Determination of insurance Coverage
Coverage for Telehealth visits varies greatly by insurance plans. Furthermore, some insurance plans cover Telehealth visits but only with their exclusive contracted provider . It is solely the patient’s responsibility to check with their insurance plan to determine if a Telehealth visit provided by Gilleon Health will be covered.
Timing of payment
Gilleon Health requires that a valid debit or credit card be entered into the Telehealth platform before an appointment begins. The patient has the responsibility to select the option within the platform that instructs Gilleon Health to bill the patient at the discounted self-pay rate or to bill the patients insurance at the customary rates.
Should the patient choose the discounted self-pay option, Gilleon Health will charge the card for the full amount of the visit, immediately upon completion of the visit or shortly thereafter.
Should the patient choose the option instructing Gilleon Health to bill their insurance, Gilleon Health will attempt to bill the insurance as a courtesy. However, immediately upon completion of the visit or shortly thereafter, Gilleon Health will charge the card for any copays that are known to apply. Furthermore, Immediately upon being notified by the insurance or shortly thereafter that part or all of the visit is not covered, Gilleon Health will charge the card for any charges not covered by the insurance. Such charges include but are not limited to copays, coinsurance, deductibles, out-of-network denials and services not covered denials.
Missed and/or Late appointments
If a patient cancels their appointment less than 3 hours before the scheduled start time or is not signed into the platform and able to start the appointment within 5 minutes of the scheduled start time, Gilleon Health will immediately or shortly thereafter charge the card a $35 fee for “No Show Fee”.