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Insurance

Until January 31, 2021 Dr Heithaus is contracted with Premera, Regence, LifeWise and Providence insurance.

Patients are responsible for providing our office with their current insurance to keep in their chart. Photos of your insurance card front and back can be uploaded to “DOCUMENTS” in the PATIENT PORTAL. Pleases include Drug Benefit card photos if applicable.

Patients are responsible for copays, coinsurance or for maximum billable amount for unmet deductibles. Call your insurance to inquire about details of your coverage and estimated out-of-pocket expenses.

Starting February 1, 2021 Dr Heithaus will not longer be contracted with any insurance. Patients will be billed directly for services received.

Insurance, Medication and Prior Authorizations

At times you may be prescribed a medication that is not on your insurance’s Formulary (approved drug list). In these cases insurance requires a Prior Authorization (PA) for the prescription to be filled. The PA is initiated at the Pharmacy then sent to our office where it is completed and submitted to your insurance. Depending on the medication and insurance, the response to the PA can take less than 24 hours or up to five days.

Our office will email you once your insurance has approved or denied the Prior Authorization (PA). If denied Dr Heithaus will prescribed different medications and send those new prescriptions to the pharmacy. If approved contact your pharmacy to have the prescription filled.

There is 15 minutes allotted to complete and submit any Prior Authorization (PA). However, for patients whose PAs that take longer than 15 minutes an additional $50 Service Fee will be charged.