Insurance & Billing
Important Payment Information
For patients using insurance, an estimated patient responsibility of $150 will be collected at the time of scheduling. This estimate will be applied toward your deductible, copayment, and/or coinsurance.
After insurance claim processing, any overpayment will be refunded and any remaining patient responsibility will be charged to the payment method on file or billed to the patient.
Actual patient responsibility is determined by your insurance plan and is not known until claim processing is complete.
If your insurance plan is not accepted, insurance information is not provided, or eligibility cannot be confirmed prior to your appointment, your visit may proceed as a self-pay appointment.
Insurance Plans
Tick Bite Telehealth participates with select insurance plans, including:
- Premera Blue Cross PPO plans
- LifeWise Health Plan of Washington
- Kaiser PPO (First Choice Health Network)
Many out-of-state Blue Cross Blue Shield plans may also be eligible for in-network coverage through the BlueCard® program. Coverage varies by plan and location.
Coverage Verification
Insurance coverage, benefits, and cost-sharing responsibilities vary by plan.
Patients wishing to use insurance benefits must provide complete insurance information before their appointment, including images of the front and back of their insurance card.
We will attempt to verify eligibility and benefits prior to your visit; however, patients are encouraged to confirm their own coverage, telehealth benefits, referral requirements, and expected out-of-pocket costs directly with their insurance plan.
Verification of eligibility or benefits is not a guarantee of payment.
Patients are responsible for any deductibles, copayments, coinsurance, and non-covered services as determined by their health plan.
Self-Pay Options
Patients without insurance, patients whose plans are not accepted, or patients receiving services that are not covered by their insurance may choose self-pay options.
Cash-pay pricing is listed on individual service pages.
Payment in full is required at the time of scheduling for self-pay appointments.
Specialty Laboratory Testing
Specialty laboratory testing is often not covered by insurance.
When specialty testing is recommended, expected costs, potential insurance coverage, available alternatives, and anticipated out-of-pocket expenses will be discussed before testing is ordered whenever possible.
Patients are responsible for any laboratory charges not covered by insurance.
Payment Policies
A valid credit card is required to reserve all appointments.
For self-pay appointments, the full visit fee will be collected at the time of scheduling.
For patients using insurance, an estimated patient responsibility will be collected at the time of scheduling. Actual patient responsibility will be determined after insurance claim processing. Any overpayment will be refunded and any remaining balance will be billed to the patient.
Any patient responsibility determined after insurance processing, including deductibles, copayments, coinsurance, and non-covered services, remains the responsibility of the patient.
Outstanding balances may be charged to the card on file in accordance with the patient financial agreement.
Cancellation Policy
Appointments cancelled with less than 24 hours notice and missed appointments will be charged a $150 cancellation fee.
If payment has been collected at the time of scheduling, all or a portion of that payment may be applied toward the cancellation fee.
Cancellation fees are not billable to insurance and are the responsibility of the patient.
By scheduling an appointment, you authorize Tick Bite Telehealth to charge the payment method on file for applicable cancellation fees and outstanding patient balances.
Questions About Coverage?
If you are unsure whether your insurance plan is accepted, please contact us before scheduling. We are happy to help determine whether your visit may be eligible for insurance coverage and discuss available payment options.