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BILLING AND FEES

We provide healthcare to all people.

Do you accept my medical insurance?

We are contracted with most BlueCross BlueShield companies: https://www.bcbs.com/bcbs-companies-and-licensees
 
If your primary insurance is NOT affiliated with BCBS (e.g. Aetna, Cigna, Kaiser, United, Medicare or Medicaid) we require payment in full at the time of services.
After you have paid in full, we will provide a receipt for you to submit to your insurance for any potential out-of-network reimbursement you may be entitled to.
 
If your primary insurance IS affiliated with BCBS, we require any copay listed on your insurance card in full at the time of services.
Then we will submit claims on your behalf and inform you of any amount deemed by your insurance to be your responsibility.
If your insurance denies all or a portion of your bill, the balance becomes your responsibility.
Any amounts deemed your responsibility must be paid within 90 days of the first statement or we will charge them to your payment card on file (required).

How do I find out what my insurance covers?

At this time, we unfortunately do not have the resources to check your coverage and benefits for you.
So it is entirely up to you to find out what your insurance will and will not pay for.
We will assist you as much as possible with figuring out what you need to know to ask your insurance about.

Insurance can be confusing and tricky but we encourage you to inform yourself so you are not surprised by a bill!

Our Know Your Insurance Worksheet prompts questions to ask that we hope will empower you with information you need to make informed healthcare decisions.

What will I be charged for?

New Patient services are generally $350-$550 depending on your healthcare needs and the provider best suited to support you. We typically bill CPT codes 99204+99354 for 75-minute new patient visits, but it is up to the provider to determine what codes actually need to be billed, e.g. 99205 or 99203 may be billed rather than 99204 depending on the actual time spent with the provider or the complexity of your health.
 
Follow up visit fees currently range from $85-$450 depending on actual time spent with the provider or the complexity of your health. CPT codes likely to be billed include 99214, 99215, and 99214+99354. Other possible codes include: 99211, 99212, 99213, and various other CPT codes for Exams & Procedures, e.g. blood draws, nutrient injections, annual physical examinations, electrocardiography, wound cleaning/care, cryotherapy, nebulizer therapy, adjustments, other medical services and treatments. Some of our services are not affiliated with a CPT code and therefore not billable to insurance companies. It is the responsibility of the patient/guardian to inquire about costs of services prior to receiving.
 
Our ability to render comprehensive and integrated care is thanks to careful preparation! Prior to seeing you, Village Medicine Providers may review your chart/records, interpret new results, consult with your care team, and prepare/update your treatment plan. These non-face-to-face services allow our providers to truly focus on you and your conversation during appointments. When 30 or more minutes accumulate for these non-face-to-face services prior to or following actual appointments, we will bill CPT code 99358 for $150.
 
Please note that amounts listed reflect our time-of-services fees and do not reflect the amounts that we actually bill our contracted insurance companies. We bill BCBS companies higher than we bill patients with out-of-network insurance.
 
We require at least 48 business hours of notice *excluding weekends* to cancel or reschedule with no fee.
For example~
If you need to cancel an 8:30am Monday appt, contact us before 8:30am the Thursday before.
If you need to cancel a 10:00am Tuesday appt, contact us before 10:00am the Friday before.
We charge time-based Late Cancel/No Show fees~
75-minute appts incur a $250 fee
55-minute appts incur a $200 fee
40-minute appts incur a $150 fee
25-minute appts incur a $100 fee
15-minute appts incur a $50 fee
This is intentional~
To ensure regard for our providers' time and allow reasonable opportunity for other patients to schedule in your place.

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