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Are Treatments Covered
by Insurance?  

Ketamine Treatments may not be covered by insurance, but we are happy to bill your insurance in an attempt to recoup as much of the cost as we can!​

 

Insurance Plans Currently Being Accepted.
(Medicaid Not Accepted.)  

Accepted Insurances
Insurance Limitations

Insurance Rates are negotiated on a case-by-case
basis depending on many factors.
Your insurance company pays for the services based on your specific plan, your deductible,
your copay, and/or co-insurance.

Financial Agreement for Ketamine Infusion Services

  1. Choose whether you would like us to bill insurance or not.  Some people do not want insurance to be billed for privacy reasons, or may not have insurance or be insured by Medicaid.

 

If you would like us to bill your insurance then you will be asked to agree to the following terms:

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  • Upfront Payment:

    • Agree to pay the discounted cost of treatment which is listed on our website at NorthIdahoKetamine.com. This payment is required prior to the provision of any services by the Provider and is the maximum a ketamine treatment will cost unless changes are posted to the website in which case we will provide a 30 day notice of price change.

 

*Please note that we are billing your insurance as a courtesy in an attempt to decrease the cost of treatment to you.  There is no guarantee that your insurance will cover these services as Ketamine is only FDA approved for anesthesia.​

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Agreement Details:

 

  • Provider's Responsibilities:

    • The Provider will submit the necessary claims to the Patient's insurance company in a timely manner.

    • The Provider will inform the Patient of any amounts reimbursed by the insurance company.​

  • Patient Responsibilities:

    • Due Diligence: The Patient agrees to conduct their due diligence regarding eligibility and coverage for desired services prior to all scheduled appointment(s). This includes verifying with their insurance company whether the services to be provided are covered under their plan.

    • Accurate Information: The Patient will provide accurate and up-to-date insurance information to the Provider.

    • Upfront Payment: The Patient agrees to pay the upfront amount agreed upon before receiving any services.  

 

  • Refund Policy:

    • If the insurance company pays and a refund is do then refund will be processed within 30 days of insurance payment.

 

  • Credit Card Authorization:

    • Credit card information may be kept on file for future transactions related to medical services rendered. I understand and agree that my credit card may be charged for any outstanding balances and that if my card was used to purchase services it will be used to provide refunds for insurance payments.  I acknowledge that I will receive notification of any charges prior to the transaction.  I understand that this authorization will remain in effect until I provide written notice of cancellation.

 

  • Dispute Resolution:

    • Any disputes arising under this Agreement will be resolved through mediation, arbitration, or small claims court as agreed upon by both parties.

 

  • Acceptance:

    • By signing this Agreement, the Patient acknowledges and agrees to the terms and conditions stated herein.

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