Out of Network Provider? Help list

• Call your insurance carrier (if you have one) and inquire what percentage you may be reimbursed for seeing an 'out-of-network' provider.  Write it down and have it with you when calling for an appointment to any provider.

• There are two ways Providers Opt out of Medicare: Ask if there is reimbursement for Medicare in their practice.

• Functional medicine providers will bill according to time and complexity (number of problems addressed) and code it appropriately to maximize reimbursement according to your plan rules.
• Most accept cash, checks, debit and Visa/Mastercard.
• HSA accounts/ FLEX plans may be used according to your plan.
• They may help submit insurance forms on your behalf for out-of-network reimbursement if you ask.​​

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