Use this article to understand why the amount you were charged for a session may differ from your original cost estimate, Eligibility Check (EC).
Why Your Final Cost May Be Different
Before your session, Alma provides an estimated cost based on information received from your insurance company.
Your final cost is determined after your insurance company processes the claim.
The amount you owe may change because your:
- Deductible status changed,
- The insurance company updated your benefits,
- Copay or coinsurance differs from the original estimate,
- Insurance coverage changed,
- The insurance company denied or adjusted the claim,
- Services billed affected how your insurance company processed the claim.
Cost Estimates Are Not Final Bills
Your estimated session cost is based on the insurance information available at the time of your eligibility check.
Your insurance company makes the final determination about:
- Whether a service is covered.
- How much your insurance plan pays.
- How much you owe.
If you believe your insurance eligibility or estimated cost is incorrect, you can Request a Review of Your Insurance Eligibility or Cost Estimate.
To understand the claim process, see: How Billing Works at Alma: From Claim to Invoice.
What Should I Do if I Have Questions?
Start by reviewing your insurance information, cost estimate or final invoice in the Client Portal.
If you need additional information about your coverage or benefits, contact your insurance carrier. For information on how to contact your insurance, see: Contacting Your Insurance Carrier
If you still need help, contact Alma by selecting the Help button in the bottom-right corner of the Support Center.