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Frequently Asked Questions

Everything you’ve wanted to know about Diana Health

 

 

Diana Health

General questions about Diana Health

What does collaborative care mean?

Collaborative care means your entire Diana Health team is coordinating your care together. Our electronic health record allows each of your Diana Health providers to have a full picture of your whole health, so that they can make coordinated recommendations for your care. This means your Certified Nurse Midwife is talking to your therapist, and your OB/GYN is engaged with your dietitian. This ensures that every provider has a full view of what makes you uniquely you.

What is a midwife?

At Diana Health, all of our midwives are Certified Nurse Midwives, which means they are all advanced-level, registered nurses who specialize in women’s healthcare and childbirth. While midwives are specialized in assisting women in labor & delivery, their skill set goes well beyond that. Our midwives can treat menopause, adolescent gynecology care, urgent gynecology needs, prenatal care, and postpartum care. Our midwives work hand-in-hand with our physicians to provide comprehensive, whole health care to women of all ages.

Can I choose my provider at Diana Health?

Yes! One of the things we stress in our Diana Difference is that you are in the driver’s seat, and that includes your choice of provider. Whether you would prefer a midwife or an OB/GYN, a male or female provider, we try to meet all of your needs. However, we also believe in collaborative care and encourage all of our clients to meet as many Diana Health providers as they would like to find that one that fits best with your needs.

What type of provider might be right for me?

At Diana Health, one of our core differentiators is our focus on provider choice. At each of our practices, we have multiple types of providers you can see – but which provider type might be right for you?

OB/GYN – Our physicians are ideal for high-risk OB clients, or clients with complex gynecological needs. If you need high-touch care with a potential for a surgery, an OB/GYN may be the best choice.

Certified Nurse Midwife (CNM) – Our CNMs are trained to see any and everything women’s health, with a particular focus on maternity care. Our midwives are perfect for clients with low-risk pregnancies, annual well woman visits, adolescent care, and routine gynecology concerns.

Nurse Practitioners – Our Nurse Practitioners are also trained to treat any and everything women’s health, but they are especially great for urgent gynecology needs like UTIs and STIs. You can see a Nurse Practitioner for everything from routine gynecology care, to adolescent care, to menopause, to low-risk prenatal visits.

Do you take insurance?

Yes! We believe that high quality, comprehensive women’s health care should be available to everyone. We take insurance at all of our locations, including from major insurance providers, regional plans, Medicaid plans, and exchange health plans.

To learn more about the specific plans accepted at your local Diana Health location, visit their location page or call your local practice.

I received a bill from Diana Health – where can I pay it?

Thank you for being a client with Diana Health! To find our self-pay billing portal, please visit our Current Patients page.

Is Diana Health only for pregnant women?

Absolutely not! Diana Health is here for all women, regardless of your life stage. From adolescent care to menopause care, we are here from your first period to your last, and beyond!

Where can I find the Diana Health app?

Right now, the Diana Health Client App is an exclusively mobile-based app that can be found in either the Apple App Store or Google Play Store. You cannot access our app from a desktop or laptop computer. To download the Diana Health Client App, visit our Current Clients page.

Gynecology

Questions about Diana Health’s gynecology services

What makes Diana Heath’s Whole Health Wellness Exam different?

It’s important that every woman have an annual exam each year for preventative care. We have designed an annual exam that takes into account the whole you – physical, mental, and social. For more information about what makes our annual exam unique, check out our full blog about it.

Does Diana Health offer hormone therapy for menopause?

Yes! Our menopause care is comprehensive and tailored to you. When you meet with your Diana Health provider, you will both discuss your specific needs, concerns, and desires and our different treatment options. We have a variety of ways to address the symptoms of menopause, including hormone-based and non-hormone based solutions.

What are my fertility options at Diana Health?

While Diana Health does not provide IVF at any of our locations, we are able to provide a variety of family planning solutions and coordinate with local fertility centers should you require more extensive treatment. We can discuss your family planning concerns, lab results, and needs during a preconception counseling session. Then, we can work with you try a variety of medication options to try to promote fertility. Finally, some of our locations do offer IUI services. For a better understanding of your local practice’s family planning services, please contact your local Diana Health practice.

What is a midwife?

At Diana Health, all of our midwives are Certified Nurse Midwives, which means they are all advanced-level, registered nurses who specialize in women’s healthcare and childbirth. While midwives are specialized in assisting women in labor & delivery, their skill set goes well beyond that. Our midwives can treat menopause, adolescent gynecology care, urgent gynecology needs, prenatal care, and postpartum care. Our midwives work hand-in-hand with our physicians to provide comprehensive, whole health care to women of all ages.

