Resetting of your annual deductible

Happy new year, means happy new resetting of insurance benefits! Let us know if anything has changed in your current policy, if you have a new policy, or if you have any questions.

Here is some helpful information about new year, and the new you.

What is a deductible?

Your deductible is an amount of money, specified by your insurance company, that the insured must pay before the company will pay a claim.

Visit Limits

Some plans will offer coverage for a certain amount of annual visits to a licensed acupuncturist. For many plans the annual visit limit resets at the beginning of every year. Please ask your insurance company if you have a visit limit for acupuncture and whether or not those visits count towards your deductible.

Buying Packages of Acupuncture Appointments

If you have a deductible of $500 or more you may want to consider buying a package with us. You can purchase a set of acupuncture appointments with us at a discounted rate, all of which would count towards your deductible.

For those who exceed their annual visit limit you may also want to consider purchasing a package of acupuncture appointments at a discounted rate so that you can continue your wellness visits.

Most Importantly

Please let us know when you’ve met your deductible. We do not have easy access to your EOB’s (explanation of benefits) due to the privacy of your insurance information. It is far easier for us to learn whether or not you’ve met your deductible if you let us know as soon as you can.

FAQ

Q: My receipt from Pekoe is different from the EOB (explanation of benefits) that I received from my insurance company. Why?

A: Our purchasing system is not connected to the system(s) that insurance companies use to create EOB’s. Insurance lists codes for services on the EOB, while our receipts will only list the price you paid at the time of service. Different insurance companies pay different rates per code that we submit. We do not control what the insurance company pays.

Q: How do you manage the processing of all this insurance information?

A: We manage by employing a professional 3rd party biller.

Q: I feel like I’m more confused after reading this post!

A: Yes, insurance is confusing. That bottom line is that we do not know what insurance will pay for a service until the check is in-hand. If you have any further questions about your coverage please talk to your practitioner during your next visit.

If you are curious about changing the details of your plan then here is an article we wrote about picking the best insurance plan for you!