Insurance Policy – Philadelphia Functional and Integrative Medicine

Our office does not bill insurance. You may pay by check, credit card, or HSA debit card. Upon request, we can provide you with a copy of the superbill which you can submit to your insurance company for possible reimbursement for out-of-network care. The superbill is a detailed medical receipt that contains procedure codes, diagnosis codes, and the fees charged for your office visit. We cannot guarantee what reimbursement, if any, you may receive. We do not submit claims or call insurance companies directly. This is the responsibility of the patient.

We do have payment plans for our programs  as well as outside financing through ClearGage. This allows all who truly wish to improve their health to be able to work with us.

Why Don’t We Accept Insurance?

Unfortunately, when doctors participate with insurance carriers, they enter into a contract that allows the insurance companies to dictate what services will be supplied limiting the quality of care that we believe you deserve. As the costs of keeping a clinic running has continued to rise, reimbursement has fallen forcing most doctors to see more and more patients a day, keeping office visits very brief. We believe this is substandard care and does not allow us to practice the in-depth, expert model of Functional and Integrative medicine.

Most laboratory services provided by LabCorp or Quest can be billed directly to your insurance plans unless you don’t have out of network coverage. In attempts to keep program costs down we are partnered with certain lab companies that do process through most insurance companies guaranteeing a lower fixed amount. Some specialty labs may not be covered by your insurance plans. Please check with your insurance company regarding deductibles and reimbursement for out-of-network labs. It is not the responsibility of the Moday Center to understand your individual insurance coverage.

We do not participate with Medicare, nor do we bill Medicare for any services rendered.

We look forward to meeting you and partnering with you on your road to wellness!