Pregnancy

Questions about Diana Health’s maternity care services

What is a midwife?

At Diana Health, all of our midwives are Certified Nurse Midwives, which means they are all advanced-level, registered nurses who specialize in women’s healthcare and childbirth. While midwives are specialized in assisting women in labor & delivery, their skill set goes well beyond that. Our midwives can treat menopause, adolescent gynecology care, urgent gynecology needs, prenatal care, and postpartum care. Our midwives work hand-in-hand with our physicians to provide comprehensive, whole health care to women of all ages.

Does Diana Health support medicated births?

Yes! We believe in supporting every type of birth, no matter what your preference may be. All of our hospital partners are equipped to administer epidurals safely and effectively.

If you would prefer an epidural during labor and delivery, make sure to let your Diana Health provider when discussing your birth preferences.

Does Diana Health support natural/unmedicated births?

Yes! Our Certified Nurse Midwives are specially-trained in labor support strategies to help move you through labor with or without medication (depending on your preference).

Our labor and delivery rooms are equipped with a variety of natural pain management solutions for those wishing an unmedicated birth, including birthing balls, birthing bars, aromatherapy, hydrotherapy, and massage techniques.

Please contact your local Diana Health practice to learn about the pain management options we offer.

Do you support home births?

While we fully support every woman’s choice of birth environment, we do not currently offer home birth services. All Diana Health babies are born at the hospital, which allows us to provide our compassionate, individualized care to women with different needs and risk profiles.

Do you work with doulas?

Yes! Diana Health welcomes and supports doulas.

While we don’t have doulas on staff, we know they can be an important source of emotional and physical support during labor and delivery. If you choose to work with a doula, your Diana Health care team will partner with you and your doula to support your birth preferences and help you feel informed and cared for throughout the birth experience.

We strongly recommend talking with your care team about who you plan to have with you during labor so we can help you understand what to expect at your delivering hospital (some delivering hospitals limit the number of people who can be in the room).

What are my birth preference options?

Every Diana Health location has unique birth preference options, based on the capabilities of our hospital partners. When you log into your Diana Health app, you will be able to select your specific preferences some preferences include things like: aromatherapy, birthing balls, hydrotherapy, lighting and music design, celebratory meals, remote monitoring, and more. To learn more about the birth preferences available at your Diana Health hospital partner, contact your local Diana Health practice.

Do you accept transfer patients?

Yes. We’re happy to welcome transfer patients, and will work closely with you and your last provider to make the transition as smooth as possible.

In most cases, we’re able to accept transfers up to around 36 weeks. Please get in touch with our team so we can help get you set up.

Mental Health

Questions about Diana Health’s mental health services

Do I already have to be a Diana Health client to book a mental health visit?

No! Any woman can book a visit with Diana Health’s mental health services, even if you have not been previously seen at Diana Health.

What’s the difference between a Mental Health Nurse Practitioner and a Mental Health Therapist?

At Diana Health, we believe that mental health care should be comprehensive, just like the rest of your care. That’s why we have both LCSWs (Licensed Clinical Social Workers) and PMHNPs (Psychiatric-Mental Health Nurse Practitioners) on our Mental Health team. They work together to treat all of your needs. PMHNPs are masters at medication management for mental health conditions and LCSWs provide compassionate, 1:1 therapy. Whatever your mental health needs are, our team is here for you.

Are men able to use your mental health services?

While we absolutely support and uplift men seeking mental health services, all of the services available at Diana Health are available for women.

Virtual Visits

Questions about Diana Health’s virtual visits

Is virtual care “as good as” an in-person visit?

Absolutely! Our Care team has identified particular visit types that can be done virtually without compromising the quality of care. During your virtual visit, your provider will review your concerns thoroughly and if anything needs closer attention, we can easily schedule an in-person follow-up. This saves you time while ensuring you receive the care that you need, quickly.

What kind of visits can be seen virtually?

We can see a variety of gynecology and prenatal visits via virtual care including things like: menstrual health concerns, abnormal bleeding or irregular periods, birth control consults, urinary concerns, urgent concerns like UTIs and STIs, and yeast infections. There are also some prenatal visits that can be seen virtually.

Do I need any special equipment for a virtual visit?

