It is impossible for your medical provider’s office to know all the details of your insurance plan. Each employer that offers health insurance to its employees has a unique contract with the health insurance company. Thus, there are thousands of subtle differences even within the same insurance carrier. Even your insurance will not guarantee coverage prior to the claim being processed.
If you are unsure about a particular service being covered or have questions regarding your insurance plan, our billing staff would be happy to assist you in contacting your insurance and checking your benefits. Please note that your insurance will make the final coverage determination when they process your claim. Your member benefit manual will give you a good idea of which services are covered under your plan.