Insurance Billing FAQ

Navigating health insurance can often feel like a barrier to getting the care you need. At our clinic, we have a transparent billing model designed to prioritize your wellness over paperwork. Initial visits are $160 and Follow-up visits are $145. Simple pricing, no surprises.

While we do not bill insurance companies directly, we provide you with a Superbill at the time of your appointment. This enables you to get reimbursement directly from your provider while enjoying a higher standard of personalized care.

The Power of Transparent Pricing

In a traditional medical billing cycle, costs are often hidden behind complex “contracted rates” that you don’t see until months after your treatment. We believe you deserve better. Our commitment to transparent pricing offers you:

What is a Superbill?

A Superbill is an itemized document that contains all the necessary information, such as diagnostic codes and treatment details, that insurance providers require to process a claim. Think of it as a “fast pass” for your insurance company; it’s a professional receipt that you submit directly to them so they can mail a reimbursement check straight to your mailbox.

Why This Benefits You:

• Clinical Independence: You receive the exact care you need for as long as you need it, without arbitrary limits on the number of visits.
• Faster Processing: Because we provide your Superbill instantly, you can submit it immediately. Many patients find this leads to faster reimbursement than the traditional back-and-forth of clinic-to-insurer billing.
• Privacy & Control: You maintain full control over your health records. When you submit your own claims, you are the primary point of contact with your insurer, ensuring a higher level of personal data privacy.

How the Process Works

1. The Visit: At the end of your appointment, you pay the service fee in full.
2. The Superbill: We provide you with your Superbill the same day. It includes everything your insurance company needs to send a reimbursement.
3. Submission: You will send the superbill document to your insurance company (usually via their mobile app). They will then process the claim based on your out-of-network coverage.

Additional Notes on Insurance:

It’s important to know that insurance companies offer many different policies with a variety of different benefits. Two plans from the same health insurance company will often have very different coverage, even if they look the same on the surface.  Similarly, knowing the name of your insurance company alone does not help specify whether you have acupuncture coverage.

Why is our practice out-of-network?

Meridian Health Clinic was previously in-network for 10+ years with major insurance providers.  Unfortunately, the in-network model pushes practitioners towards providing a lower quality of care for patients.  The in-network model is built around Western doctors who typically have 8-15 minute appointments and therefore run a high volume practice in order to make the numbers work.  We choose to have a practice that is quite the opposite of the Western system where there is ample time for listening, treatment, and follow-up.

The bottom line is this: As an in-network provider we were not able to provide the level of care we wanted for our patients. After weighing the options and we have chosen to stay out-of-network so our patients can receive a very high level of personalized care, giving them the time and attention they deserve.

Before finishing, I’d like to offer one final piece of advice. Don’t be intimidated to call your insurance company. You’re the customer and you likely pay a lot of money for your health insurance. Get involved and become informed so you understand your health insurance policy better than anyone else.  If you are not satisfied with your insurance plan’s service or policy, let them know and push for changes.

Get started with an appointment today:

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