Because we have no contracts with health insurers, we usually cannot invoice your insurer directly. Instead, we use a goodwill arrangement: we cover the difference between our invoice and your insurer's reimbursement ourselves. So you never pay more than at a contracted ENT practice.

You receive an invoice from us and submit it yourself to your health insurer. You pay us only once your insurer has paid out the reimbursement.

The excess is a legal requirement: it is charged to you by your insurer, just as with any care provider. Care that falls outside the excess (such as a hearing test with a referral) is reimbursed in full.