Our service model focuses on keeping patients well, instead of simply treating them when they are sick. Many services and technologies used by our physicians are not reimbursed by health insurance plans or Medicare. Working with patients to help optimize their most precious asset – health – takes time, a luxury that is not available in the current health insurance reimbursement system.
To fully realize the benefits of this new approach to medicine, we believe that you must participate in the program for at least a year. In fact, as members notice the improvement to their health and wellness, most consider their relationship with their physician permanently transformed and do not go back to traditional primary care. Your membership enrollment agreement has a term of one year and renews automatically unless cancelled. If you have already enrolled, see your enrollment agreement for further details.
Reimbursement of medical and non-medical services and products under these types of accounts are regulated under certain federal laws, and reimbursement policies may differ among different programs. Contact your Program Administrator of your spending account for additional information. At your request, True Health Center For Functional Medicine will provide an itemized list of all expenses incurred throughout the year to submit for reimbursement, as applicable.
Your health insurance/Medicare plan will work the same way as it always has. It covers any sick visits or covered medical services that fall within your plan. Our services are not a substitute for health insurance. The membership covers certain services that are not covered by your health insurance plan.
No. Third-party providers, such as labs, imaging centers, and hospitals, will bill your health insurance plan for the services provided, just as they ordinarily would. We have negotiated favorable pricing with most labs used in the event that you are uninsured or a service is not covered. Whenever your provider recommends a lab or other service, our staff will make every effort to advise you of any costs in advance. Due to radical changes in the health insurance industry, we are unable to foresee your individual out of pocket expenses.
No. Your responsibility to pay a deductible/co-insurance/co-pay to your health insurance plan does not change. Since the membership services are non-covered, they typically won’t count toward your annual deductible. Your provider is obligated by your health insurance plan to bill and collect for your deductible, co-insurance or co-pay responsibility outside of your membership fee.
