Health Insurance FAQs

A1: The cost of your medical services is billed to your insurance company. Your insurance company determines what portion of the costs you are responsible for, and we will only send you a bill for what the insurance company determines is your responsibility for the treatment in question. 

A2:  We are in-network with most PPOs (Preferred Provider Organizations) and Medicare (please see below for a complete list as of Jan. 5, 2022). We bill according to the insurance contract that you purchased. Depending on your chosen plan, you may have a responsibility for deductibles, co-insurance, and/or copays. If you’d like, we can schedule time for a financial consult in order to go over those prices in more detail (email billing@rhealthc.com with your preferred dates and times for a financial consult appointment and we will be in touch).

A3: Don’t panic just yet! When we’re working with patients to turn around chronic illness, it takes time. Depending on your plan and what part of the calendar year it is, you may need to evaluate if you want to go all in and meet your deductible sooner rather than later on, when the insurance should begin contributing as well. 

A4: Due to this industry, we cannot pin down your exact financial responsibility. However, we are on the same side of the table, and we will always work with you. 

As of January 8, 2024, Restoration Healthcare is considered in-network with the following health insurance plans:

• Blue Shield of California PPO
• Anthem Blue Cross PPO
• United Health Care (UHC) PPO
• Cigna PPO (Limited to office visits only; all other services are cash)
• Original Medicare PPO
  • We do not accept Medicare Advantage plans

Please contact the customer service department (found on the on the back of your health insurance member identification card) to confirm if you have in-network access to Restoration Healthcare, as well as your benefit level, for care provided by Restoration Healthcare.

Medi-Cal offers free or low-cost health coverage for California residents who meet certain eligibility requirements. Restoration Healthcare is not among the approximately 130,000 doctors and other healthcare providers who participate in the Medi-Cal, Cal-Optima, or IHP Medi-Cal programs.

Restoration Healthcare cannot accept Medi-Cal, Cal-Optima, or IHP Medi-Cal cash payments from patients covered by Medi-Cal, Cal-Optima, or IHP Medi-Cal.

Restoration Healthcare is not able to accept patients who have no acceptable insurance and can only make cash payments.