Billing Overview

Form Health accepts insurance for its services. Patient responsible for sign-up fee.

This guide explains how we bill our services to insurance and how you can expect to be billed for any copays, deductibles, or coinsurance.

Plan Cost Overview

Onboarding Fee

  • One-time onboarding fee includes access to patient education content, digital food logging, goal tracking, and access to the private Form Health community.
  • Billed to your credit card at sign-up
  • HSA or FSA eligible

Doctor & Registered Dietitian Fees

  • Billed to insurance within 30-60 days of your visit
  • Patient responsibility varies based on health insurance plan. You are responsible for any co-pay, deductible, or coinsurance.
  • Please pay patient responsibility online after receiving an email notification
  • HSA or FSA eligible

Medication & Labs

  • Billed to insurance
  • Patient responsibility varies based on health insurance plan. You are responsible for the cost of any medications or labs that are not covered by your insurance. In the case of medications, our team helps by filing prior authorization requests and advocating with your insurance plan, but ultimately they make coverage decisions.
  • HSA or FSA eligible

Billing Details

Form Health visits are billed to your insurance. On this plan, Care Team visits, remote monitoring, and communications are all billable, and you are responsible only for co-pays, deductibles, or coinsurance, as at any other doctor's office. For Form services to be covered, your insurance company requests 16 or more weigh-in days each month. These weight readings are transmitted automatically via a connected scale that will be provided at no additional cost to you. Depending on your health insurance plan, you may be responsible for a copay, deductible, or coinsurance.

Prescription Costs

If you and your doctor determine that FDA-approved medication is appropriate for your care, medication will be billed through your prescription drug benefits. We do all that we can to advocate for coverage, including filing prior authorization requests on your behalf, but you will be responsible for any copay associated with your prescription drug benefits plan and any medication costs not covered by your plan. Your Care Team will work with you to find a medication that is covered by your insurance. Medication can be picked up at a local pharmacy or you can have your medication sent directly to you from a mail-order pharmacy.

Key Term Definitions

Copay (or copayment)
A flat fee that you pay each time you see your doctor or fill a prescription. In some cases, your copay amount is printed right on your health plan ID card. Copays cover your portion of the cost of a doctor’s visit or medication.

Coinsurance
A portion of the medical cost you pay after your deductible has been met. Coinsurance is a way of saying that you and your insurance carrier each pay a share of eligible costs that add up to 100 percent.

Deductible
A deductible is the amount you pay each year for most eligible medical services or medications before your health plan begins to share in the cost of covered services.

Explanation of Benefits (EOB)
A statement from your health insurance plan describing what costs it will cover for medical care or products you’ve received. The EOB is generated when your provider submits a claim for the services you received.

Health Savings Account (HSA)
A tax-advantaged member-owned account that lets you save pre-tax dollars for future qualified medical expenses. HSA’s are typically offered through your employer and accompany a high-deductible health plan. Funds from your HSA roll over from year to year.

Flexible Spending Account (FSA)
A tax-advantaged account that lets you save pre-tax dollars for future qualified medical expenses. FSAs are typically offered through your employer. Depending on your employer, funds left over at the end of the year are forfeited or rolled over to the next year on a limited basis.