Financial

Medical Billing & Insurance

We currently have contracts with the following insurance companies:

  • Aetna

  • Blue Cross/ Blue Shield

  • Cigna

  • Golden Rule

  • Great Plains Medicare Advantage

  • Health Partners

  • Humana

  • Iowa Medicaid

  • Medicare

  • Midlands Choice

  • Nebraska Total Care

  • OPTUM

  • Railroad Medicare

  • Secure Horizons Direct

  • Surest

  • Tricare

  • UMR

  • United Health Care

If you don’t see your insurance on the list, give us a call; we are actively adding new insurance enrollments.

Please be aware that although GRACE may be considered in-network, our practice may not yet appear in their system as it can take several months for new practices to be fully integrated.

As insurance coverage can be variable and change throughout the year, it is a good idea to check your individual coverage. This list is not a guarantee of coverage or insurance payment.

If you have insurance, we will always bill your insurance for medical visits and procedures first.

If you are interested in self-payment options for medical services, please contact our office for a cost estimate based on your specific imaging needs.

Spa services must be paid at time of service and are not eligible to be submitted through insurance.

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A note to our patients

Thank you for trusting us with your care. Your confidence means everything to us, and we remain committed to providing exceptional service every step of the way.

As a small, local business, we partner with a third-party company called Valley Medical Management Services (VMMS) to handle our billing and insurance claims. Initial questions regarding billing, payments, and financial assistance should be directed to VMMS at (308) 234-5520. We understand how challenging and frustrating it can be to navigate insurance coverage, and we are here to support you in any way we can.

If you require financial assistance, we are here to help. Improving access to care and reducing barriers to breast health is a key part of GRACE’s mission. We offer payment plans and other options to ensure you receive the care you need.

As a new practice in our community, we are dedicated to providing efficient, affordable, and exceptional care. If there is anything we can do to improve your experience, please don’t hesitate to reach out.

For questions or additional information, please contact us at (515) 505-3224 or send us a message a hello@graceimagingandspa.com.

Thank you for allowing us to care for you.

Sincerely,
Your GRACE Team

Glossary of Terms: Navigate your insurance coverage

Insurance providers, coverage types, and individual plans vary widely. We recommend contacting your insurance provider directly to confirm your specific benefits.

Charges for diagnostic or supplemental breast imaging are often similar across facilities. Insurance companies often determine the amount of coverage and type of cost that will apply to you based on the place of service.

We encourage you to check about your specific plan’s coverage when scheduling your exam. GRACE Breast Imaging & Medical Spa is happy to provide you the infomation you need to help you get the most accurate information about your coverage.

  • When deductible applies, you owe 100% of the amount that insurance allows for payment on the care you received. This amount is considered “covered”, but is applied as credit toward your deducible amount on the policy that you are responsible for paying. If medical care you receive is subject to your insurance deductible, that means your insurance will not pay any portion of the costs until you have fully satisfied your deductible amount for your policy’s benefit period. Typically the benefit period is a calendar year, but this can vary from plan to plan.

  • A fixed dollar amount that you pay once per visit, and your insurance will pay the rest of the visit as long as your policy covers office care with a copay only. Call your insurance to ask if your plan applies copay to office medical care, or if other types of cost would also apply (deductible, coinsurance etc).

  • A percentage of the amount that insurance allows for payment on care you receive. For example if you have 20% coinsurance, that means you are responsible for 20% of the cost, and your insurance will pay the other 80%. This typically will kick in after you meet your deductible, though every insurance policy is different, so check with your plan. 

  • Routine annual mammograms for patients without breast symptoms. These are typically covered 100% by insurance, regardless of where you receive care.

  • More in-depth testing for cases where a mammogram reveals an abnormality or when breast symptoms are present. Diagnostic evaluation can include specialized mammogram pictures and/or targeted ultrasound images. Out-of-pocket costs may apply, depending on your plan’s coinsurance, copay, deductible, and out-of-pocket maximum.

  • Additional screening imaging with screening ultrasound, contrast enhanced mammography, or breast MRI used in the setting of dense breast tissue, genetic mutations, family history, or other reasons. Insurance coverage for supplemental imaging varies by plan and these services may involve out-of-pocket expenses depending on the specifics of the coverage.

  • Charges for the procedure will be billed by GRACE, while a separate bill from Goldfinch Laboratory will cover the processing and interpretation of your samples.

  • Place of service is a term used to describe different categories of medical settings. The level of insurance coverage and type of out-of-pocket cost that you will have for services is often dependent on place of service. The place of service for GRACE is an office (specialist); the “place of service” for Goldfinch is an independent laboratory.

  • At GRACE Breast Imaging we offer global billing which means all elements of your exam are included in a single price whether you opt to use your insurance or choose our same-day self-payment option.