Cornerstone's
Frequently Asked Questions

Insurance Frequently Asked Questions
Every insurance company is different and has different plan types that will determine your coverage. We provide service estimates to help determine what the out‐of‐pocket expense might be, but we cannot guarantee that the final amount will be the same as quoted.
For a more in-depth explanation of your benefits, please discuss with our administrative staff for your individual detailed coverage for your care.
Health insurance deductibles are total amounts owed by the patient/individual before the insurance plan starts paying their portion. This amount renews every year. This could be based on the calendar year or by a specified renewal date with your insurance plan.
Your deductible is your financial responsibility until the total amount is met. This could be met at our facility, or a different provider’s office. Each plan has certain services that will go towards your deductible amount.
We do not take Copays at Cornerstone, we collect Deductible and Coinsurance amounts.
Copay – a payment made by a beneficiary (especially for health services) in addition to that made by an insurer.
Coinsurance – Coinsurance is usually expressed as a percentage of the value or the bill that the insured must pay after meeting the deductible.
The deductible is the amount that the insured pays before the insurance company starts to share the cost.
Example – Medicare’s coinsurance is 80/20. They will cover at 80% once the deductible of $240.00 is met
Cornerstone will appeal any denial on behalf of the patient. We work closely with physicians and provider relations to ensure we have the proper documentation needed to uphold payment for your claim.
We will have you sign an “appeal consent form” for your specific health insurance company for us to be authorized to appeal on your behalf.
Note: This does not apply to all insurance companies or devices. Limitations and exclusions do apply.
Yes, we accept all insurance companies.
This is not a guarantee that your insurance company will pay.
Insurance Companies we accept – Note: This is not an all-inclusive list, if you do not see your insurance on this list, double check with our administrative staff to confirm if your insurance is accepted.
AMERIGROUP, AETNA, CHPW, CIGNA, GEHA, MEDICAID OF WA, COORDINATED CARE, FIRST CHOICE, HUMANA, MEDICARE, UNITED HEALTH CARE, LIFEWISE, REGENCE, MOLINA, PREMERA, REGENCE, TRICARE, PROVIDENCE HEALTH PLANS, LNI – STATE, FEDERAL, SELF-INSURED, CRIME VICTIMS, PERSONAL AUTO INSURANCE, UMR, TRIBAL, WELLCARE, VETERANS AFFAIRS, KAISER, OUT OF STATE BLUECROSS BLUESHIELD, MEDICARE SUPPLEMENT PLANS
Patient Frequently Asked Questions
Adjustment coverage is based on the original device coverage.
Example – If your insurance denied the original device, they will deny any follow up adjustments
We provide warranty adjustments and repairs up to 90 days following the delivery of your custom device. If your device was provided over 90 days ago, then your insurance may be billed for parts and labor.
We provide warranty adjustments and repairs up to 30 days following the delivery or your prefabricated device. If your device was provided over 30 days ago, then your insurance may be billed for parts and labor.
The time frame from when you are casted for your device and when you are seen for delivery can vary due to a variety of variables. We may be working on getting physician notes, insurance authorization, or waiting for parts to arrive from a vendor/manufacturer before we can fabricate and deliver your device.
Medicare and many other insurance companies require the physician to have detailed notes on the medical necessity for your device. This process can take time especially if we need to request the physician go into greater detail on why your device is needed to meet the standards set by Medicare.
This is something administrative staff will initiate the process of obtaining, but in some cases, we may need assistance from the patient to get the proper documentation sent over to us to finalize your care.
Currently, masks are not required by patients or staff members. It is based on personal preferences if you choose to wear a mask during your appointment, and you can request your practitioner to also wear one if that would make you feel more comfortable and at ease during your appointment.
For staff members, if we are feeling unwell or have recently been traveling, we will wear a mask for a week upon returning to the office to avoid the spread of any germs or sickness.