SEVA Healthcare accepts most insurance plans and we are contracted with most commercial insurance companies and government plans such as Medicare and Medicaid, Workers’ Compensation, and Motor Vehicle Accident/Personal Injury. Based on coverage changes, our list of accepted insurances may change. If you have any questions, please give us a call at 214-306-4116 and we will be happy to discuss current networks and your options.
Patient Responsibility:
As a courtesy to our patients, our staff at will verify your covered benefits with your insurance company prior to each appointment. However, it is important to know that a quote of your benefits is not a "guarantee" of benefits or payment.Our policy is that full payment is due at the time of service unless other financial plans are made in advance. It is our policy for all patients to fulfill their copay responsibilities as well as an estimated amount of the remaining deductible/co-insurance at the beginning of each visit.
We understand that this process can oftentimes be complex and cumbersome to navigate. There will be a patient account representative available to explain this information to you prior to your visit. After your visits with us, you may be billed for any outstanding balances or remaining deductible/co-insurance amounts indicated by your insurance plan.
If you have health insurance and you are covered for pain management benefits, we will be happy to bill your insurance carrier. To accomplish this, we ask that you please provide your insurance information to our staff so we can help you verify your coverage. Your insurance plan may or may not provide full financial coverage for your care. In the case your insurance company doesn’t provide full coverage, you will be held accountable for any unpaid balances by your plan.
Although we are contracted with most insurance carriers, it is possible that our services may not be covered by your insurance plan. In addition, being referred to our clinic by another physician also does not necessarily guarantee that your insurance will cover our services as well. Please remember that you are 100 percent responsible for all charges incurred and that your physician’s referral and our verification of your insurance benefits are not a guarantee of payment.
We strongly recommend you directly contact your health insurance provider and check your own coverage for pain management benefits. Even if you have more than one insurance policy, it is possible that you still could incur an out-of-pocket expense. Please verify your coverage directly.
Co-pays are a fixed cost set by your health insurance carrier that is due at the time of your visit.
Same day appointments!
Deductibles are a fixed cost set by your health insurance carrier that you are responsible for before your insurer will contribute to healthcare costs. In most cases, you must pay the deductible amount each calendar/plan year.
Co-insurance is a cost-sharing feature of many health insurance plans. Co-insurance requires you to pay a predetermined percentage of the cost out-of-pocket of total covered healthcare expenses. The co-insurance that you must pay out-of-pocket is based upon the specifics of your health insurance plan. Co-insurance often applies after a deductible is met.
Explanation of Benefits (EOB):
Your health insurance provider will provide you with an Explanation Of Benefits (EOB) after we have submitted a claim to your insurer on your behalf. The EOB should include a detailed explanation of how your health insurance provider has determined the amount of reimbursement it made for your medical service. If you have any questions, concerns, or issues, the EOB from your insurance company should also include contact information as well as information on how to appeal or challenge your insurer’s reimbursement decision.
Patient Statements:
Typically within 30 days after your insurance provider has responded to claim submission, you will be sent a billing statement from us depending on your preferred delivery method (paper/electronic). The billing statement will provide you with the total cost of your service(s) or procedure(s) received during your visit(s).
You must notify us of any questions or objections to the billing statement within thirty (30) days or the statement will be deemed accurate, and the fees and expenses shall be deemed reasonable and necessary for the services incurred. If there is a problem with your account, it is your responsibility to contact a Patient Account Representative to address any issues and or discuss a financial plan. Our billing office can be reached at 214-306-4116.
