Insurance Information

Claims facilitation

Santé will work with you to ease the frustration and mountain of paper that insurance can create. While our organization does not accept insurance, many of our patients prefer to combine Santé services with existing medical care options. Quarterly, you will receive a completed insurance claim form (HCFA) for all services you received that day. Your only responsibility is to sign the form and put it in the mail – we even provide the stamped envelope addressed to your insurance company. Most insurance plans will reimburse you a percentage of these itemized charges; however, many of the preventive services we provide are not reimbursable under current health plans. Santé provides no coverage for prescription medications or any other health expenses you might incur outside our office. The one exception is for our échelon Primaire clients who require inpatient cardiology care or certain hospital-based cardiology procedures. For these situations, the physician component of the care will be covered. Hospital charges will be billed to you or your insurance.

At Santé , there is never a co-pay or deductible to meet. All of your cardiovascular healthcare coverage is inclusive in your annual fee as outlined in each of our Santé Plans. However, health insurance is required when you need to visit your primary care physician, a different specialist, check into a hospital, or access other healthcare services.

Remember, that in addition to having a portion of your services reimbursed, your annual fee may also be tax-deductible but please consult your tax advisor. In some cases the fee is reimbursable under your company’s Medical Savings Plan, Health Savings Account (HSA), 125, or Cafeteria Plan. You need to contact your Human Resources Department to see if part, or all, of this fee is reimbursable under your existing plan. You can also access further information from the American Medical Association website under Health Savings Accounts at a Glance or from the IRS http://www.treas.gov/offices/public-affairs/hsa/.