Using Medical Insurance and Cancellation Policy
Regarding insurance, Dr. Steven Masley is not enrolled as a “network
health care provider” with any insurance carrier. If you
have a PPO plan that allows you to go “outside” of
their network of approved health care providers, a portion of
your assessment may be eligible for reimbursement. We will give
you a claim form after your appointment to submit. Any eligible
reimbursement will go directly to you.
INSURANCE REIMBURSEMENT POLICY:
Dr. Masley’s Optimal Health Center is not enrolled as
an “in-network healthcare provider” in any medical
plans as most medical insurance plans anticipate a 20 to 30-minute
physical and/or a 12-minute office visit; they reimburse accordingly.
As we spend many hours working to optimize your health, we have
declined to enroll as an “in-network provider” which
would have forced us to minimize our time together.
For your visit, payment is due on the day of your appointment
unless other arrangements have been agreed upon in advance. We
will provide you with an insurance claim form for you to mail
and seek reimbursement for your medical expenses incurred.
We have worked with a consultant to maximize the reimbursement
you are legally permitted.
If you have a PPO plan or an insurance plan that allows you
to go “outside” of their network of enrolled healthcare
providers, a portion of your assessment should be eligible for
reimbursement. We provide a HCFA claim form and any reimbursement
will go directly to you. Ask your insurance carrier if you have
the option to go “outside of network”. Clarify as
well whether you can select a physician yourself, or if the out-of-network
visit requires a referral from an “in-network provider”.
If you have an HMO plan or a plan that requires you to be seen “in-network” it
is very unlikely that your assessment with us would be covered
by your insurance plan. Of course you are encouraged to schedule
an appointment with use to optimize your health in ways that
a medical insurance plan will not.
Medical insurance is intended to cover emergency health problems,
and to treat (not reverse) medical problems. If you want to optimize
your health and prevent problems before they occur, likely you
need to cover some of this expense. Please remember, optimal
health is your single most important asset; don’t neglect
it.
CANCELLATION POLICY:
Unless a corporate arrangement has been agreed upon in advance,
a $500 deposit is required at the time you confirm your appointment
date. (As we only schedule 1-2 optimal health evaluations per day and are usually
unable to schedule patients in less than 2 weeks, cancelling
your appointment results in a lost evaluation for our center.)
Cancelling your appointment with less than 14 days notice could
result in losing the down payment. You may of course send another
person in your place for an OHC comprehensive evaluation, or
a 40-50 Plus Evaluation, without any risk of losing your deposit;
however, the substituting person will need to complete their
paperwork by the day of their visit.
I have read and understood the Insurance Reimbursement and Cancellation
Policies for Dr. Masley’s Optimal Health Center.
Name: ______________________________________ Date: ______________________
Signature: _______________________________________________________________
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