Payments
Northbound Health
AFFORDABLE
Payments & Insurance
HEALTH & WELLNESS SERVICES
Northbound Health accepts several major insurance plans including Medicare. Please contact your provider for individual coverage questions. Coverage may vary by service and subject to change. Service from Northbound Health may require an authorization by your primary care physician or your managed care plan. For assistance, please contact us direct at 317-504-7503.
- Medicare
- Traditional Indiana Medicaid
- Anthem
- Aetna
- Humana Commercial
- United Healthcare
- AARP Medicare Advantage from United Healthcare
- Cash pay
- Health Savings Account (HSA)
Northbound Health is committed to serving each individual patient including those with limited access to healthcare. If you need financial assistance, please contact us directly at 317-504-7503.
No Insurance
HEALTH & WELLNESS SERVICES
If you don’t have insurance or don’t intend to use insurance to pay for scheduled non-emergency healthcare services, federal law requires that healthcare providers and facilities provide you with an estimate of the expected charges for medical items and services at least 1 business day before the scheduled services are to be performed.
If you are uninsured or not using insurance to pay for your healthcare services and receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
Any patient may request an estimate of the expected charges for non-emergency healthcare services that have been ordered, scheduled or referred and state law requires that healthcare providers and facilities provide you with an estimate of the expected bill for medical items and services within 5 business days of the request.
You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services.
If you request an estimate and the actual charge for the healthcare services exceeds your Good Faith Estimate by the greater of: (i) $100; or (ii) 5%, we will provide a written explanation as to why the charges exceed the estimate.
Make sure to save a copy or picture of your Good Faith Estimate.
For questions or more information about your right to a Good Faith Estimate, visit cms.gov/nosurprises/consumers or call 800.985.3059.
Contact for Price Estimate
Individualized price estimates are available by contacting us by phone or email:
Call (317)504-7503
Email: nfoster@northboundhealth.org
Estimate of Good Faith Disclosure
This Good Faith Estimate shows the costs of items and services that are reasonably expected for your health care needs for an item or service. The estimate is based on information known at the time the estimate was created.
The Good Faith Estimate does not include any unknown or unexpected costs that may arise during treatment. You could be charged more if complications or special circumstances occur. If this happens, federal law allows you to dispute (appeal) the bill.
If you are billed for more than this Good Faith Estimate, you have the right to dispute the bill. You may contact the health care provider or facility listed to let them know the billed charges are higher than the Good Faith Estimate. You can ask them to update the bill to match the Good Faith Estimate, ask to negotiate the bill, or ask if there is financial assistance available.
You may also start a dispute resolution process with the U.S. Department of Health and Human Services (HHS). If you choose to use the dispute resolution process, you must start the dispute process within 120 calendar days (about 4 months) of the date on the original bill.
There is a $25 fee to use the dispute process. If the agency reviewing your dispute agrees with you, you will have to pay the price on this Good Faith Estimate. If the agency disagrees with you and agrees with the health care provider or facility, you will have to pay the higher amount.
To learn more and get a form to start the process, go to www.cms.gov/nosurprises or call
(800)985-3059.
For questions or more information about your right to a Good Faith Estimate or the dispute process, visit www.cms.gov/nosurprises
Keep a copy of this Good Faith Estimate in a safe place or take pictures of it. You may need it if you are billed a higher amount.
Download PDF Copy of Northbound Health’s Good Faith Estimate
Non-Discrimination Policy and Procedure
Northbound Health Inc complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Northbound Health Inc does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
Northbound Health Inc.
Provides free aids and services to people with disabilities to communicate effectively with us, such as:
- Qualified sign language interpreters
- Written information in other formats (large print, audio, accessible electronic formats, other formats)
Provides free language services to people whose primary language is not English, such as:
- Qualified interpreters
- Information written in other languages
If you need these services, speak with your healthcare provider. If you believe that Northbound Health has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with: Northbound Health Inc by email at info@northboundhealth.org, by fax at (317)795-0949, by mail at 9247 N. Meridian St. Ste 206, Indianapolis, IN 46260 or by calling (317)504-7503.
You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at: U.S. Department of Health and Human Services 200 Independence Avenue, SW Room 509F, HHH Building Washington, D.C. 20201 1.800.368.1019, 800.537.7697 (TDD)
Complaint forms are available at https://www.hhs.gov/ocr/office
Download PDF Copy of Northbound Health’s Notice of Non-Discrimination
Northbound Health Therapy Services
PHYSICAL THERAPY
Physical Therapy – innovative and specialized equipment for exercise prescription coordinated with education to improve mobility and function. Northbound Health Physical Therapy Services
OCCUPATIONAL THERAPY
Occupational Therapy - expertise and advocacy for complex rehabilitation technology needs to increase independence with mobility related activities of daily living. Northbound Health Occupational Therapy Services
