Insurance General Info
Why is besa Health unable to verify my insurance?
There may be times when your insurance plan can’t be verified. For example: Your insurance information may be inaccurate or out of date, or the insurance company’s eligibility system may not respond. In cases where we are unable to verify your insurance at the time of your visit, we will charge you the flat rate for this service. These rates are standard and vary by treatment type. You can find them here: besa health pricing(opens in a new tab).
Many insurance companies will still reimburse for out-of-network care at besa Health. As a courtesy, we will submit your insurance claim and refund you the balance depending on your benefit.
How much will my co-pay be?
To get your specific copay cost amount for your visit, we’ll need to see your insurance card and verify the insurance carrier. We recommend that you call the member’s services number on the back of your insurance card and ask about coverage and co-payment fees for urgent care visits. Co-pays for an urgent care visit will typically be different than the co-pay amount for a primary care visit. If you don’t have time to call your insurance, we can determine the co-pay amount if your plan and coverage is verified upon check-in to your visit, whether you are visiting besa Health for your care.
How do I know I’ll get properly refunded? When can I expect my refund?
Copays, coinsurance, or self-pay fees are due at the time of service. Remaining balances or refunds will be determined after your insurance company processes your insurance claim and sends this information back to besa Health – which could take up to 4 weeks. If you have any questions about your bill or claim, please contact us.
What are co-pays?
A co-pay, short for copayment, is a fixed amount a healthcare beneficiary pays for covered medical services. The remaining balance is covered by the patient’s insurance company. Co-pays typically vary for different services within the same plans, particularly when they involve services that are considered essential or routine and others that are considered to be less routine or in the domain of a specialist. Co-pays for standard doctor visits are typically lower than those for specialists. Note that copays for emergency room visits tend to be the highest.
What is a deductible?
A deductible is a fixed amount a patient must pay each year before their health insurance benefits begin to cover the costs. After meeting a deductible, beneficiaries typically pay coinsurance—a certain percentage of costs—for any services that are covered by the plan. They continue to pay the coinsurance until they meet their out-of-pocket maximum for the year.
What is coinsurance?
After meeting a deductible, beneficiaries typically pay coinsurance—a certain percentage of costs—for any services that are covered by the plan. They continue to pay the coinsurance until they meet their out-of-pocket maximum for the year.
Do you accept my insurance?
We are contracted with most insurance carriers, PPO’s, as well as Medicare. If you don’t see your insurance carrier on our insurance and billing section, please give your health insurance plan provider a call to double check. The number can be found on your plan card. Service and benefit coverage vary based on geographic location
Need Help or Looking for a specific answer?
Please don’t hesitate to contact us via your chat tab in your Patient app.
