Out of Network Billing

Why is Carbon Health out-of-network with my plan?

Out-of-network service and benefit coverage can vary based on contract status, geographic location, or the type of care visit (urgent or primary). While we are contracted with most insurance carriers, PPOs, and Medicare, we always recommend giving your health insurance plan provider a call to confirm your coverage and benefits. The number can be found on your plan card.

My plan has coverage for out-of-network services. Why do I have to pay up-front?

We always suggest checking with your insurance company about your out-of-network coverage and benefits before seeking care. Our policy is to estimate your payment by charging our flat self-pay rate for your treatment prior to the visit. You can check out our flat self-pay rates at https://carbonhealth.com/insurance-pricing (opens in a new tab) or inquire at the front desk before we request payment for your visit.