Member financial policy

Welcome to Bend Health! We are happy you have chosen us as your Care Provider. Our mission is to provide high-quality professional medical care and member satisfaction. To avoid confusion and meet our mission goals, Bend Health wants to make members' financial responsibilities clear and easy to understand.

This form outlines our financial policy for the Virtual Intensive Outpatient Program.

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Virtual Intensive Outpatient Program

Payment Responsibility

Members or their legal representatives are responsible for charges for services rendered. Payment is expected at the time of service for all charges incurred for the current visit as well as any outstanding balances. For Insurance Plans that do not provide immediate member responsibility information, settlement of your outstanding balance can be accomplished via the credit card you have placed on file in your member account.

We will charge your credit card on file for the outstanding balance you owe as soon as your Insurance Plan confirms your member responsibility. If the credit card on file is not able to satisfy your member responsibility with Bend Health, an invoice with the outstanding balance will be sent to you. Payment will be due upon receipt of the invoice.

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Types of Member Payments

Insurance plans vary from member to member and service to service. Bend Health makes every attempt to verify member responsibility so that you are aware of out-of-pocket costs before being seen. Ultimately, though, your insurance contract is between you and your insurance plan. Therefore, Bend Health cannot be held liable for unexpected member costs dictated by your insurance plan’s contract with you. If you have any questions regarding your contractual payment obligations, please contact your insurance plan directly.

To help you understand the types of charges, you may see from Bend Health, and we have provided definitions and examples of different types of member payment scenarios. All numbers used in these scenarios are examples, not actual amounts.

• Co-Payments: This is a specific dollar amount set by your insurance plan, which you are required to pay for each visit with your Bend Health Care Provider. Payment in most cases should be made prior to seeing your Provider.
  
  • Example: Your health plan allows $100 for your visit with us; you have a $30 copay as set by your insurance plan. You would pay Bend Health your $30 copay, and your insurance plan would cover the remaining $70 (payable to Bend Health) to equal the $100 allowed amount.
• Deductibles: This is the amount a member needs to pay out-of-pocket before their insurance company covers any expenses.
  
  • Example: A member has a $1,000 deductible as set forth by your insurance plan. Your insurance plan allows $100 for your visit with us. You, as the member, would be responsible for paying that $100 for every visit until you have reached your $1000 deductible.
  • NOTE: Deductibles are met through any services covered by your Insurance Plan, not just the services with Bend Health.
• Co-insurance: This is a cost-share agreement with your insurance company, which usually goes into effect after your deductible has been met, but before you have satisfied your out-of-pocket maximum. Some insurance plans do not have an out-of-pocket maximum and will always have a co-insurance agreement with you. 
  
  • Example: You have an 80/20 co-insurance policy with your insurance company. This means they agree to pay 80% of allowed charges and expect you to pay the remaining 20%. Your health plan allows $100 for your visit with us, your insurance plan would pay d Health $80, and you would pay Bend Health $20.‍
• ‍Out-of-Pocket-Maximum: This is set by your insurance plan. It is the maximum amount you would spend out-of-pocket to pay for co-payments, deductibles, and co-insurance before your insurance plan covers all costs.

If you need further clarification or would like to speak with someone regarding the information provided, please contact us at Billing@Bendhealth.com

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Self Pay Option
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Cancellation, Rescheduling, and No-Show Policy for the Intake Assessment

• No Show Fee: Intake Assessment $150.00 or Brief Intake Assessment $75.00
• 48 Hour Cancellation or Reschedule Fee: Intake Assessment $150.00 or Brief Intake Assessment $75.00
• Definitions:
  
  • No Show - Any member who fails to arrive for a scheduled appointment
  • Late Cancellation - An appointment that is canceled by a member within 48 hours of the scheduled appointment
  • Late Reschedule - An appointment that is canceled by a member within 48 hours of the scheduled appointment
• Policy:
  
  • Our goal at Bend Health is to provide excellent care in a timely manner. We can only do this if we get timely notification of the need to cancel or reschedule an appointment.
  • If you do not show up for your appointment, Bend Health will charge the credit card on file the full fee listed above.
  • If you cannot make it to your scheduled appointment and need to cancel or reschedule, Bend Health will charge the credit card on file the full fee listed above if you do not notify us within 48 hours of your scheduled appointment.
  • To cancel or reschedule your appointment, please call 800-516-0975.
• ‍All Inclusive Rate: $1,500 per week
  • ‍This rate shall apply to all time required for group, individual, and family therapy sessions, assessments and scoring, reading of pertinent documentation, care coordination with outside providers, and communication with therapists outside of scheduled programming hours.  Please note, that this fee does not include appointments with a psychiatric provider for medication management.  Once the first programming day of the week begins, this fee becomes non-refundable.

Cancellation, Rescheduling, and No-Show Policy for Individual and Family Therapy Sessions

• No Show Fee: $200.00
• 48 Hour Cancellation or Reschedule Fee: $200.00
• Definitions:
  
  • No Show - Any member who fails to arrive for a scheduled appointment
  • Late Cancellation - An appointment that is canceled by a member within 48 hours of the scheduled appointment
  • Late Reschedule - An appointment that is canceled by a member within 48 hours of the scheduled appointment
• Policy:
  
  • Our goal at Bend Health is to provide excellent care in a timely manner. We can only do this if we get timely notification of the need to cancel or reschedule an appointment.
  • If you do not show up for your appointment, Bend Health will charge the credit card on file $200.00 as your no-show fee.
  • If you cannot make it to your scheduled appointment and need to cancel or reschedule, Bend Health will charge the credit card on file $200.00 if you do not notify us within 48 hours of your scheduled appointment.
  • To cancel or reschedule your appointment, please call 800-516-0975.

No Show and Late Policy for Group Programming Days

While enrolled in the Virtual Intensive Outpatient Program members are required to attend all programming days. Consistent attendance is critical to treatment and recovery, and each session is planned to build upon the prior ones.

• No Show Fee: $495.00
• Late Fee: $495.00
• Definitions:
  
  • No Show - Any member who fails to arrive for a programming day, even if prior notice is provided
  • Late - Any member who fails to arrive within 15 minutes for a programming day, without prior approval from a clinician.
• Policy:
  
  • Our goal at Bend Health is to provide excellent care for all members.  We can only do this if our programs are enrolled  with members  that are highly motivated for treatment.
  • Please note that missing programming days puts you at risk for denial by your insurance company based on medical necessity
  • If you do not show up for your programming day, Bend Health will charge the credit card on file $495 as your no-show fee.
  • Similarly, if you show up more than 15 minutes late for your programming day, Bend Health will charge the credit card on file $495 as your late fee.

Unscheduled Discharge

Throughout your care in the Virtual Intensive Outpatient Program, our goal is to support your transition to lower acuity of care as your symptoms improve. Our team will monitor your progress closely and will collaboratively plan your discharge from the Program.  If you choose to discharge on less than two program days notice, additional fees will apply. 

• Unscheduled Discharge Fee: $495.00 per programming day, up to $990
• Definitions:
  
  • Unscheduled Discharge - Any member who decides to leave the program without providing at least two program days notice.
• Policy:
  
  • Our goal at Bend Health is for you to feel that the program fits your needs.  If however, you believe that is not the case, we kindly ask that you provide us with notice for discharge two programming days in advance.  This will allow us the time to prepare for your care coordination and fill the spot with another patient who needs care.
  • If you fail to provide such notice, you will be charged for each program day missed, up to a maximum of two days, totaling $990

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If you need further clarification or would like to speak with someone regarding the information provided above, please contact us at Billing@Bendhealth.com.