Billing and Insurance Information
We're excited to have you to Ability Health and Rehabilitation! We believe in transparent and clear communication regarding your financial responsibilities and how we work with various payment options. This section outlines key information about insurance, billing practices, and appointment guidelines to ensure a smooth experience for all our patients.
Understanding Your Financial Partnership in Care
At Ability Health and Rehabilitation, our primary focus is on your well-being. We want to ensure you have a clear understanding of how payments and insurance interact with your treatment plan.
Your Insurance
Your insurance is a direct agreement between you and your provider. While we help with claims, you are responsible for all charges for services rendered.
What We Do
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File insurance claims as a courtesy
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Verify your benefits (not a guarantee of payment)
Your Responsibilities
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Contact your insurance company to understand your plan’s coverage, limits, and exclusions
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Pay all charges within 30 days of service
Out-of-Network & Surprise Billing
Out-of-Network Providers
Providers without a contract with your plan.
Balance Billing
Out-of-network providers may bill you the difference between their charge and your plan’s payment — often more than in-network rates.
Surprise Billing
Unexpected bills from out-of-network providers at in-network facilities or during emergencies.
Protections Include
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Emergency care: You pay in-network rates
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Non-emergency care at in-network facilities: Protected from balance billing
Accepted Insurance Plans
If you don't see your insurance below please contact us, if we are not currently in network with your insurance we will do our best to credential with your insurance so that you can receive the care you need and deserve!. We accept major plans, including:
Idaho Medicaid
True Blue
Blue Cross
BPA/Select Health
Tricare
And others
No Insurance?
Affordable self-pay rates available — call (208) 333-9578 for details.
Payment Options
Accepted Payment Methods
Cash
Cashier’s/Certified/Personal Checks
Credit/Debit Cards
Money Orders
Policies
Co-pays due at time of service
Self-pay: full payment at appointment
$20 fee for returned payments
Medical records will not be released if your account has an outstanding balance
Appointments & Cancellations
Policy Overview:
24-hour notice for cancellations
$50 fee for missed/late cancellations
We’ll call to confirm appointments — but it’s your responsibility to keep track
Provide numbers where we may leave appointment messages
Prescription & Consultation Fees
Fees Apply For:
Phone consults (lasting as long as an appointment or involving medication changes): $35
Controlled medication prescriptions requested outside appointments: $10
The No Surprises Act
Effective January 1, 2022
Protects You From:
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Balance billing for emergency services
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Balance billing at in-network hospitals for out-of-network provider care
If You’re Wrongly Billed:
Contact 1-800-MEDICARE (1-800-633-4227) or visit cms.gov/nosurprises
Good Faith Estimate
For uninsured or self-pay patients, you have the right to receive a Good Faith Estimate before care.
Key Points:
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Provided at least 1 business day before scheduled services
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Available upon request before booking
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Keep a copy — you can dispute bills $400+ over your estimate
Insurances
OPTUMHEALTH BEHAVIORAL SOLUTIONS
MAGELLAN CARE MCO
BLUE CROSS OF IDAHO
MEDICARE -IDAHO
MOLINA HEALTHCARE OF UTAH
MOLINA HEALTHCARE OF IDAHO
REGENCE BLUE SHIELD IDAHO
SELF PAY
UNITED HEALTHCARE
PROBONO
SELECT HEALTH UTAH
AETNA
TRICARE WEST
UNITED HEALTHCARE
CHAMPVA -HAC
AARP-MEDICARE SUPPLEMENT -UNITEDHEALTHCARE INSUCANCE CO
CIGNA
HEALTHCOMP INC
FIRST CHOICE HEALTH NETWORK
PACIFISOURCE HEALTH PLANS
ST.LUKES HEALTH PLAN
MERITIAN HEALTH
MOLINA-MOLINA HEALTHCARE DUAL OPTIONS MMP
VA FEE BASIS PROGRAM
MODA HEALTH (FORMERLY ODS HEALTH PLAN)
UMR-HARRINGTON
HUMANA MEDICARE ADVANTAGE
MERITAIN HEALTH
SANFORD HEALTH PLAN
BOON CHAPMAN ADMINISTRATORS, INC.
UNITED HEALTHCARE
STARMARK
UMR-WAUSUA-UHIS
ALLEGIANCE BENEFIT PLAN MANAGEMENT INC.
BLUE CROSS CLUE SHILED PLAN MANAGEMNT (ANTHEM)
MOUNTAIN HEALTH CO-OP
AARP MEDICARE ADVANTAGE
UNITED MEDICAL RESOURCE, INC (UMR)
BENEFIT ADMINISTRATICE SYSTEM (BAS HEALTH)
MAYO CLINIC HEALTH SOLUTIONS
ALLIED BENEFITS SYTSEM LLC
HEALTHCARE MANAGEMENT ADMINISTRATORS (HMA)
CIGNA-PPO
UMR
UNIFIELD LIKE
FFRINGE BENEFIT GROUP
UNINFIED LIFE
HUMANA BEHAVIORAL HEALTH (FORMERLY LIFESYNCH)
OPTUMHEALTH BEHAVIORAL SOLUTIONS
UNITED OF OMAHA
HEALTH PLANS, INC.
CIGNA HEALTH AND LIFE INSURANCE COMPANY
KEY BENEFITS ADMINISTRATORS
AARP MEDICARE SUPPLEMENT PLANS INSURED BY UHIC
BLUE CROSS CLUE SHIELD OR NORTH CAROLINA
TriWest CCN Region 4
AARP MEDICARE HEALTH PLAN
UNITED HEALTHCARE INSURANCE COMPANY AND ITS AFFILIATES
UNITEDHEALTHCARE INSURANCE COMPANY INC
UNITEDHEALTHCARE SHARED SERVICES
UNITED BEHAVIORAL HEALTH
OptumHealth / OptumHealth Behavioral Solutions of NM
Select Health of Utah
UNITED HEALTH CARE OF MARYLAND
MEDICARE -IDAHO (Noridian)