No. The recurring membership fee is cash-only and is not billable to any third-party payor.
No. Under current law, membership and/or “concierge” fees are not reimbursable with the funds in an HRA plan. Please contact your local, state, and federal representative(s) to push for the necessary legal changes to allow these fees to be reimbursed under HRA plans.
Yes. We have families using an HSA credit card for the payment of their membership fees. We advise you to consult with your plan’s sponsor to verify that membership or “concierge” fees are payable under your plan’s rules, and know that you are solely responsible for your decision to use an HSA credit card for the payment of membership fees.
It’s important you understand how your card works, especially when funds are available for use each month. Know when funds are available, and select a start day-of-the-month for your membership to avoid payment failures because of insufficient funds. Recurring payment failures may result in cancellation of your membership.
Yes. You may use your “insurance” for services rendered by providers outside of our office, e.g. lab testing and diagnostic imaging. We can keep your policy information on file for inclusion in the prescriptions, orders, and referrals we write for services not provided by us.
If you do choose to use your insurance for an outside service, it is imperative that you understand your policy’s coverage terms. Your third-party payor or your specific policy may not cover services ordered by an out-of-network provider. Vibrant Kids Pediatrics is not an in-network provider. Vibrant Kids Pediatrics is not responsible for any out-of-pocket costs you incur by using your insurance to pay for any service prescribed or referred by us. You are solely responsible for understanding your policy’s coverage terms.
There is no turning back once a claim is filed by an outside provider for any service(s) they rendered to you. You will pay your third-party payor’s negotiated price for any out-of-pocket costs. For example, you cannot have a claim filed for lab services, not like the insurance price, and then come back to us asking to pay our negotiated DPC price—you are stuck paying the outside provider at your payor’s negotiated price.