In-Network Protection – Even When We’re Out of Network
Get In-Network Protection — Even When We’re Out of Network
Healthcare shouldn’t force you to choose between great care and financial certainty.
At our practice, you don’t have to.
Even though we are out-of-network with many insurance plans, we’ve built a system that allows patients to:
👉 Use their insurance
👉 Avoid surprise bills
👉 Pay predictable, transparent costs
How It Works
If your plan includes out-of-network (OON) benefits:
- We bill your insurance directly
- We limit your responsibility to typical in-network cost-sharing
- We do not balance bill you
If your insurance underpays:
👉 We pursue the difference directly with your insurer through:
- State dispute resolution (when applicable)
- Federal arbitration under the No Surprises Act
You are never involved in this process.
What You Pay
Your cost is predictable:
- Deductible
- Copay
- Coinsurance
👉 That’s it.
No surprise bills. No follow-up invoices months later.
Why Patients Choose Us
We Remove Insurance Barriers
No restrictive contracts. No compromised care decisions.
We Take on the Insurance Company
If they underpay, we fight it—not you.
We Eliminate Financial Uncertainty
You’ll know your responsibility upfront—and it won’t change.
What If My Plan Is Different?
If your plan:
- Has limited OON benefits, or
- Does not include OON coverage
We will:
- Clearly explain your options
- Provide transparent pricing
- Ensure you know your costs before treatment
The Bottom Line
Out-of-network doesn’t mean out-of-pocket.
At our practice:
- You get access to high-level care
- You keep your insurance benefits
- You avoid financial surprises
👉 We handle everything else.
2. Decision Tree
Step 1: Do You Have Insurance?
- Yes → Step 2
- No → Transparent self-pay options available
Step 2: Do You Have Out-of-Network Benefits?
- Yes → Step 3
- Not sure → We verify for you
- No → Step 5
Step 3: You Can Use Our Practice
Even out-of-network:
- We bill your insurance
- We manage all claims
- We handle any disputes
Step 4: Your Costs Are Protected
What You Pay:
- Deductible
- Copay
- Coinsurance
What You Don’t Pay:
- Surprise bills
- Balance bills
- Insurance shortfalls
What We Do:
If your insurer underpays, we pursue reimbursement through:
- State-level processes
- Federal arbitration under the No Surprises Act
👉 You are not involved.
Step 5: No OON Benefits?
- Clear, upfront pricing
- No hidden costs
- No surprises
Summary Box
Out-of-Network Care — Without the Risk
- We accept all plans with OON benefits
- We bill your insurance directly
- We handle all disputes
- You are not balance billed