Insurance is optional, outstanding care isn’t.

Do You Send Clients to Collections?

Understanding Our Payment Policy:

We strive to maintain a clear and straightforward payment policy. While our priority is to avoid collections, clients with outstanding balances may be sent to collections after considering multiple factors. To prevent this, we encourage clients to communicate with our team and explore payment options that fit their budget.

To ensure a smooth process, all costs for services are due at the time of service. We accept various payment methods, including credit/debit cards and FSA/HSA cards, for your convenience.

Our goal is to support you in accessing the care you need. Please contact us if you need assistance with payment arrangements or have any questions about your bill.

Do you accept FSA/HSA cards?

Understanding FSA and HSA:

Yes, we accept both FSA (Flexible Spending Account) and HSA (Health Savings Account) cards for payment. These accounts are special types of savings plans that allow you to set aside pre-tax dollars to pay for eligible medical expenses, including our services.

• FSA (Flexible Spending Account): An FSA is offered by some employers and allows you to contribute a portion of your earnings to pay for out-of-pocket medical expenses. Funds must generally be used within the plan year.
• HSA (Health Savings Account): An HSA is available to individuals with a high-deductible health plan (HDHP). Unlike an FSA, the funds in an HSA can roll over year to year, and they can be used to pay for qualified medical expenses at any time.

Using your FSA or HSA card is easy and convenient. Just present your card at the time of payment, and we’ll handle the rest!

What happens if my insurance doesn’t cover the medication?

Understanding Insurance Denials and Prior Authorization:

If your insurance doesn’t initially cover the medication, there are several pathways we can explore:

• Insurance Denial: If your insurance denies coverage, we can assist by submitting a prior authorization (PA) request. A PA is a process where we provide additional information to your insurance company to justify the need for the prescribed medication.
• Prior Authorization Required: Sometimes, your insurance may require a PA before covering the medication. We will work directly with your insurance provider to handle this process and provide the necessary documentation.
• Out-of-Pocket Costs: If the medication is not covered, we can discuss alternative medications or explore payment options to minimize your out-of-pocket expenses.
• Assistance Programs: Depending on your situation, you may qualify for manufacturer or pharmacy discount programs, which can help reduce the cost of your medication.

If you encounter any issues with insurance coverage, please contact our team. We are here to help you navigate the process and find the best solution for your needs.

What is the cost of Wegovy® or Ozempic® with insurance?

Understanding Your Costs:

The cost of Wegovy® or Ozempic® with insurance can vary widely depending on your specific insurance plan. Commercial insurance often covers a portion of the cost, leaving you with a copay or coinsurance. However, Medicare typically does not cover these medications, leading to higher out-of-pocket expenses. Medicaid coverage can vary, so it’s important to verify with your provider.

If you are without insurance, the average retail price for these medications can be substantial, reaching up to $1,000 per month.

For the most accurate estimate, it’s best to contact your insurance provider directly or speak with our team for assistance in understanding your options.