Patient Guide
At United Wound Healing, we are committed to providing you with the highest quality medical care. To achieve this, we need your help and understanding of our financial policy.
Participating Insurance
We participate in many insurance plans including Medicare Part B and Medicaid. See the common insurance carriers below for a complete list of participating insurance plans. If you are a member of such a plan, we will follow the plan’s guidelines for billing and collections and you will be required to pay any cost share that is due according to your insurance’s explanation of benefits form.
Non-Participating Insurance
If we do not participate in your insurance plan, we will file a claim as a courtesy. All unpaid claims will become your responsibility 45 days following filing and are immediately due and payable.
Please keep in mind the following:
- Our fees are generally considered to fall within the acceptable range by most insurance companies, however, some insurance companies set reimbursement schedules that are below customary charges. Each company has a different reimbursement schedule and its payments may not cover the full amount of our charges.
- As health care providers, our relationship is with you, not your insurance company. While the filing of insurance claims is a courtesy that we extend to our patients, all charges are ultimately your responsibility.
- We realize that temporary financial problems may affect timely payment of your account balance. If such problems do arise, please contact our Billing Department promptly for assistance in the management of your account. Our reimbursement specialists can be reached at 855-255-1750, option 3, Monday through Friday from 8:00am to 5:00pm.
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Common Insurance Carriers
Services Typically Covered by Patients’ Insurance Plans
Our wound and skin care services are typically covered by patients’ health insurance plans. We are an in-network, preferred provider for many insurance carriers and our services are covered by Medicare Part B and Medicaid. We do not charge our facility partners transportation, monthly, or any hidden fees. Instead, we bill the patients’ insurance carriers.
Below is the list of the insurance companies we most commonly work with. If you do not see a contracted health plan you are looking for, please call us toll-free at 855-255-1750, option 3.
- AARP
- Aetna Insurance
- Amerigroup
- Champ VA
- Cigna
- Community Health Plan of WA
- Coordinated Care
- First Choice
- Kaiser
- Health Net
- Humana
- Labor and Industry WA State
- LifeWise
- Medicaid
- Medicare
- Molina MCD
- Molina MCR
- Mutual of Omaha
- Northwest Physicians Network
- Premera
- Regence
- SoundPath
- TriWest
- Tricare For Life
- United Healthcare
DISCLAIMER
If you are uninsured (self-pay), under the No Surprise Billing Act, you have the right to receive a Good Faith Estimate (GFE). The Good Faith Estimate (GFE) shows the cost of items and services that are reasonably expected for your health care needs for an item or service. The estimate is based on information known at the time the estimate was created.
The GFE 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, and your bill is $400 or more for any provider or facility than your GFE for that provider or facility, federal law allows you to dispute the bill.
The GFE is not a contract and does not require the uninsured (self-pay) individual to obtain the items or services from any of the providers or facilities identified in the GFE.
If you are billed more than your GFE, you may have the right to dispute the bill.
You may contact the health care provider or facility listed to let them know the billed charges are higher than the GFE. You can ask them to update the bill to match the GFE, 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. Department of Health and Human Services (HHS). If you choose to dispute the resolution process, you must start the dispute process within 120 calendar days of the date on the original bill.
To learn more and get a form to start the process, go to www.cms.gov/nosurprises/consumers or call (800) 985-3059.
Payment Options
We accept cash, checks, major credit/debit cards and money orders for payment (no post-dated or third-party checks). We charge a $40.00 NSF fee for any returned checks.
Alternative Payment Arrangements
If you are unable to pay your balance when due, please contact our Business Office to make alternative arrangements at 855-255-1750, option 3.
Collections
We may assign an account to collections if balances are unpaid after 60 days or if no payment arrangement is established.