All you need for your virtual visit is a smartphone, tablet, or computer with a camera and microphone. Please make sure to download Zoom ahead of your appointment. If you need any help, feel free to contact us — we’re here to make sure everything goes smoothly.

Billing and Insurance

Questions about billing, payments, and insurance coverage at Diana Health.

Which insurance does Diana Health accept?

Diana Health accepts most major insurance plans, including Medicaid and Tricare. Because accepted plans can vary by clinic and every plan is a little different, we strongly recommend calling your insurance company directly to confirm that Diana Health is in-network with your specific plan.

Your insurance company is the best source of truth for your benefits, coverage rules, referrals, prior authorizations, and expected out-of-pocket costs.

Does Diana Health accept Medicaid?

Yes, Diana Health accepts most Medicaid plans. But because accepted plans can vary by clinic and by state, we strongly recommend contacting your insurer directly to confirm that Diana Health is in-network with your specific plan.

What is insurance verification, and does it guarantee my final costs?

For all patients, we confirm that your insurance plan is active. If you are receiving non-pregnancy care, you are responsible for contacting your insurance company to understand your plan details, including your deductible, copay, coinsurance, and whether Diana Health is in-network.

For pregnancy patients, we also complete a more detailed verification of benefits to help estimate your expected maternity care costs. This estimate is not a guarantee of the final amount you will owe. Your actual financial responsibility will depend on the care you receive and how your insurance company processes each claim.

Does Diana Health accept self-pay patients?

Yes, Diana Health accepts self-pay patients! If you choose to self-pay, your services will be billed directly at our standard rates, with payment collected at the time of service.

Please send us a message through the Diana Health app with any questions about affordability or financial assistance. Our billing team can help you understand your expected costs prior to your visit.

Can I still be seen if Diana Health is out-of-network with my plan?

Yes, you can still be seen at Diana Health even if we are out-of-network with your insurer. Please keep in mind that out-of-network care typically costs more, and your insurance may cover only a portion of the cost (or may not cover the visit at all).

Before scheduling, we strongly recommend contacting your insurance company to confirm your out-of-network benefits and understand what you may be responsible for paying.

What should I ask my insurance company before my first visit?

Before scheduling your first visit, it’s worth taking a few minutes to call your insurance company and learn what services they cover. Here are some questions we recommend you ask. 

For all patients

  • Is Diana Health in-network with my plan?
  • Do I need a referral or prior authorization before my visit?
  • What is my copay? This is the fixed amount you pay at each visit.
  • What is my deductible, and how much have I already met? Your deductible is the amount you pay out of pocket each year before your insurance starts covering costs.
  • What is my coinsurance and out-of-pocket maximum? Coinsurance is the percentage you pay after your deductible is met. Your out-of-pocket maximum is the most you’ll ever pay in a single year.
  • Does my plan cover labs, imaging, pathology, and/or genetic testing? If so, is there a preferred lab or imaging center I should use?

For OB patients

  • Does my plan include maternity benefits?
  • Is the hospital where Diana Health delivers in-network with my insurance plan? Delivering hospital information can be found on your specific Diana Health clinic’s page.
  • Are hospital facility charges, anesthesia, newborn care, and lab services billed separately from my prenatal care?
  • Does my plan cover care from a midwife?
  • Will my deductible reset before my due date?

How do I add or change my insurance?

If you need to add a new insurance plan or update the one we have on file, please call your local Diana Health clinic as soon as possible. You can also bring your insurance card to the front desk at your next appointment so we can update your information.

If you’re pregnant, it’s especially important to let us know about any insurance changes right away. We’ll reverify your benefits and update your maternity cost estimate, if needed.

Do I need a referral or prior authorization?

Most routine OB/GYN and prenatal visits do not require a referral, but requirements vary by insurance plan. Certain procedures, including but not limited to imaging, laboratory testing, or specialty treatments, may require prior authorization.

For some specialty services, our team members will verify your benefits before your visit whenever possible and notify you if additional information or approvals are needed.

If you have questions about your coverage, we strongly recommend contacting your insurance company directly.

What if I have more than one insurance plan?

If you have more than one insurance plan, please give us all active insurance information before your visit. Be sure to let us know what it your primary and secondary insurance, so we can bill them in the appropriate order.

You may need to work with your insurers to coordinate benefits and determine which plan pays first. Please note that this process can affect how your claims are processed, how long it takes to receive a bill, and what amount may remain your responsibility.

What do I need to bring to my first visit?

