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We’re now welcoming new members at our San Francisco clinic, right in SoMa.

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Insurance FAQs

How does Motion work with my insurance?

We’re working hard with insurance companies and employers to make Motion part of your benefits, but are currently out-of-network. While we aren’t participating with insurance plans, our team will still submit claims to your insurance on your behalf as you may receive reimbursements for Motion care if you’ve hit your deductible.

I have a PPO plan, could I receive a reimbursement for Motion?

Yes, if you have a Preferred Provider Organization (PPO) plan, you could receive a reimbursement! Your plan gives you the flexibility to go out-of-network for your care and may cover a portion of those costs. So once you hit your out-of-network deductible, you may receive a reimbursement for your Motion care.

What’s a deductible? It’s the amount you pay up front for healthcare before your insurance kicks in. Let’s say that your out-of-network deductible is $250 and you haven’t spent anything yet. Once you hit $250 on an out-of-network provider like Motion, your insurance will cover a percentage of Motion appointments going forward.

I have a HMO plan, what does that mean for me?

If you have a Health Maintenance Organization (HMO) plan, you won’t be reimbursed for any out-of-network as they are not part of your benefits. We welcome all patients to Motion, but want you to know that you will be responsible for the full cost of your Motion appointment.

I have a FSA/HSA. Can I use it on my Motion visits?

Absolutely! You can use your FSA or HSA for your visits with us. Flexible spending accounts (FSA) and health savings accounts (HSA) are programs that allow you to set aside money (before taxes) for specific health expenses. You can apply that towards your Motion appointments. If you have an FSA or HSA debit card, enter it as your payment source in the app.

Why should I go out-of-network and pay for Motion?

We’re doing something that no one is doing for MSK care - we’re bringing together all the experts you might want to see for your injuries under one roof. Motion’s triage program and Care Team will point you to the best clinician for your injury and you'll have access to all our world-class providers with our membership. We understand your life is busy and the last thing you want to be burdened with is healthcare and all the admin work that goes into it. Everyone at Motion is invested in your care and cheering you on on your road to recovery. Our goal is to remove any bumps and obstacles so you only have one thing to focus on - your recovery.


What if I don't know my insurance eligibility or benefits?

No worries! Motion does insurance eligibility and benefits checks for you. We'll figure out if you have an active policy, what your deductible is, what your coinsurance looks like, and if Motion will be covered as an out-of-network service.

Don’t worry about contacting your insurance company - our team will gather all the information about which services are covered by your insurance. We’ll send you a benefit summary prior to your appointment so you have all the information to make an informed decision on the care you will receive. If you are interested in an add on service (joint injections, PRP), our team will work to see how much those might be out-of-pocket and let you know before you have to commit to anything.


So, how does getting a reimbursement for my Motion visits work?

  1. Download our app to sign up for a Motion membership. You’ll be able to pay for your monthly membership and appointments easily in the app.
  2. After signing up, we’ll gather your insurance information and help you understand your coverage and benefits.
  3. If you ever have questions related to insurance or payments, just chat in with your Care Advocate in the app.
  4. After your appointments, you'll pay for your visit and we begin the process of submitting a claim to your insurance company on your behalf.
  5. Our team will handle all the paperwork and follow up until the claim is finalized. You just focus on your recovery!

How much money will I get back?

Unfortunately, it is up to your insurance company to first process the claim and then determine what amount they allow for reimbursement. Our team works hard to ensure the claims are processed according to the plan type and will follow-up if we determine that a mistake has been made. However, we are not able at this time to tell you how much reimbursement you might receive back. We can, however, tell you what the co-insurance is for the particular service.

Ok, what do you mean by co-insurance?

Co-insurance is how much you owe for a covered health care service, calculated as a percentage (e.g. 20%) of the allowed amount. This differs from co-payments, which are a flat fee for service, because co-insurance varies based on the cost of the total service or order. Example: your insurance plan says the total allowed amount for your visit is $100 and your coinsurance is 20%. This means you’d pay $20 for your visit and the insurer would pay the remaining $80.

What is the allowed amount?

Simply, the allowed amount is the maximum amount a plan will pay for a covered health care service. The price is specific to your particular insurance policy. These amounts can vary not only by policy, but by location of the healthcare provider, their license type, and other factors.

So if the price is set, how come you can’t tell me what the allowed amount is?

Great question. When you purchase an insurance policy, the plan is required to clearly explain a few things such as: deductibles, copays, and coinsurance. However, they do not typically disclose allowed amounts or how the claims will be priced.


Have specific insurance questions you'd like answered?

We're here to help! We know how confusing insurance can be, if you’ve already downloaded the app, just chat with us directly. If you haven’t become a member yet, send us an email at [email protected].

Have more questions about the care at Motion?

Check out our general FAQs for more info.