Insurance and Billing Information

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For PPO plans no referral is required to be seen. However, referral is recommended because it provides better communication between care teams. HMO plans, like Blue Care Network, typically require a referral. Bloom and Balance Clinic is considered a specialist by all insurance plans. 

 

Bloom & Balance Clinic is now in-network with:

• Blue Care Network* 

• Blue Cross Blue Shield of Michigan (BCBS)

• Blue Preferred Plus

• PPO Trust

• Blue Cross Complete

• Cigna

• Multiplan

• McLaren Health Plan

• McLaren Medicaid

• Priority Health

• Traditional Medicaid (Michigan)

• Tricare **

• United Health Care (Commercial, Medicaid, VA CCN)

*If you are covered by Blue Care Network, please request a referral with a global authorization from your Primary Care Provider (PCP). Once your authorization is faxed to us, our team will reach out to schedule your visit.​

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**non-network certified

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Helpful Information for Insurance Inquiries

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When speaking with your insurance representative, it may be helpful to mention the billing codes we use:

• Evaluation and Management (E/M) Visit: 99203, 99213, or similar (depending on visit complexity)

• Osteopathic Manipulative Treatment (OMT): 98925–98929 (depending on the number of body regions treated)

You can ask your insurance company the following questions:

• Do I have out-of-network benefits?

• Will you cover visits billed with E/M and OMT codes (98925–98929)?

• What percentage of the fee is reimbursed, and is there a deductible?

 

Flexible Spending Options

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If you have HSA or FSA benefits, those funds can be used toward your visits.