Direct Care Plus Program
Hormone Health Inverness now offers an option for Bioidentical Hormone Replacement and Testosterone Replacement Therapy where you get to use your insurance benefits for care
Direct Care Plus is a flexible care option at Hormone Health Inverness designed for patients who want the benefits of direct, personalized medical care while still using their insurance where possible. Under this program, Hormone Health Inverness does not bill insurance for office visits. Instead, patients pay a transparent cash price at the time of service and receive a detailed superbill that may be submitted to their insurance for potential out-of-network reimbursement, depending on their individual plan.
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While clinical services are provided on a direct-pay basis, laboratory testing may be billed directly through your insurance by the laboratory, and prescriptions may be billed through your insurance at the pharmacy when applicable. This allows patients to leverage their insurance benefits for labs and medications without the limitations, delays, or administrative burden that often accompany in-network visit billing.
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The benefits of Direct Care Plus include greater appointment availability, longer and more thorough visits, transparent pricing, and fewer insurance-driven restrictions on care. Patients maintain full control over their healthcare decisions while still having the opportunity to seek reimbursement for visits and use insurance benefits for ancillary services. This model also allows patients to shop prices and use their preferred pharmacy. This model offers a balance between personalized care and insurance flexibility—without sacrificing quality, access, or clarity.
Now Offering Free Initial Consultations
Semaglutide
Tirzepatide
Frequently Asked Questions
Can I use my insurance to cover the cost of my labwork?
Yes. You may choose to use your insurance to cover laboratory testing or opt for our direct-to-patient pricing. If you elect to use insurance, we will submit your insurance information to the laboratory, which will bill your insurance and then invoice you directly for any remaining patient responsibility.
Do you contract with health insurance companies?
We do not contract with insurance plans; however, we will provide you with a superbill for your office visits containing the required CPT and ICD-10 codes, which you may submit to your insurance carrier for potential reimbursement.
Do you accept Flex Spending (FSA)/ or Health Savings (HSA) cards?
Yes. It is your responsibility to ensure that services are covered by your individual plan.
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Do you offer free consultations?
Yes. If you'd like to come in and meet with our a staff member to find out more about our services, we suggest booking an initial consultation with our Patient Care Coordinator who will walk you through our practice, our services and answer any questions you may have.
Will my insurance cover the costs of my hormone medications?
In many cases, yes. Certain medications are available commercially, while other medications are compounded specifically for you. Insurance will often cover some or all of the cost of hormone medications through commercial pharmacies.
Will you prior authorize my medications?
We will submit your prescriptions to the pharmacy of your choice. Please note that we do not complete prior authorizations for medications.
What is the cost for the Direct Care Plus Program?
Office visits with our providers are billed at $295. You will receive a superbill that includes the applicable CPT and ICD-10 codes, which you may submit to your insurance carrier for potential reimbursement. Prescriptions for controlled substances require a provider visit every three months, either in person or via telehealth.