Healora – Cash Pay Health Plans Make Sense

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Imagine being in control of your individual employee healthcare costs. Our low cost network puts you in control of your daily healthcare spend. You decide whether the employee is better off using existing insurance options or pre-paying for the specific procedure. Our pre-paid pricing is based on discounts of up to 70% and can save companies millions of dollars a year.

Healora was founded to support the disruption of healthcare by connecting doctors willing to provide a discount to patients negotiating for the price when paid at the time of service.

Provider FAQ’s

How do I decide on my fee structure?

You establish the Healora fees for your practice per visit and/or based  on the service.  Healora suggests the medicare pricing fee structure + 20%.  Many successful practices go much lower as they start to get patients that continue to reduce their costs and administrative burdens.  The more competitive your fees are, the faster your Direct Pay practice should grow.  Providers who are happy with the Medicare reimbursement schedule will be in perfect harmony receiving immediate payment from Healora patients at the time of service.  No balance billing or collections.  By eliminating administrative costs associated with activities such as billing, producing insurance claim forms, coding diagnoses and procedures, referrals, authorizations, payment delays, EOB reviews, claim denials, re-submissions, collection risks, and other “managed care” costs, you can provide patients a fair price for services without the administrative hassles and bureaucracy.  Our physicians set their DIRECT PAY price at medicare x 165% and still benefit financially.  You have the legal right to charge a reduced rate for a particular medical service based on a “prompt pay” discount.  You may change your pricing up or down at any time.  There are currently four choices when selecting your lowest acceptable price:  Medicare x 165% / Medicare x 120% / Medicare x 110% / Medicare.   Your price stays hidden from the public as they view providers based on the individual provider’s lowest “reserve” – acceptable Direct Pay price. Contact us for “best practice” tips on how to reduce your paperwork and unnecessary administrative costs, to establish fair, profitable fee structure.

How does Healora help me attract new patients?

That is the simple specific function of Healora.  We help you attract patients who will pay the provider directly at the time of service.  These patients know they are receiving a substantial discount by paying in full at the time you deliver your services.  Our searchable online database, including a provider profile page with pertinent physician controls and updates exposes you to our network of cash paying patients.  To strengthen this market recognition you may include the Healora logo in your advertisements and send a press release to the media in your area.

How should I “code” services for Healora patients?

Coding or description of services is up to you. To distinguish Healora patients from others, we recommend using the prefix H in your notes.  This simple approach will save you time, avoid confusion, and reduce your legal exposure for accidentally miss-coding a service.

Can I let my patients know about Healora?

Yes, if you want your patients to pay cash at the time of service so they can receive a substantial discount and you can reduce the administrative burden of collecting from insurance and balance billing.

Patient FAQ

How do I find participating providers?

The Healora website includes a continually updated searchable database of top-quality physicians in multiple specialties. In addition to physicians, you can also search for participating imaging centers, labs, and urgent care facilities. Additional physicians and services are continually joining in your area!  If you have a specific

doctor in mind let us know and we’ll get them on board!

What if I need a specialist or alternative care?

Healora has all 25 of the American Medical Association recognized specialists. When you want a second opinion or want an elective procedure that your insurance won’t cover – just look up the specialty and make the appointment!

Do imaging centers, labs, and urgent care facilities offer Healora pricing?

Absolutey! Imaging centers, labs, and urgent care clinics offer great direct-pay pricing.  In many cases these service centers can provide a mobile unit to your employer for group screenings like mammograms.  Let us know!

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