Billing & Fees

In Network Insurance

We are In-Network with the following Insurances:

  • Aetna

  • Ambetter / Coordinated Care

  • Blue Cross/Blue Shield

  • First Choice Health Network

  • Kaiser PPO, Options plans

  • Lifewise

  • Premera Blue Cross

  • Regence Blue Shield

Copays

Copays are due prior to your visit or procedure. Please confirm the correct amount for your current insurance plan. Unless you tell us otherwise, we will charge your copay to the card on file.

We'll collect a credit card to hold on file for your account. Once your insurance has paid, you will receive a notification by email that the payment will be collected in 5 days. You'll receive another notification when the payment occurs and will also receive a receipt by email as well.

While preventive exams (also known as annual visits) are generally covered in full, most other visits will result in a partial payment from your health plan and a partial payment from you.

Out of Network Insurance

Many insurances offer reimbursement for the cost of office visits or procedures even if the physician is not directly in network through a contract. You can learn more about this process here.

Coinsurance

Coinsurance is the percentage of the cost of a covered service that you’re responsible for after your deductible has been met. For example, if your plan has a 20% coinsurance, you’ll pay 20% of the approved cost of the visit, and your insurance will cover the remaining 80%.

Your coinsurance amount is determined by your insurance plan—not by our clinic—and may vary depending on the type of service or procedure provided.

After your insurance processes the claim, we will email you the amount owed and charge the card on file five days later, followed by a receipt for your records.

Deductible

A deductible is the amount you must pay out-of-pocket for healthcare services before your insurance plan begins covering costs. If you have not yet met your annual deductible, you may be responsible for the full cost of your visit—even if we are in-network with your insurance plan.

After each appointment, we submit a claim to your insurance. Once they process it, we’ll notify you by email about any amount you owe based on your deductible. That amount will be charged to your card on file five days after notification. A receipt will be emailed to you once the payment is completed.

We encourage all patients to check their current deductible status by logging into their insurance member portal or contacting their insurer directly before appointments.

Non Covered Facility Fee

AceMed Seattle has joined a movement among small practices intended to protect our way of providing care. We have instituted a Non-Covered Services Facility Fee for all patients in the practice as of June 1, 2025. This out-of-pocket monthly or per-visit fee helps cover the cost of administrative and care coordination services we provide that unfortunately are NOT covered by your insurance. This is a hybrid approach, as we WILL continue to bill insurance as we always have for the health care services that they cover and have instituted the Non-Covered Services fee only for services they won't. Learn more about it here.