Billing and insurance guidance
At AIS Healthcare, we want to make the billing and reimbursement process as easy as possible for you.
We bill your health insurance provider directly for all medication and services, and work directly with the insurer to facilitate your reimbursement.
For any billing or reimbursement questions, our Financial Concierge Team (FCT) is here to help. These dedicated specialists can help you navigate insurance coverage, understand your invoices and more. Our team works with in-network and out-of-network patients, those covered by Medicare or Medicaid as well as self-pay patients.
You can call the FCT directly at 877.299.4371.
Download our TDD billing questions flyer
Frequently asked questions
I have health insurance. Why did I get a bill from AIS Healthcare?
Patients who have health insurance may still be required to pay for part of their care costs, called the patient cost share. This cost share is outlined in the Explanation of Benefits (EOB) you receive from your insurance company. The EOB arrives separately from your bill and explains how much we billed your insurance company for our medication and services, and how much your insurance company will cover. You may receive a bill from AIS Healthcare for your patient cost share, which is determined by your insurance plan. If you have any questions, please call our Financial Concierge Team at 877.299.4371.
I have Medicare. Why did I get a bill from AIS Healthcare?
Medication and services from AIS Healthcare are part of your Medicare Part B benefits. However, Medicare does not reimburse all pharmacy services. Medicare requires us to bill the patient. If you have any questions, please call our Financial Concierge Team at 877.299.4371.
If AIS Healthcare is in-network with my insurance, why did I get a bill from AIS Healthcare?
Being an in-network provider allows us to work directly with your insurance company to get reimbursed. Your insurance company will pay us directly for your medication and services. If there is a patient cost share, we will send you a bill. If you received a bill from AIS Healthcare for the first time, it is because AIS Healthcare is now in-network.
AIS Healthcare is working to become an in-network provider with many insurance companies. However, we provide medication and services to out-of-network patients as well.If you have any questions, please call our Financial Concierge Team at 877.299.4371.
What do I do if I can’t afford my medication?
If you have concerns about being able to afford your medication, there may be programs that can help. Call us at 877.299.4371, option 2, or complete this form.
What is an EOB and why did I get one?
An Explanation of Benefits (EOB) is not a bill. It is the administrative paperwork from your insurance company regarding how your plan benefits were applied. If you have any questions, just give us a call.
How do I apply for financial assistance?
AIS Healthcare offers a Financial Assistance Program (FAP) to help eligible AIS Healthcare patients who have concerns about being able to afford their medication. This could include those who do not have enough health insurance or are not able to get government help, as well as those who are not able to pay for needed care based on their financial situation.
To apply, call us at 877.299.4371, option 2, or download and complete this form.
