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Is our treatment covered by insurance?

Most group and individual plans will cover our treatment

Biscuit Health avatar
Written by Biscuit Health
Updated over a week ago

Introduction:

Our treatment is covered under extended benefits insurance in most cases. However, due to the novel nature of our treatment model, the total cost of treatment is divided into two types of claims. We are working hard with the various insurers in Canada to enable consolidated and direct billing. Currently, the cost of getting treated for your allergies with Biscuit Health is broken into two fees.

  1. Care Plan Costs - ND Benefits

  2. Drug Costs - Rx Plan Benefits (Direct Available)

Care Plan Fees

The Care Plan Fee is billed through your naturopathic benefits (if applicable) at $650 annually and covers the cost of providing care to you. This includes:

  • Interpretation of your test results by our allergy specialists and clinical team

  • Creating your custom-tailored formula and treatment plan based on your medical history and treatment goals

  • Initial virtual visit to review your goals and treatment plan together

  • Follow up visits as needed to support your treatment plan

  • 24/7 access to our care team via chat or email

  • Access to our digital tools to track outcomes & symptoms

While we do not currently offer direct billing for this fee, patients can submit a claim manually for reimbursement. We provide you with all of the documentation required to submit a claim manually and will support you throughout the claims process as needed. Most insurers process these claims within 5-7 business days.

Drug Fee

The Drug Fee is billed at $600 annually by our pharmacy lab. This covers the cost of the actual drugs that are part of your treatment plan and is billed through your drug plan. The majority of group plans will cover 100% of this fee, and individual plans typically cover 90% of this fee up to your plan limit. Our pharmacy lab has worked hard to negotiate direct billing with select insurance plans and will follow up directly if there is a co-pay balance (typically within 2-3 days). In the event direct billing is not supported by your plan, we will provide you with all the documentation to submit a claim manually and will support you throughout the claims process as needed. Most insurers process these claims within 5-7 business days.

This fee portion covers the following:

  • Cost of ingredients in your custom-tailored treatment formula

  • Cost of compounding your custom-tailored treatment formula

  • Cost of dispensing your custom-tailored treatment formula

  • Shipping costs for your custom-tailored treatment formula

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