Insurance Coverage

Unlike in-network doctors, out-of-network doctors are not contracted with health insurance companies. Doctors contracted with insurance companies follow insurance company “reasonable and customary” guidelines that determine the type of coverage they provide for different types of services.

Though there are cases where health insurance companies will help cover the cost of your out-of-network doctor’s visit, in many cases they pay less for treatment with an out-of-network doctor, depending on what is being treated.

In-network doctors are limited to treat only what health insurance companies deem “reasonable and customary.” This often leaves patients with 10-minute visits and a prescription to treat symptoms.

As an out-of-network practice, our team of specialists can take the time necessary to listen to patient concerns in order to treat the root of the problem and not just the symptoms. At Maze, we take a holistic approach, addressing both physical and psychological issues, without “reasonable and customary” restrictions by insurance companies.

Our team of billing specialists will do an immediate insurance check and thorough benefit review online. Our specialists take the time to contact your insurance company and verify your out-of-network benefits for you. All we need is the provider’s phone number on the back of your insurance card, your ID number and date-of-birth. 

Note, primary insurance with EPO or HMO plans and secondary insurance through Medicaid/Medicare do not carry out-of-network benefits.

You can still be seen at our practice as a self-pay patient, even if you do not have out-of-network benefits or don’t have any health insurance at all.

We take the time to review the claims until everything is finalized to help resolve any nonpatient related insurance issues, including filing appeals.