Can I use insurance for the cost of my Parsley membership? And if so, how?

Parsley Health is in-network with select plans, and out-of-network with most insurance plans at this time. We can submit out-of-network claims for your clinician visits. Another option is to receive reimbursement through FSA or HSA programs if you have opted into these plans. 

As coverage in each plan can vary, we recommend calling the membership number on the back of your insurance card to learn more about your plan’s specific details. To help us determine what kind of coverage and information your plan needs you can ask your insurance plan the following questions:

  • Are you on one of our in-network plans? (Include specifics)
  • Does my plan include out-of-network benefits? 
    • If so, what kind of coverage or reimbursement can you expect for the following visit types.
    • Billable CPT Codes: 
      • New member visit: 99205 or 99204 dependent on time 
        • POS 02 for tele-health; Modifier 95
        • POS 11 for in person
      • Follow up visit: 99215 or 99214 dependent on time
        • POS 02 for tele-health; Modifier 95
        • POS 11 for in person

After each clinician visit, our team will prepare a medical invoice, or “super-bill,” that details the information your insurance company needs to process your claim, including CPT codes for services performed and ICD-10 codes for diagnoses. Then, you submit the super-bill according to your insurance company’s claim process. Please note It could take up to 90 days for you to receive payment from your insurance company (if payment is issued). You will likely receive an Explanation of Benefits (EOB) in the mail from your insurer directly.

Do you have HSA/FSA funds? If so, what information will your insurance plan request to cover medical expenses (i.e. medical invoices including date of service, specialty test, or a letter of medical necessity for supplements prescribed). We’re happy to help each step of the way. 

Please message us if you have any additional questions!

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