Billing Policy

This policy describes the billing practices of Olympus Health & Performance (“OHP” or “we”) related to COVID-19 testing for our patients (“patient” or “you”). After reading this policy, for any additional questions related to insurance billing, please contact us by filling out the contact form on this website.

COVID-19 Diagnostic Testing

● COVID-19 Antibody Test: $80
● COVID-19 Rapid Antigen Test: $75
● COVID-19 PCR Test: $165

INSURANCE BILLING

In-Network/Contracted Health Insurance Plans: For those insurance companies for which OHP is considered ‘in-network’ or otherwise is contracted, OHP will directly bill your insurance for the costs of COVID-19 testing , as long as your COVID-19 testing is medically necessary (i.e. not being conducted in anticipation of travel or for group surveillance).

We are currently in-network or are otherwise contracted with Select Health, United Healthcare, and certain Regence Blue Cross Blue Shield plans (please call prior to your appointment to verify if your BCBS plan is contracted with us). Thus, if you are insured by one of these carriers, we will directly bill your insurance for the cost of testing.

You are responsible for knowing your own insurance coverage benefits and policies. OHP bills patient’s insurance as a courtesy and does not guarantee payment, in whole or in part, of any insurance claim. You are responsible for payment, in full, of any denied insurance claims.

In limited circumstances, for an insurance claim billed directly by OHP for COVID-19 testing, the insurance company will send you a check. However, in such case, OHP, and not the patient, is entitled to the payment. In the event that an insurance company issues payment directly to you, you are required to forward the check to OHP. Checks must be endorsed (signed) by the recipient along with “Pay to the order of Olympus Health & Performance” in the signature area on the back of the check.

The signed check and explanation of benefits should then be mailed to:
Olympus Health & Performance
2006 E. 3900 South, Suite 1
Salt Lake City, Utah 84124

Out-of-Network/No Contract with Health Insurance: If OHP is not ‘in-network’ or contracted with your health insurance company, or if you are receiving testing in anticipation of travel or for group surveillance, you will be responsible for payment in full at the time of testing. Following testing, you are free to submit the claim to your insurance carrier, to try and obtain reimbursement. However, there is no guarantee that you will be reimbursed, in part or in whole, for the cost of testing.

Patients Required to Pay at the Time of Testing:
Payment may be due at time of testing for (1) patients insured by companies with which OHP is not in-network or does not have a contractual relationship, (2) patients receiving testing solely for group surveillance purposes, and (3) patients receiving testing in anticipation of travel. For such situations, patient will be responsible for full payment at the time of testing. Thereafter, those patients with insurance can submit the claim to their insurance carrier for possible reimbursement. In such case, patient will be fully responsible for negotiations with their insurance carrier related to reimbursement. Reimbursement, in part or in whole, is not guaranteed.

The cost of tests for patients required to self-pay at the time of testing, is listed below:
● COVID-19 Antibody Test: $80
● COVID-19 Rapid Antigen Test: $75
● COVID-19 PCR Test: $165

Patient Payment Types
For any patient payments, we accept payment by credit or debit card only. We are currently unable to process cash payments.

Employer-Mandated COVID-19 PCR Testing Costs for Employees:
If a business mandates COVID-19 testing for asymptomatic employees as a condition of work, employers pay OHP for the test costs. In such situations, patients must represent and warrant that they will not seek any reimbursement of the test charges from any third-party payor, including, without limitation, any federal health care program or private health plan or insurer. The employer will be responsible for a small travel fee for OHP’s nurses to come to the employer’s place of business.

Voluntary COVID-19 PCR Testing Costs for Employees:
Businesses may set up COVID-19 testing at the request of employees. Voluntary COVID-19 testing is payable in the same manner as individual-requested testing, described above. The employer or business will be responsible for a small travel fee for OHP’s nurses to come to your business.

We accept payments for services and mobile fee charges (if a mobile fee applies for offsite testing) by: (i) company checks; (ii) certified funds; (iii) credit card payments; or (iv) HSA accounts (through HSA authorized debit cards).

Testing for Traveling or Surveillance-Only Purposes:
Payment will be due in full at the time of testing for any COVID-19 tests performed in anticipation of travel or for group surveillance-only purposes. Although patients may submit a claim to their insurance carrier for possible reimbursement, most insurance companies will not reimburse for tests performed for these purposes alone. In such a case, patient will be fully responsible for negotiations with their insurance carrier related to reimbursement. Reimbursement, in part or in whole, is not guaranteed.

Denied Claims:
Please let OHP know if your insurance company denies your claim so that, where appropriate, OHP can provide additional information.