hill offices, be confident that we are here to help you however we can. Whether you choose to utilize your insurance or self-pay for care, we will let you know what to expect when you come in and will be your ally when working with your insurance plan.
Call us today at (919) 929-1400, email us at schedule@acudocnc.com or visit our website at acudocnc.com to schedule your appointment today.