Insurance Changes with Highmark and BCBS

We are going to be considered “out of network” with Highmark and BCBS as of July 1, 2023.

Many aspects, and lots of time went into this decision but the main reason for making this change is quality of care. Insurance companies add more and more restrictions with less benefits for the member every year. They do not pay anything towards wellness care and put that on the patient to pay out of pocket (cash prices) to maintain their health. This becomes a problem because I have to follow their rules when “in network” with them and their rules do not align with what is best for you, the patient, and aligns with their business and financial priority instead. My priority is always going to be YOU and what YOU need to heal and reach your health goals, not what some stranger at an insurance company says is allowed.

How will this affect you?

For many of you, this will have zero affect. Anyone who is already under wellness care, paying cash prices will see no changes. Anyone who is a newer patient in their initial care plan will see no changes as well. The prices quoted in your report of findings visit will remain the same.

For the very small, 3% of current patients this will affect, Dr. Tiffany will have a one on one conversation with you. There will never be any surprises when it comes to your financial responsibility. We pride ourselves on being transparent, up front and open about all aspects of your care here.

Any new patients who start care with us after July 1, 2023 will have the option to submit a superbill on their own to receive possible reimbursements directly from their insurance company. This is an option we have always had for any patient who has an insurance company we are not “in network” with.

As always, if you have any questions about these changes please reach out to us or speak with Dr. Tiffany at your next visit. We will do everything we can on our end to make this transition seamless!

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