We are in network with most major medical insurance plans.
We have only listed the most popular plans here because there are so many different insurance plans available.
If you do not see your insurance plan listed here, it does not necessarily mean we do not accept it. Please contact the office for more information.
Your Rights and Protections Against Surprise Medical Bills
A Good Faith Estimate shows the cost of items and services that are reasonably expected for your health care needs for an item or services. The estimate is based on information known at the time the estimate was created. You have the right to request a Good Faith Estimate in writing.
The Good Faith Estimate does not include any unknown or unexpected costs that may arise during treatment. You could be charged more if complications or special circumstances occur. If this happens, federal law allows you to dispute (appeal) the bill.
If you are billed for more than the Good Faith Estimate, you have the right to dispute the bill.
What is “balance billing”
When you see a doctor or other health care provider, you may owe certain out-of-pocket costs, such as a copayment, coinsurance, and/or a deductible. You may have other costs or have to pay the entire bill if you see a provider or visit a health care facility that isn’t in your health plan’s network.
“Out-Of-Network” describes providers and facilities that haven’t signed a contract with your health plan. Out-of-Network providers may be permitted to bill you for the difference between what your plan agreed to pay and the full amount charged for a service. This is called “balance billing.” This amount is likely more than in-network costs for the same services and might not count toward your annual out-of-pocket limit.
“Surprise billing” is an unexpected balance bill. This can happen when you can’t control who is involved in your care – like when you have an emergency or when you schedule a visit at an in-network facility but are unexpectedly treated by an out-of-network provider.
You may contact the health care provider of facility listed to let them know the billed charges are higher than the Good Faith Estimate. You can ask them to update the bill to match the Good Faith Estimate, ask to negotiate the bill, or ask if there is financial assistance available.
You may also start a dispute resolution process with the U.S. Departments of Health and Human Services (HHS). If you choose to use the dispute resolution process, you must start the dispute process within 120 calendar days (about 4 months) of the date on the original bill.
There is a $25.00 fee to use the dispute process. If the agency reviewing your dispute agrees with you, you will have to pay the amount quoted on this Good Faith Estimate. If the agency disagrees with you and agrees with the health care provider or facility, you will have to pay the higher amount.
You are never required to give up your protections from balance billing. You also aren’t required to get care out-of-network. You can choose a provider or facility in your plan’s network.
For questions or more information about your right to a Good Faith Estimate or the dispute process, visit www.cms.gov/nosurprises/consumers or call 1-800-985-3059 or www.scc.virginia.gov/pages/Balance-Billing-Protection