Understanding Our Insurance Policy at Omega Precision Oncology, Integrative BioOncology

At Omega Precision Oncology, Integrative BioOncology, we prioritize your health and well-being, focusing on providing the best possible medical care tailored to your unique needs. However, it’s important to understand our policy regarding insurance coverage and billing, as this can affect the financial aspect of your treatment.

Our Insurance Network Status:

Not In-Network: We are not part of most insurance networks. This means that while we provide specialized care, it may not be covered under your insurance plan’s network of providers.

Possible Coverage: While we are not in-network, your insurance plan may still cover some of the services we provide. Coverage varies greatly between different policies and providers.

Superbill Provision: If you choose to seek reimbursement from your insurance, we will provide a superbill after your visit. This document lists the medical codes for the procedures and services we recommend, which you can submit to your insurance provider for potential reimbursement.

Insurance Coverage and Your Responsibility:

Broad Policy Coverage: Insurance policies are generally designed for a broad population and typically cover standard medical procedures applicable to the average patient.

Appealing to Your Insurance Provider: No insurance policy covers everything, but you have the option to appeal to your insurance provider for coverage of specific services. We will support this process by providing the necessary documentation.

Understanding Deductibles and Out-of-Pocket Costs: Even if a service is deemed “covered” by your insurance, you might still be responsible for its full cost, especially if it falls under your deductible. If you haven’t met your deductible for the year, this could mean paying out-of-pocket for services, even after network-negotiated discounts.

Cost of Medication: The cost of prescribed medications is subject to the pricing of pharmacies and the specifics of your insurance coverage policy. We do not have control over medication prices.

Navigating Your Insurance Coverage:

We recommend that you contact your insurance provider prior to your consultation to understand what services may or may not be covered under your plan. Our team at Omega Precision Oncology, Integrative BioOncology, is committed to providing you with exceptional care, and we encourage you to reach out to us if you have any questions or need assistance regarding insurance and billing.