Our Insurance Verification Process
Here’s how we can help you determine your potential coverage:
When you call to schedule your first appointment, please have your health insurance card ready. We'll collect your policy information (member ID, date of birth, insurance company name, and provider phone number).
Our team will contact your insurance company to verify your benefits specifically for the services you're seeking (e.g., acupuncture, massage therapy). We typically check for deductibles, co-pays, co-insurance, visit limits, and any pre-authorization requirements.
We will inform you of your estimated coverage before your first appointment, or as soon as we receive the information from your insurer. This allows you to make an informed decision about your care.
Our team manages the insurance claim submission process for you. Following your treatment and after your insurance company reviews the claim, you will be billed only for any portion not covered by your plan, such as your co-pay, co-insurance, or deductible. We aim to make this process as smooth as possible.
Important Considerations for Insurance Use:
Acupuncture: Many Colorado health plans offer benefits for acupuncture, often for conditions like chronic pain. Coverage details (number of visits, eligible conditions) vary significantly.
FSA/HSA Accounts: Many of our services may be eligible for payment using your Flexible Spending Account (FSA) or Health Savings Account (HSA) funds. A Letter of Medical Necessity from your doctor might be required for some services.
Out-of-Network Benefits: If we are not in-network with your specific plan, you might still have out-of-network benefits. We can provide a "superbill" (a detailed receipt) for you to submit to your insurance for potential reimbursement.
Policy is Key: Ultimately, your specific insurance policy dictates coverage. We encourage you to also familiarize yourself with your plan's benefits.
Financial Responsibility & Cancellation Policy
At Whole Health Center, we’re committed to making your care accessible and transparent. While we’re happy to help you navigate insurance and billing, we ask that all patients understand and agree to the following financial policies.
Insurance & Payment Responsibility
We file insurance claims on your behalf as a courtesy. However, you are ultimately responsible for payment.
Insurance verification is not a guarantee of coverage or payment.
If your insurance does not pay within 60 days, the full balance becomes your responsibility.
By receiving care at WHC, you authorize us to:
Submit claims and share necessary information with your insurer or attorney.
Accept direct payment from your insurer.
Use photocopies of documents in place of originals when needed.
Worker’s Compensation & Auto Insurance
We accept worker’s comp and auto insurance with appropriate documentation (such as a signed lien or accident report). Payment is expected within 60 days unless Med-Pay is unavailable.
Self-Pay & Superbill Option
If you choose to pay out-of-pocket, you’ll receive a time-of-service discount.
We’re happy to provide a superbill so you can submit the claim yourself if you prefer.
Family or financial hardship discounts must be arranged in advance.
Our Cancellation Policy
To keep our schedule flowing and serve all patients efficiently:
Please arrive at least 5 minutes early.
Appointments canceled with less than 24 hours’ notice may be charged the full appointment fee.
No-shows will also be billed the full cost of the missed service.
