I’m confused about some the different terms used for payment. How do insurance benefits work for a visit?
- Co-pay: The amount due at time of service. This amount is set by your insurance provider and varies depending on where you seek treatment.
- Deductible: The amount set by your insurance company as the minimal amount you are personally responsible for before insurance will begin to contribute towards medical bills. Plans can have a deductible for an entire service, or labs, testing and procedures. A deductible may be due in conjunction with your co-pay.
- Co-Insurance: Percentage of your medical bill you pay after your deductible is met. This may be due in conjunction with your co-pay and deductible.
What is an E.O.B?
An explanation of benefits (EOB) statement usually arrives via mail from your insurance provider and is often confused as a medical bill. The EOB is not a bill. The EOB notifies the patient that a medical insurance claim has been processed and explains what PRELIMINARY portion was paid to the health care provider, and what portion of the payment, if any, is the patient’s responsibility.
I just received my EOB and the “out of pocket cost” is concerning me.
Please understand the EOB is a starting point and NOT a bill. There are usually subsequent adjustments on the account to allow for in-network benefits.
Please wait for the bill to understand any financial obligations. The bill will reflect any adjustments resulting from your insurance coverage.
I have questions about my bill. Who should I contact?
You’re not alone, medical bills are notoriously confusing and Universal Footcare LLC has setup a process to help ensure you receive clear and quick answers to any questions you might have. If you need additional information about your bill:
- 1. If you are unable to get your questions answered/resolve your issue, reach out to our dedicated Patient Advocate at firstname.lastname@example.org or (646)-923-6999
Why haven’t I received a statement?
It usually takes 30-45 days for your insurance plan to process your claim. You will receive your EOB after processing and we will receive payment 2 weeks after that. If we are appealing a low consideration by your insurance for you, the process could take up to 60 days longer.
What does an “adjustment” mean?
An adjustment refers to the reduction made to your account to take into consideration the in-network allowable rate. We honor the insurance designated allowable rate.
What if I don’t have insurance?
We will work with you and are happy to create a payment plan.