We take payment at time of service with cash, check, or credit card. Call 206-932-4371 for the cost of the various services.
Miranda has a medical billing person to bill insurance companies for acupuncture therapy. It is your responsibility to call the number on your health insurance card to verify what your acupuncture benefits are: how many treatments are allowed, what your copay and deductibles are, and which of your health conditions are covered. (Pain conditions are the most likely to be covered.) For auto accidents we need your PIP claim number and the number for your insurance agent or the contact information for your attorney.
Acupuncture Insurance Benefits
To find out about your health insurance benefits, first print the
High Point Health Insurance intake form. Then call customer service at your insurance company for the requested information. Fill out the Insurance intake form and bring it with you to your first appointment.
Miranda Taylor is a preferred or in-network provider for most insurance companies including:
Aetna
Automobile Accident Insurance (Personal Injury from Motor Vehicle Accident or "PIP")
First Choice
Global
Healthcare Management Administrators
Heritage & Heritage Plus 1
Heritage Prime
Heritage Signature
Kaiser Permanente (formerly Group Health)
Life Map Assurance (UT)
LifeWise Assurance Company
LifeWise Connect
LifeWise Health Plan of Washington Preferred
Premera Blue Cross (Global, Heritage, Foundation, Heritage Signature)
RBS (UT, ID, OR)
Regence Blue Shield
United Healthcare
For flex plans and other companies we will provide a “superbill” for you and you may submit your receipt for reimbursement.
We work with you to make acupuncture treatments affordable by offering monthly installment plans if you have a financial difficulty or hardship so that you can focus on your healing.
Please note: High Point Health is not in network for for the following companies:
MultiPlan / PHCS
PRIME Health Services, Inc.
Questions about insurance billing for acupuncture
How much does each treatment cost?
Miranda's rates vary depending on the type and complexity of her service as well as the complexity of the problem. Flexible billing is offered for patients paying at time of visit. The following rates will apply to the majority of visits:
Acupuncture Treatment For Return Patients:
Billed Rate: $100 to $140
Flexible pricing available if fee paid at time of service
Acupuncture Treatment for New Patients:
Billed Rate: $135 - $210
Flexible pricing available if fee paid at time of service
Chinese herbal medicine consultations, nutritional counseling, cupping or cupping massage, moxibustion (warming of points), and other therapies are not covered by insurance. However, these therapies are very helpful for many people, and so we may occasionally provide these at no additional charge to see if you would benefit from them. If you find any of these therapies helpful, we can work out a payment arrangement for them.
Payments and co-pays are expected at the time of your visit. We accept checks, cash, credit cards, or debit cards.
If you are committed to taking charge of your own health but such fees are beyond your means, please email or call Miranda at 206-932-4371 to discuss how we can work together for your health. If financial concerns are limiting your health care choices, we can also discuss low-cost options for you to explore like the West Seattle community clinics at AcupunctureForAll.org and SlothAroundTogether.com
If you are not sure which is the best therapy to pursue, we can schedule a complimentary 15-minute session to discuss your health care options. Miranda is familiar with the most effective combinations for many conditions.
There are so many options today, deciding the best approach to improve your health can be confusing. Since both time and money are limited for many of us, it is important for Miranda to help people make educated choices.
Why did I get a bill from Diligent Medical Billing?
High Point Health dba Jade River Acupuncture dba Gesundheit Acupuncture is contracted with Karen and company at Diligent Medical Billing
If your health insurance plan includes coverage for acupuncture treatment, at the time of your treatment visit, usually you pay only the co-pay amount. When the insurance company covers only a portion of the remaining cost, Easy Medical directly bills patients for the difference. (Reasons for the difference are determined by the health insurance company and can include deductibles, co-insurance, non-covered service items, or simply less coverage than the High Point Health fees.) Coverage amounts are determined by your health insurance company and explained on your EOB or EOP (explanation of benefits/payments).
Can you explain the following terms: co-pay, deductible, co-insurance, and non-covered items?
A co-pay is a set amount that your insurance plan has you pay for each treatment appointment. The amount is usually less than half of the total treatment charges, for example $40. The amount is determined by your health insurance company.
A deductible is the amount of expenses that you must pay before your insurer will cover any of your health care expenses. For example, if your total costs for acupuncture treatments from High Point Health are $700 and your unmet insurance deductible is $500, you will end up paying High Point Health at least $500.
Co-insurance refers the percentage of your medical service costs that you have to pay for services that are only partially covered by your insurance plan. For example, if your health insurance company covers 80% of acupuncture costs, you must pay $20 for every $100 treatment you receive, that is, 20% of $100.
Non-covered items are those things that your health insurance company isn't paying for either because they don't provide any coverage for such services or because they limit you to a certain number of those services per year and you have exceeded that number. Your health insurance company determines what services are covered in your plan and the amount they will pay towards those services. WA State plans, - under Obamacare - cover 12 acupuncture visits during a single calendar year. If you have a 13th visit, you must pay the entire cost yourself. Similarly, if your health insurance company pays a maximum of $75 per acupuncture treatment and the treatment costs $100, you have to pay the $25 difference.
How does Diligent Medial Billing determine the amount I need to pay?
Your health insurance company makes the decisions about how much of the treatment cost you have to pay. This amount varies from company to company, and from plan to plan. Diligent sends a bill to your health insurance company with information about how much (if any) your copay was and the kind of acupuncture services you received. The insurance company, in turn, sends information to High Point Health as well as Diligent listing the amount of coverage you are entitled to (i.e., how much of the treatment costs they will cover). This information is usually referred to as an EOB/EOP (explanation of benefits or payment). You also receive this information. If the sum of any copay and the insurance benefits is less than the cost of the treatment visit, Easy Medical Claims sends you a bill for that "non-covered" amount.
Gesundheit Acupuncture and Herbs? Jade River Acupuncture?
Gesundheit is the former name of High Point Health. Jade River Acupuncture is the same clinic as High Point Health. Miranda can't decide which name she prefers to use.
What can I do if I misplace my EOB and don't understand why I'm getting billed for the visit?
EOBs are usually viewable online at your health insurance company's website. Or, you can call the company's customer service number and discuss the matter with one of their representatives. If you need to get another copy of your EOB, ask the customer service representative to send it to you.
What can I do if I don't agree with the amount I'm being billed?
The EOB your health insurance company sends you usually contains instructions on how to appeal the amount of coverage you are receiving. In some cases, you might want to appeal directly to the Washington State Office of the Insurance Commissioner at: http://www.insurance.wa.gov/