Is this appointment covered by my insurance?
- Yes! As long as you have an insurance plan that is in-network with our practice, your initial consultation will be billed to your insurance plan. Please be aware that “covered” doesn’t always mean your insurance will cover the visit at 100%. It means that they will pay for their pre-designated portion of the visit. To learn more, call the number on the back of your insurance card.
Can I still be seen if my insurance is not “In-network”?
- Yes, absolutely. Oftentimes, your insurance plan still has out-of-network benefits that will cover your visit at a lower rate. It is your responsibility to check ahead of time what your insurance will cover if any. If they don’t cover any “out-of-network” providers, you will be responsible for the entire bill.
- You may also proceed with your visit as a “self-pay” patient so that we are not billing your insurance at all. You will be provided with the costs upfront and expected to pay this on the day of the visit.
Why am I receiving a bill if my insurance was in-network and the appointment was “covered”?
- Our providers fall under the category of “Specialists” in the healthcare industry, meaning they aren’t preventative services, which are often covered at 100%
- Your insurance plan often has a deductible that they require you to pay for before they begin paying at a higher rate for your treatment or sometimes even the full amount.
- Sometimes, your provider may also perform a procedure or an ultrasound evaluation of your injury in the office on the same day as your initial evaluation. This is done to help the provider further diagnose your injury, but it also saves you time from having to come back into the office on a different day to have the procedure or ultrasound performed separately. These procedures are routine, just like X-rays.
Do I need a referral for my visit?
- If your insurance company requires a referral, then yes, you will need a referral from your PCP. If you are unsure whether or not your plan requires a referral, this information is often provided on your insurance card or you can call your insurance company directly to ask this question. For example, if your insurance plan is an HMO, it most often requires you to have a referral authorized by your PCP.
- If you are being “referred” to our office by your Physical Therapist or Chiropractor, this does not count as a referral and you will still need to call your PCP to request the referral to be authorized through your insurance company.
Can I be seen for multiple injuries in the same visit?
- Possibly. Your provider blocks off a certain amount of time for your visit, which is typically used to evaluate one injury at a time. To be respectful of your time and everyone else’s time, we cannot promise that your provider will have the proper time to evaluate the second injury in this same visit; this will be up to the provider’s discretion.
Are all of the procedures you offer in your clinic covered by insurance?
- No, there are a handful of procedures that we perform at BSB that are still considered “investigational” by most insurance companies and therefore are “non-covered” services. To learn more about these procedures specifically, you will first need to be evaluated by the provider and offered these services. Each insurance provider is a bit different, so we will confirm with your specific insurance carrier whether or not the procedure is covered. We will then provide you with our cost for the procedure we recommend for your injury, which will be due at the time of the procedure, scheduled at a later date.
I injured myself at work and have a Worker’s Compensation claim. Can I be seen at your office under this claim?
- Absolutely, as long as your worker’s comp claim approves the visit with our providers. You will be asked to wait to schedule the appointment until we receive approval from Work Comp. When you call to make your appointment, please provide us with the following information:
- Date of Injury
- Work Comp Insurance Name
- Adjuster contact information
I was in a motor vehicle accident (MVA); Can I use this insurance information at my visit?
- Yes. You will be asked to also provide your health insurance information as well so that when your auto claim benefits have been used up, everything will then be billed to your health insurance instead of directly to you.
- When you call to make your appointment, please provide us with the following information:
- Date of Injury
- Auto Insurance Name
- Adjuster contact information
I had some imaging done at another facility already. Do you have access to this?
- Possibly. We are affiliated with the Steward network and have access to their imaging along with a few other healthcare imaging systems in the greater Boston area, including Shields MRI, Compass, MGH/Partners, to name a few. To confirm this, please ask our office upon scheduling your appointment.
Does BSB offer Telemedicine Appointments for new patients?
- Yes, we do offer them to our new patients who live over an hour away
- Your initial consultation is best accomplished in person so that a physical examination can be performed, which is difficult to do over video. So if you live within the area, we ask that you schedule an appointment in the office to optimize your time with our providers.
What do I need to bring to my first appointment?
- Photo ID
- Insurance card
- Imaging that was performed previously (X-ray or MRI)
- New patient paperwork