CARE COVERAGE AND ENROLLMENT FAQs
Do you accept or bill private or government-based insurance?
No. We do not accept or bill to any insurance or third-party payers. In addition, we are not a participating provider for Medicare/Medicaid and such patients will need to sign a waiver of acknowledgment.
Does my membership serve as insurance?
No. Your Heightened Health membership does not serve as health insurance.
Do I still need health insurance?
Health insurance is important to help cover unforeseen, catastrophic medical events and complicated/costly medical procedures and tests. We recommend that you talk to your insurance advisor to determine the best plan for you and/or your family.
Will you bill my insurance for any out-of-pocket costs?
Again, we do not bill a patient’s insurance for any reason. You will receive an electronic invoice for all monthly membership fees, fee-for-service visits, labs, supplements, and supplies. You may choose to submit these invoices to your insurance on your own. Note that monthly membership charges do not include a specific visit date or ICD-10 codes.
Do my enrollment or monthly membership fees count towards my deductible and/or are they covered by my insurance/FSA?
Please check with your insurance carrier, regarding your specific health plan coverage details.
Can I use my HSA account to pay for my enrollment or monthly membership fees?
Please check with your tax consultant or accountant. Currently, the IRS does not allow HSA dollars to be used for charges not associated with a face-to-face medical visit, such as membership fees.
Can I use my HSA/FSA accounts for supplements, labs, or fee-for-service visits, if incurred?
Yes. You may keep more than one billing account on file. However, you must inform us at the time of service as to which account you would like us to charge. For further questions, please contact your HSA/FSA account administrator.
Can I still use my insurance if I require an ER visit, hospitalization, imaging study, or specialist?
Your individual health insurance coverage remains unchanged as a Heightened Health member. You will need to contact your insurance company to determine your in-network, out-of-network, and out-of-pocket benefits if hospitalization, ER visitation, imaging study, or specialist evaluation is needed.
Can I use my insurance for conventional lab tests?
While Heightened Health has negotiated significant cash-pay discounts for the most common conventional labs, you may choose to have the lab bill your insurance directly at the retail price. Whenever possible, lab pricing will be transparent for cash-pay members.
Can I use my insurance for expensive labs, non-negotiated labs, or Advanced Functional Labs?
For expensive labs, those without a negotiated price, or Advanced Functional Labs, Heightened Health will draw and submit the specimen on your behalf. The lab will then bill your insurance directly. Advanced Functional Lab companies have their own fee schedules and may require further out-of-pocket costs. Whenever possible, we will provide their fee schedule for the recommended test.
What if I want to cancel my membership?
You may cancel your Heightened Health membership at any time with written notice (portal communication is preferred for documentation purposes). Please note that your initial enrollment fee and final month membership fee are neither prorated nor refundable.
Can I re-enroll after previous membership cancellation?
Dr. Caccopola will consider your re-enrollment request on a case-by-case basis. If more than 12 months has lapsed from prior cancellation, then a re-enrollment fee will be applied.