Our Coaching Clinics do not use medical diagnosis or medical therapies to shape the care plan, but rather a conversation and collaboration to support and facilitate personal/professional growth, aligned with the ethical and professional standards of the International Coaching Federation.
Because a medical diagnosis and medical interventions are required for submitting services to health insurance, coaching is not eligible for insurance reimbursement. As a wellness service, its eligibility for healthcare spending accounts is subject to compliance with IRS guidelines and restrictions, the understanding of which is the full responsibility of our clients.
Our Health Care Clinics do not participate with insurance panels or Medicaid, and full payment is due at the time of service at the rates listed on our fee schedule. When medical services with a medical diagnosis have been provided, we have itemized receipts with billing and diagnostic codes available for clients, if reimbursement from insurance companies or documentation for healthcare flexible spending accounts is being sought.
Our patients are strongly encouraged to speak with their insurance companies in advance of scheduling their first appointment, so that they are aware of their policy requirements and limitations (contact information will be on the back of the insurance card). Your insurance provider may have restrictions for mental health or specialty medical services, or may require a referral from your primary care physician before you initiate health care at Virtue Medicine.
If you are uncertain about your health insurance coverage policies, it may be helpful to ask your insurer these questions:
Do I have out-of-network benefits to see a doctor whose office practice is not on your doctor panel?
Do I need my primary care provider to refer me to see an out-of-network doctor before I am eligible for reimbursement?
Do I have a deductible that I have to meet before being eligible for reimbursement?
How much will I be reimbursed for each appointment?
Are there limits to the number of sessions I can submit for reimbursement in a calendar year?
What steps do I need to follow to apply for reimbursement?
Please be aware that there are insurance companies that may list our doctors by name as participating providers due to previous or ongoing work with other health care organizations. Our doctors’ clinics at Virtue Medicine do NOT participate in any insurance panels, and companies that provide contrary information to their policy-holders or the public are in error.
Patients will want to be sure they understand their insurance policy provisions for NON-PARTICIPATING PROVIDERS, as this is the status that is applicable to all of our doctors’ health care practices at Virtue Medicine.