Billing & Insurance
At the Achilles Neurology Clinic, we operate on a unique concierge fee-for-service model as out-of-network providers. This model is designed to provide the highest quality neurological care without the usual insurance constraints. We prioritize spending quality time with each patient and delivering personalized care that simply isn't possible in conventional insurance-based practices.
Our out-of-network status allows us to focus entirely on your neurological needs rather than insurance requirements. While we don't participate directly with insurance networks, we provide detailed documentation to help you seek reimbursement from your insurance provider.
Below, you'll find detailed information about our billing practices, how out-of-network coverage works, and the significant benefits our concierge model offers to patients seeking exceptional neurological care.
Our Concierge Fee-For-Service Model
We've chosen a fee-for-service model to provide exceptional neurological care without the constraints often imposed by insurance networks. This allows us to:
- Spend more time with each patient - We dedicate the necessary time to understand your unique neurological concerns without rushed appointments
- Deliver comprehensive, thorough assessments - Our evaluations are more detailed than what's typically possible in insurance-based practices
- Provide direct access to your neurologist - Experience concierge-level communication and care coordination
- Focus entirely on your needs - Rather than insurance requirements or quotas
- Offer personalized treatment plans - Tailored specifically to your condition and circumstances
We require payment in full at the time of service. Before each appointment, we provide a clear cost estimate so you'll know exactly what to expect.
Our patients find that the investment in expert neurological consultation often leads to more accurate diagnoses, more effective treatment plans, and better outcomes—ultimately providing tremendous value and peace of mind.
- All Insurance Plans
- Out-of-Network
- Concierge Care Model
- Personalized
- Transparent Billing
- 100%
Insurance & Reimbursement
As an out-of-network provider, we don't participate directly with insurance companies, which allows us to focus entirely on providing exceptional care. Here's what you need to know about potential reimbursement:
How Out-of-Network Reimbursement Works
After your appointment, we'll provide you with a detailed superbill that includes all the necessary medical codes, diagnosis information, and service details. You can submit this documentation to your insurance company to request reimbursement according to your out-of-network benefits.
Potential reimbursement depends on several factors:
- Your specific insurance plan's out-of-network coverage
- Whether you've met your annual deductible
- Your plan's coinsurance percentage for out-of-network care
- The specific services provided during your appointment
Many PPO plans offer partial reimbursement for out-of-network services. We encourage you to contact your insurance provider directly to verify your specific out-of-network benefits, including what percentage they might reimburse after your deductible is met.
Submitting Your Superbill
The process for submitting your superbill is straightforward:
- Pay for your appointment at the time of service
- Receive your detailed superbill from our office
- Submit the superbill to your insurance company (usually through their online portal or by mail)
- Your insurance company will process the claim and send any applicable reimbursement directly to you
Our staff is happy to provide guidance on this process, though the actual reimbursement decision remains between you and your insurance provider.
The Value of Concierge Neurological Care
When considering the cost of our services, many patients find tremendous value in our concierge approach:
- Thorough, Unrushed Consultations: Your initial evaluation typically lasts 60 minutes, allowing for comprehensive assessment that often leads to more accurate diagnosis
- Direct Access to Your Neurologist: Enjoy enhanced communication without the frustrating barriers common in traditional practices
- Reduced Need for Multiple Appointments: Our thorough approach often allows us to address complex issues more efficiently than multiple abbreviated visits elsewhere
- Personalized Care Plans: Treatment recommendations tailored specifically to your unique situation rather than one-size-fits-all approaches
- Coordinated Care: We collaborate with your other healthcare providers to ensure a cohesive approach to your neurological health
While there is an upfront investment, many of our patients find that the quality of care, accurate diagnoses, and effective treatment plans provide exceptional value and ultimately better outcomes.
Payment Plans & Financial Options
We recognize that healthcare expenses can be a concern and are committed to making our services as accessible as possible. For patients who need additional flexibility, we offer:
- Pay-Later or Pay-in-Installments: In partnership with payment providers (like Affirm or Klarna), you can spread out the cost of your visits over multiple installments. This helps reduce the upfront financial burden.
- Financial Assistance: If you're experiencing economic hardship, contact us to discuss flexible payment arrangements. We'll work with you to find a plan that makes sense for your situation.
If you have any questions about our concierge care model, the superbill process, or payment options, please reach out to us at the Achilles Neurology Clinic. We're here to help you feel comfortable and confident about every aspect of your care.
Phone: (310) 774-7025 | Email: info@achillesneurology.com