Please also do your own verification of benefits (VOB) in addition to the one Motherhood to Menopause will do before your visit. The information below is generalizations and not specifics to any one plan.
Each health insurance carrier/plan has several different policy types - while one policy may cover some services another policy may not even if within the same employer.
Your policy may require a referral before being seen by Motherhood to Menopause. You can request one through your primary care provider (PCP). Your policy may also be a "self-insured" product which means it wants you to stay within a specific network of providers or you chose to stay within a certain network of providers for your care.
Individual and family deductibles are dollar amounts that need to be met regardless whose threshold is crossed. And most often co-pays are due at the same time. This means to spend your health care dollars for providers that are most interested in your healthcare needs and wants.
This is the breakdown, similar to 80/20, for example: Insurance pays 80% of the allowable amount and you pay 20% - after you have met your deductible.
Once you have reached your individual/family out of pocket max you may pay nothing towards your visit cost while insurance would completely cover the allowable amount though there still MAY be a co-pay due.
I do abdominal dating ultrasounds for those persons greater than 8 weeks and up to 12-13 weeks; baby position check, check placenta location, evaluate amniotic fluid levels and post-dates pregnancy testing: biophysical profile (BPP) and fetal well-being evaluation on an electronic fetal monitor. Ultrasounds with me do not evaluate the structural integrity of your baby and are for memory purposes as your baby grows.
As a free service to you, I will do a VOB of your active and current benefits. To do this, I will need a copy of your health insurance card(s), front and back. First eligibility is checked, then verification of your benefits which will be reviewed with you - most often, prior to your appointment. If you have a pharmacy benefits manager (PBM - such as Navitus, Caremark, Prime Therapeutics, etc.) please supply a copy of the front and back of that card as well.
I prefer to be paid by a credit card, benefit card or similar. MN allows for reimbursement of credit card fees of up to 5% of the cost of the visit. A check will be accepted though cash is not accepted.
PROFESSIONAL FEES WILL BE SUBMITTED TO ALL INSURANCE PLANS. AT THIS TIME, I AM IN-NETWORK WITH BCBS, UHC, MEDICA, PREFERRED ONE, MEDICARE, MNCARE, PMAP PRODUCTS, AND U-CARE. I AM WORKING TO BE "ENROLLED" AS AN OUT-OF-NETWORK PROVIDER WITH OTHER HEALTH PLANS - SO THE FEES FROM YOUR VISIT WITH ME IS APPLIED TO YOUR DEDUCTIBLE. THANK YOU AND I LOOK FORWARD TO SEEING YOU SOON! - CATHERINE
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