We want your first visit to feel easy from the very start! Before your appointment, please complete the electronic intake forms we send you, including uploading a copy of your insurance card.

When heading out to our clinic, please remember to bring:

  • Your insurance card(s)
  • A government-issued photo ID
  • Any medical records we’ve asked you to provide
  • A referral, if your insurance plan requires one*

*Not sure whether you need a referral? We recommend contacting your insurance company before your visit to confirm.

How much will I owe for my visit?

At the highest-level, the amount you’ll owe depends on your insurance plan, the type of care you receive, and where you are in your plan year. 

Depending on your plan, you may owe a copay at the time of your visit. After your visit, we’ll also send a claim to your insurance company. Once your insurance processes the claim, they’ll let us know what portion is covered and what, if anything, is your responsibility. If there’s a remaining balance, we’ll send you a bill.

A few insurance terms worth knowing.

  • Copay. A set amount you pay for a visit. For most appointment types, we collect this at the time of the visit.
  • Deductible. The amount you pay out of pocket before your insurance starts paying for certain services.
  • Coinsurance. The share of the cost you pay after you’ve met your deductible. For example, your insurance may cover a percentage of the cost, and you pay the rest.
  • Out-of-pocket maximum. The most you’ll pay for covered in-network care during your plan year. Once you reach this amount, your insurance typically covers 100% of covered in-network services for the rest of that plan year.

When will my insurance be billed, and when should I receive a bill?

If you have insurance, we’ll submit a claim to your insurance company after your visit. Once your insurance processes the claim and determines your share of the costs, we’ll send you a bill for the remaining balance.

Claim processing timelines vary by plan. If you have questions about a specific visit or bill, please reach out to our team by sending us a message via the Diana Health app.

If you’re uninsured or paying out of pocket, you’ll be billed directly for your care at our standard rates. Payment is collected at the time of service.

When will I be asked to pay?

Gynecologic care. For most visits, we collect your copay at check-in. After your visit, we submit a claim to your insurance. Once your insurance processes the claim, we’ll bill you for any remaining balance.

Procedures or surgery. Some procedures or surgeries require payment before the service. Our team will walk you through the estimated cost and payment options in advance.

Pregnancy care. Pregnancy care is billed differently than standard gynecologic care. Please see our pregnancy FAQs for more information.

If you have questions about costs at any point, please don’t hesitate to reach out. We’re here to help make receiving care at Diana Health as straightforward and stress-free as possible

Why did I get a bill if I have insurance?

We never want a bill to catch you by surprise. While insurance covers many healthcare costs, it doesn’t always pay for everything.

Depending on your plan, you may still be responsible for part of the cost of your care. Common reasons you may receive a bill include:

  • You haven’t met your deductible for the year.
  • Your plan requires a copay or coinsurance for the services you received.
  • Part of your visit was billed separately (e.g, when an additional health concern is addressed during an annual well-woman visit).

After your claim is processed, your insurance company will send you an Explanation of Benefits (EOB). This document shows what your plan covered and what, if anything, you’re responsible for paying.

What if my insurance denies a claim?

If your insurance denies a claim, we’ll take a look and see what happened. Sometimes there’s something we can fix or resend on our end. Other times, your insurance company may need additional information from you, and you’ll need to contact them directly.

Either way, we’ll help you understand what we know and what the next step is. If your insurance still does not cover the claim after it’s reviewed, you may be responsible for the remaining balance.

Why might I get bills from the hospital, lab, imaging center, or another provider?

Receiving multiple bills for one episode of care is common in healthcare because different organizations bill separately for their services.

Diana Health bills for the care our team provides. If your care also involves a hospital, lab, imaging center, anesthesia group, specialist, or another provider, those organizations may send their own bills directly to you/your insurer.

Being in-network with Diana Health does not always mean every other provider involved in your care is also in-network. A hospital, anesthesiologist, lab, imaging center, or specialist may be out-of-network with your plan, even if Diana Health is in-network.

If you have questions about a third-party bill, please contact your insurance company or the provider who sent the bill.

Why did I get a bill from Quest or Labcorp?

If you had blood work or other lab tests done during your visit, you may receive a separate bill from Quest Diagnostics or Labcorp. This is normal.

While Diana Health orders the tests, the laboratory performs them and bills for them separately. How much you owe, if anything, depends on your insurance plan. Some plans cover lab work in full, while others apply your deductible or coinsurance. Some plans also require you to use a preferred laboratory to receive the highest level of coverage.

