Insurance Disclaimer Understanding Your Coverage

At the Center for the Functional Restoration of the Spine, we prioritize your well-being and aim to provide clarity on how insurance plays a role in your orthopedic care. We are in-network for Horizon Insurance subscribers, but we also provide concierge-level care for those who are out-of-network but wish to access the gold standard of care at our Edison, Shrewsbury, and Toms River, NJ offices.

Verifying Your Coverage Working Together to Ensure Your Peace of Mind

Before embarking on your treatment journey, we are happy to help you verify your insurance coverage to gain a clear understanding of what your policy includes.

In-Network Providers Maximizing Your Benefits

We are proud to be in-network with various insurance providers, including Horizon Blue Cross Blue Shield. Choosing an in-network provider often results in reduced out-of-pocket expenses for patients.

If you are covered by an insurance provider that we have partnered with, we will work closely with you to ensure your care is as cost-effective as possible. Please reach out to us to confirm if your insurance plan falls under our in-network providers.

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Out-of-Network Services Accessible High-Quality Care

For patients with insurance plans not in our network, we still make high-quality orthopedic care accessible.

While out-of-network services may involve different coverage rates, our commitment to providing exceptional care remains unwavering.

We believe that your health should not be compromised due to insurance limitations, and we work with you to explore viable solutions for treatment.

Understanding Your Benefits Empowering You with Knowledge

We encourage you to review your policy and reach out to your insurance provider directly for detailed information about your coverage. It's important to familiarize yourself with key insurance terms such as:

Deductible

The amount you must pay out of pocket before your insurance coverage begins.

Co-Pay

A fixed fee you pay for specific medical services or prescription drugs.

Co-Insurance

Your share of the costs of a covered healthcare service, calculated as a percentage.

Out-of-Pocket Maximum/Limit

The maximum amount you will pay for covered services during a policy period.

Questions About Pre-Authorization and Referrals Navigating Pre-Treatment Requirements

Some insurance plans may require pre-authorization or referrals for certain medical services. To ensure a seamless experience, we recommend verifying with your insurance provider whether your treatment at our facility requires any pre-authorization or referral documentation. Our team is available to assist in this process and provide the necessary information to your insurer.

Billing and Payment Options Transparency and Support

We strive to maintain transparency throughout the billing process and provide comprehensive support to our patients. Our billing department is readily available to address any questions or concerns you may have regarding invoices, payment options, and insurance claims. We work diligently to ensure that you have a clear understanding of your financial responsibilities.

Contact Us for Guidance Your Trusted Resource

If you have any questions or require assistance with insurance-related matters, please don't hesitate to contact us. Our knowledgeable team is here to serve as your trusted resource, providing guidance, answering your queries, and working diligently to facilitate your access to exceptional orthopedic care.

Your Well-Being Matters Most Partnering in Your Health Journey

Your well-being remains our top priority. We understand that each patient's insurance situation is unique, and we are committed to partnering with you to find the best possible solutions.

We believe that access to high-quality orthopedic care should be within reach for all our patients, and we will continue to support you every step of the way.

We thank you for entrusting the Center for the Functional Restoration of the Spine with your orthopedic care needs and look forward to assisting you in your journey to recovery.