Why didn’t my insurance cover this?

A message appears on the patient statement indicating the reason the service was not covered. The reason on the statement is the same reason given by the insurance carrier. Typical reasons for non-coverage are deductible, co-insurance, and not covered by plan. It is the patient’s responsibility to pay the doctor for these items. In general, insurance plans do not pay 100% of services. Patients should contact their insurance carrier if they have questions about their coverage. The patient’s benefit booklet also details coverage for different types of services. On occasion, the insurance carrier may have made an error, the patient or policy holder must contact the insurance carrier to inquire about benefit application.