If you have questions about a lab bill, we recommend contacting your insurance company first. If you have questions about which tests were ordered or why, your care team is happy to help answer them. Just send us a message on the Diana Health app.

What is the difference between problem visits and preventative care—and why does it matter for my bill?

This is one of the most common sources of unexpected medical bills, so we want to explain it before your visit.

Preventive care focuses on keeping you healthy and includes services like annual well-woman exams, pap smears, recommended screenings, and preventive counseling. Most in-network insurance plans cover preventive care at 100%, meaning you may not owe anything for the preventive portion of your visit.

A problem visit, also referred to as diagnostic care, is when you discuss a specific symptom or medical concern (e.g., pelvic pain, irregular periods, vaginal discharge, urinary symptoms, breast concerns, or changes in your menstrual cycle).

Insurance covers preventive and diagnostic care differently. If you bring up a new symptom or concern during your annual well-woman exam and your provider evaluates or treats it, your insurance may classify that portion of the visit as diagnostic care. This means that portion of your visit may be billed separately as diagnostic care and as such, would be subject to your deductible, copay, and/or coinsurance.

If you have a specific symptom or medical concern you’d like addressed, we recommend scheduling a separate appointment from your preventative care visit.

Are well-woman visits 100% covered by insurance?

In most cases, yes. Most Medicaid and in-network insurance plans cover an annual well-woman exam as preventive care at 100%, meaning no copay, coinsurance, or deductible applies to the preventive visit itself.

However, additional charges may apply if you discuss a specific concern or symptom during the visit, since your insurance may classify that portion of the visit as diagnostic rather than preventive. Lab work, including screening tests collected during the visit, may also be billed separately and is not always covered at 100%.

Coverage varies by plan, so we recommend checking with your insurance company in advance.  

Are specialty services covered by insurance?

Coverage depends on your insurance plan and the type of speciality service you receive.

While many routine OB/GYN services are covered by insurance, services such as mental health visits, nutrition counseling, lactation consultations, etc. may have different coverage rules or additional out-of-pocket costs.

We recommend contacting your insurance company before your visit to confirm whether the specialty service is covered, what your expected costs may be, and whether you need to use a preferred provider.

If you don’t have insurance or plan to pay out-of-pocket, we’re happy to discuss estimated costs and our self-pay options before you schedule.

What happens when my deductible resets?

When your deductible resets, the amount you’ve already paid toward your deductible goes back to $0 for the new plan year. Until you meet your deductible again, you may pay more out of pocket for visits, lab work, procedures, pregnancy care, and other covered services.

Many insurance plans reset deductibles on January 1, but not all do. We recommend checking with your insurance company to find out when your deductible resets and how much of it you’ve already met.

How can I pay my bill?

We offer several convenient ways to pay your bill. You can pay online using the secure link included in our billing emails and text messages, or in person at your local clinic. We accept credit and debit cards.

Can I use HSA/FSA funds to pay my bill?

Yes. You can use HSA or FSA funds to pay your Diana Health bill, as long as there are enough funds available in your account to cover the balance.

Please note that HSA/FSA cards cannot be used for prepayment plans.

Can I set up a payment plan?

Yes. If you can’t pay your full balance all at once, please contact our billing team by sending a message through the Diana Health app.

For OB patients, payment plans are a built-in part of how we handle maternity billing, so you can pay your expected Diana Health costs gradually throughout your pregnancy. For other services, payment arrangements are handled on a case-by-case basis. 

What if I can’t pay my balance all at once?

If paying your full balance isn’t possible right now, please reach out to our billing team by sending a message in the Diana Health app.

For OB patients, payment plans are a built-in part of how we handle maternity billing, as it allows you to pay your estimated costs gradually over your pregnancy. For other services, we handle payment arrangements on a case-by-case basis.

Do you charge cancellation or no-show fees?

We know life can be unpredictable, but we ask that you cancel or reschedule at least 48 hours before your appointment so we can offer that time to another patient.

If you no-show or cancel within 48 hours, you may be charged a $100 fee. If you need to cancel or reschedule, please contact us as soon as possible.

Who do I contact with billing questions?

The best way to reach us with billing questions is by sending a message through the Diana Health app.

To do this, download the Diana Health app, activate your account, and log in. Then go to More > Need Help? > Message Admin Team and send us your billing question.

Messages are monitored during business hours, Monday through Friday, and we’ll get back to you within two business days.

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