Insurance

Do you take my insurance?

DeFatta Health participates with the following health plans*:

*To receive maximum benefits it is important for you to contact your insurance company to identify providers who are in network for your plan.  The phone number for your insurance company is usually on the back of your insurance card.  If you have benefit or coverage questions, contact your insurance company directly.  If you need assistance in contacting your insurance company, please let us know, and we will assist you in facilitating this discussion.

Why didn’t my insurance company pay in full?

Charges may be applied to your deductible, copay or coinsurance; charges may not be covered under your benefit plan; coverage was not active at the time of services; or your insurance company may need additional information from you. Please review your EOB (Explanation of Benefits) for information regarding the amount you owe, and call your insurance company or our Billing Specialists if you have any questions or concerns.

Will Medicare cover my entire bill?

Medicare usually pays 80 percent of the allowed amount for covered services after the annual deductible is met. 

What if my visit is because I was injured at work?

When you schedule your appointment or check in, please notify us, and we will bill your employer or workers’ compensation for your services.  You should notify your employer of the injury, or they may deny your workers’ compensation claim.

Can you bill my auto accident/liability insurance?

There are some instances where we can bill your accident/liability insurance.  Please present your information when you check-in and our billing team will investigate if we can bill the third party.

Still have questions? We are here to help you through any billing questions may have. Please do not hesitate to contact us at (715) 828-2368.