CASH-BASED MODEL

Cash-based model medical services involve not using health insurance as a method of payment. Patients pay for medical services in full with cash-based form of payment at time of service.

Medical offices that do not take insurance are out-of-network providers. Medical offices provide patient with a “super bill” that the patient submits to the medical insurance; insurances will reimbursement a percentage based on the individual’s out-of-network benefits. Paid in full out-of-network medical expenses are still applied toward deductibles.

Reimbursement for out-of-network provided medical services is strictly dependent on the individual plan/coverage. Dry needling and wellness sessions are not generally covered by insurance, however, some insurances will reimburse for preventative medicine. Dr.3A recommends calling the insurance prior to services to verify the insurance policy reimbursement details.