Kynetic Health’s Financial POlicy
We believe Transparency is key
We want our patients to have all the information they need when it comes to their medical care – including their financial responsibilities. As a healthcare provider, we do the best we can to provide you with the information available to us regarding the various insurance carriers – but we have no way of knowing what your individual insurance provider may or may not cover, until after a claim has been submitted.
We strongly encourage every patient to contact their insurance company before beginning treatment to ensure they are aware of what financial responsibility they may have a result.
Understanding your Policy
No two insurance providers or plans are the same – what might be covered under one policy is not necessarily the same for another. No healthcare provider can know for certain what treatments are or are not covered by your insurance company and we can make no guarantees that you will not be responsible for a portion or the entirety of the services you receive from us.
After you receive treatment from Kynetic Health, we will submit a claim on your behalf to your insurance company. It is your insurance company that determines what (if anything) you might be responsible for. Although we do our very best to assist in this process, we will not know until after a claim has been submitted what your insurance company has determined to be your financial responsibility – a process that can sometimes take 30 – 60+ days.
Ask your Insurance Provider
It is important that you confirm with your insurance company that Kynetic Health is an in-network provider for your insurance company. Out-of-network providers may not be covered by your insurance or they may come with additional charges or fees.
Do I need a referral?
Some insurance providers require that you receive a referral from your primary care physician before you are able to see a specialist. Kynetic Health is a specialty provider and you may require a referral in order for your insurance company to cover the cost of your visit.
Is there a co-pay?
Some insurance providers require you to pay a fixed amount each time you visit a healthcare provider. The amounts will differ depending on whether a provider is in your network or a specialist.
Please keep in mind that a Co-Pay does not necessarily mean that you will not be responsible for an additional cost associated with your visit – this will be determined by your insurance after a claim has been submitted.
Important Insurance Terms
Unlike a Co-Pay, Co-Insurance is a percentage a patient is responsible for after they receive treatment. For example, if your policy states that you are responsible for a 20% co-insurance, you will be responsible for 20% of your medical expenses and your insurance company will be responsible for the remaining 80%.
Once you have received treatment and a claim has been submitted on your behalf, you will receive an Explanation of Benefits (EOB) from your insurance provider explaining what your charges are, what your insurance will cover and what (if anything) you are responsible for.
A deductible is the cost you must pay each year, out of pocket, before your insurance coverage kicks in. If you have a high deductible, it can mean that you are responsible for hundreds (if not thousands) of dollars worth of healthcare expenses before your insurance provider contributes to the cost.
Some plans will even require that you pay a co-insurance after your deductible has been met, until you reach your out of pocket maximum.
Self-pay and non-covered services
Unfortunately, some of the treatments we offer are not covered by most insurance companies – this includes PRP injections and stem cell therapies. If you are seeking medical services that are not covered by your insurance or you do not have health insurance, you will be responsible for the cost of your treatment, paid in full before treatment begins.
Statements and balance Owing
As mentioned above, your insurance provider will send you an Explanation of Benefits after you have received treatment, outlining what is or is not covered by your insurance. It will also outline what, if anything you owe in the category : Patient Responsibility. This amount is determined by your insurance company, not by Kynetic Health.
If your insurance company has determined that you are responsible for some or all of the cost of your medical expenses, we will send you a statement with the amount owing as determined by your insurance. If you have questions regarding your statement, please contact our front office and your insurance company.
Please remember that our staff work hard to ensure you receive the maximum benefit of your insurance coverage, but we do not decide what course of action your insurance company takes.
Cancelling or rescheduling an appointment
We know that life can be unpredictable, but we ask that you give us at least 24 hours notice should you need to cancel or reschedule your appointment. Due to the demand in our community for quality healthcare, our current wait times can exceed 4 – 6 weeks. Giving us advanced notice that you cannot attend your appointment allows us the opportunity to reschedule another patient – failure to do so means we have lost an opportunity to help another patient. Should you miss your scheduled appointment, you may be charged a $50 no-show fee.
To help you avoid missing an appointment, we offer a text-reminder service in which our patients can communicate directly with our front office using their smartphones. Even if you opt in for this service and fail to receive a text reminder, you will still be responsible for your missed appointment – despite our best efforts, every patient is responsible for arriving to their scheduled appointments on time.
If you have any questions,
do not hesitate to let us know
If you have any questions, please do not hesitate to contact our clinic. Call or text the number below for a prompt response during business hours : 8am – 3.30pm Monday – Thursday and 8am – 11.30pm on Fridays.
3533 Canyon De Flores, Suite A
Sierra Vista, Arizona