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Medicare & Medicaid

Differences in Plans

Acuity Brain Health welcomes patients with traditional Medicare, Medicaid, and Medicare Advantage plans, but payment and fees are processed differently among these plans.

We are in-network with Medicare Part B, but out-of-network with Medicare Advantage Plans and Medicaid.

Please let us know prior to scheduling if you have a Medicare vs. Medicare Advantage Plan, or Medicaid.

Traditional Medicare Part B

We are in-network with traditional Medicare Part B. You don’t have to do anything - Acuity is required to submit the charges directly to your insurance for reimbursement. You would only be responsible for the cost of any Medicare co-pays or co-insurance.

Advantage Plans & Medicaid

We serve Medicare Advantage clients as an out-of-network clinic. You will pay Acuity directly and will be provided with a superbill to submit for reimbursement (out-of-network claim). Medicare Advantage plan coverage varies for out-of-network providers and will depend on your specific plan. Acuity does not guarantee coverage of services.

Medicaid typically does not cover out-of-network services. If you have Medicaid, you will pay Acuity directly for your services.