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Cornerstone's
Frequently Asked Questions

Cornerstone Running Man
  • How much will my health insurance cover?
    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.
  • What is a deductible?
    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. 
  • What is the difference between copay vs coinsurance?
    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
  • Will I owe any money up front?
    Custom devices are fabricated specifically for an individual and cannot be returned and fit to any other person. For this reason, we will ask for a 50% down payment as we begin the custom fabrication process.  
  • What if my health insurance company denies my claim?
    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.
  • Do you take my health insurance?
    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
  • How much will my health insurance cover?
    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.
  • What is a deductible?
    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. 
  • What is the difference between copay vs coinsurance?
    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
  • Will I owe any money up front?
    Custom devices are fabricated specifically for an individual and cannot be returned and fit to any other person. For this reason, we will ask for a 50% down payment as we begin the custom fabrication process.  
  • What if my health insurance company denies my claim?
    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.
  • Do you take my health insurance?
    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
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