PAYMENT

If ever applicable, we request a credit card on file for telehealth visits, incidental charges and missed visit fees. Your card will never be charged without prior acknowledgment from our administrative team. Office visit payments are paid in full at the time of service/appointment day. A $50 service fee and any additional bank fees incurred for bounced checks.

SUPERBILLS/INSURANCE INVOICES

This report will be available after your provider completes your post-treatment patient notes, care recommendations and diagnosis codes. This reporting may take up to 7 business days. Upon request, we are happy to send you a copy of this report through your Fusion Patient Portal located under Invoices and Payments.

HEALTH & MEDICAL FORMS

Fusion IFM does not charge for simple forms presented during your appointment; we will make every effort to complete the document during your session. We charge $15/form for simple forms and letters that are not completed during appointments and that do not require extensive chart review (forms for school, FSA prescriptions, referral forms, school/work excuse letters, jury duty letters, etc.)

Some detailed forms and letters requested by insurance or external sources (i.e. prior authorization, disability, insurance, FMLA, legal documents) may require extensive review of medical records. Fusion may change to complete them in this case, as cited above. You may be asked to schedule an appointment before completing any form if you or your child has not been seen in the previous 12 months.

Please allow 5-10 business days for all complex forms and letters.

OUT-OF-NETWORK PROVIDER

Fusion IFM is an out-of-network provider specialist:

● Fusion Integrative and Functional Medicine is not contracted with any insurance companies. This allows us to provide the kind of personalized service and dedicated time that our patients value and that is integral to holistic healthcare. Being part of an insurance network often means prioritizing high patient volume where doctors see 6-8 patients per hour. Additionally, we would not have the flexibility to offer our patients a therapeutic plan that integrates conventional and alternative approaches.

● Most of our services are covered by PPO-type insurance plans as an out-of-network provider. While there is a wide range of plans and reimbursement rates, most of our patients with PPO-type insurance plans receive reimbursement for 50-80% of our service fees (after any applicable deductibles and/or co-payments have been met). HMO insurance will not typically cover our services.

● Services may apply towards qualified medical expenses if you have a Health Care Reimbursement Account (HCRA) through your employer or a Health Savings Account (HSA). Please check with your insurance company regarding the specific percentages of coverage that apply to your insurance plan and with your employer or accountant for details of your HCRA or HSA.

INSURANCE REIMBURSEMENT

Fusion IFM is an out-of-network provider; all insurance claim and reimbursement processes are the patient’s responsibility. Payment for services is due at the time of the appointment and detailed payment receipts will be provided for each visit, which can be used for reimbursement from your insurance carrier or Health Savings Account (HSA). Fusion IFM will be happy to supply any additional documentation for reimbursement, but we do not directly interact with insurance carriers.