Frequently Asked Insurance Questions
Who will bill my insurance company?
California Pacific Medical Center's Patient Financial Services office will bill your insurance carrier directly as a courtesy. You will need a referral from your doctor to be treated in our facility and for insurance purposes.
Will my insurance pay for treatment?
Not every insurance carrier pays the same. Some require the patient to make a co-payment at each visit and some pay a percentage of the cost, leaving a balance to be paid the patient. We will check with your insurance carrier prior to beginning therapy.
What if the insurance doesn't pay the total cost of treatment?
A patient can choose to continue to receive treatment not authorized by your insurance company, however the patient would be responsible for any costs not covered by the insurance company. It is best to consult your policy or your insurance carrier customer service department prior to beginning therapy.
Will the insurance company pay for braces, crutches and other equipment?
Not all insurance policies cover durable medical equipment, which includes braces, crutches, and splints. It is best to consult your policy or with your insurance carrier customer service department prior to accepting any type of durable medical equipment.
Do I need insurance authorization prior to beginning therapy?
Most insurance companies, including HMOs and workers compensation, require an authorization prior to beginning treatment. This authorization can be obtained by contacting your insurance company prior to your treatment. Medicare and Medi-Cal patients do not need prior authorization, however they do need to provide proof of eligibility by presenting their insurance card at the time of registration.