Insurance Policy: Bartelt Acupuncture, LLC. Provides a receipt for each payment, which can be submitted to your insurance and flex spending accounts for reimbursement. Please check with your insurance carrier prior to your first visit to find out if your acupuncture treatment will be covered.
Financial Agreement and Health Insurance
Explanation of Insurance Coverage: Many insurance companies do cover acupuncture care but this office makes no representation that yours does. Insurance policies may vary greatly in terms of deductible and percentage of coverage for acupuncture care. Please check with your insurance carrier prior to your first visit to find out if your acupuncture treatment will be covered. We require you, the patient, be personally responsible for the payment of your deductibles, as well as any unpaid balances in this office. We will do our best to verify your insurance coverage and bill your insurance in a timely manner if acupuncture is a covered benefit in your plan.
Assignment of Benefits: you would be authorizing that payment of medical benefits will be made directly to this office. If your insurance carrier sends payment to you for services incurred in this office. You agree to send or bring those payments to this office upon receipt. However, if you pay for your visits in full the assignment will not be reported by this provider and any payment will be sent directly to you.
Bartelt Holistic Health provides a receipt for each payment which can be submitted to your insurance/flex spending/health savings accounts for reimbursement.
