Using Insurance
Your insurance policy is a contract between you and your insurance company. Mulberry Wellness and Angela Rosen, LAc are not a party to that contract. As a service to you and upon your request we can bill your insurance provider. It is your responsibility to provide our office with your insurance details and present your insurance card to our staff so we can bill your insurance carrier completely and accurately.
When possible, our staff will call to verify your insurance coverage prior to your appointment. If you are unable to submit your insurance information to us prior to your initial visit, you will be charged the cash rate of $250. Once we receive your verified benefits, we will reimburse you if necessary. Please be aware that an estimate of benefits is not a guarantee of payment. If an insurance company provides you or our staff with inaccurate information they may not honor the benefits that were quoted.
Starting April 1st, 2022, we will be in network with Blue Shield, Cigna and Optum/Sutter/United Healthcare. We will continue to bill insurance on your behalf, but your potential copays will rely on the out-of-network deductibles of your specific plan.
We have a new feature that allows you to put in the insurance information you have on your card in a portal. This portal will enable us to check your benefits faster.
It is your responsibility to be aware of your coverage and co-pay, as well as any deductible and maximums, per your insurance contract. All co-payments, co-insurance payments, deductibles, supplements/products, supplies, therapeutic equipment and costs of services not covered by your insurance company are due and payable at the time of each visit.
If you have a deductible and/or co-insurance, the amount you owe at each visit is based on your insurance carrier's usual and customary fee schedule. If this fee schedule is unknown at the time of service, patients with deductibles will pay $85.00 per visit toward the cost of the service, and patients with a co-insurance will pay $50.00 per visit toward the cost of the service. Any remaining portion owed by the patient will be billed and collected after the insurance carrier has notified us of payment or non-payment.
If a problem arises with collecting payment on an insurance claim, we will re-bill your insurance company. However, if the cost of collections become over and above what is usual and customary, we will contact you to arrange payment.
By having us bill your insurance, you are authorizing payment of medical benefits to be made directly to this office, and you agree to send or bring those payment to this office upon receipt. However, if you pay for your visits in full, the assignment will not be reported by this provider and any payment will be sent directly to you.
Your insurance provider may pay only a portion of the charge for your treatment. After your insurance carrier has notified us of payment or non-payment, any balances due to us will be billed to you. You are responsible to pay for any balance on your account. After 90 days of the date of service, a 1.5% monthly finance charge or minimum $3.00 monthly fee (whichever is greater) will begin to apply to the account. Considerably delinquent accounts are subject to collection procedures.
Once we receive payment from your insurance company, we will apply this to your bill. If we find you have a credit, this will remain on your account for use toward future services and/or purchases. If instead you would like to be issued a refund, please let us know and we will be happy to issue you a check.
Patients must be responsible for following the referral, prescription, or treatment plan prescribed by their practitioner and/or insurance provider. Insurance companies may not pay for services when the treatment plan is not followed, thus patients are responsible for scheduling and attending appointments accordingly.
Patients are responsible for notifying Mulberry Wellness if their insurance coverage or details change.
If you suspend or terminate your care at any time, your portion of all charges for professional services is immediately due and payable to Mulberry Wellness. All services rendered by this office are charged directly to you, and you, ultimately will be personally responsible for payment regardless of your insurance coverage.