Insurance Information

TRC recommends that all patients contact their insurance providers prior to their first appointment to confirm coverage.

  

Blue Cross/Blue Shield/Federal BCBS –  Nurses Galan, DaRosa-Spillane,  and Gillespie are all BCBS providers.

All HMO plans and some POS plans require referrals for specialists. Please contact your Primary Care Physician to request referrals.

 

AETNA – All Rothfeld Center practitioners are out-of-network providers for Aetna. Payment is required for your first visit and all follow-up visits; we will also bill to Aetna on your behalf for your visits. 

Cigna - All Rothfeld Center practitioners are out-of-network providers for Cigna. Payment is required for your first visit and all follow-up visits; we will also bill to Cigna on your behalf for your visits. 

 

Unicare (GIC) – All Rothfeld Center practitioners are providers for Unicare. 

 

United Healthcare - All Rothfeld Center practitioners are out-of-network providers for United. Payment is required for your first visit and all follow-up visits; we will also bill to United Healthcare on your behalf for your visits.

 

If TRC is billing your insurance provider, please be aware if you have a deductible or other out-of-pocket amounts. Though may not ask for payment up front at the time of the service, you could be billed for amounts that your insurance does not pay.

 

The Rothfeld Center does NOT bill to Medicare, Tufts, Harvard Pilgrim*, MassHealth, Fallon, Commonwealth Care, Network Health, Allways or Neighborhood Health Plan.

*Harvard Pilgrim - Dr. Jennifer Lee is an out-of-network provider for Harvard Pilgrim. Payment is required for your first visit and all follow-up visits; if you are a patient of Dr. Lee, we will also bill to Harvard Pilgrim on your behalf for your visits.

 

Medicare – All Rothfeld Center practitioners have opted out Medicare. Medicare will not reimburse for their visits. In compliance with federal legal guidelines, Medicare patients must sign a waiver stating they will not submit any claims for their services to Medicare.

 

 Insurance coverage for other services

 

Acupuncture benefits are available with some insurance plans; call your insurance if you think this may be the case. Otherwise, acupuncture is not a covered service. Other services such as nutrient infusions or chelation are not covered. Nutritional and herbal products are generally not covered under pharmacy benefits, though certain Flexible Spending Accounts (FSA) or Health Savings Accounts (HSA) may allow supplement purchases from a doctor’s office. Please check with your FSA or HSA account for their specific terms.

 

Blood labs and specialty kits are not billed through TRC.

 

If there are additional questions, call our Billing Manager, Stephanie Foster, at 781-736-1901 ext 343.

 

465 Waverley Oaks Rd, Ste 201, Waltham, MA 02452

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