Paloma Health Member Policies

Medication Refill Policy

At Paloma Health, we are dedicated to providing a seamless way to manage your hypothyroid care. Our Care Managers are available via chat to assist you in obtaining the care you need, including quick medication refills.

How Do Refills Work?

Our Care Managers follow your provider's recommendations for refilling medications and adhering to your treatment plan. This includes guidelines for testing your thyroid function and scheduling follow-up visits.
To help you stay on track, we will send reminders through your Care Manager chat in advance of when it's time to test your thyroid and schedule a follow-up visit.
We recommend arranging testing and follow-up visits well in advance to avoid any lapses in medication.

Can I Request a Short-Term Refill?

If you need a short-term refill while awaiting your Paloma provider visit or testing, please inform your Care Manager.
Once your follow-up visit is scheduled and testing is planned, your Care Manager may coordinate a short-term refill to ensure continuity of care.

Cancellation and No-Show Policy

Appointment Cancellations

Members will not be charged if an appointment is canceled or rescheduled at least 4 hours before the scheduled start time.

No Shows

Paloma Health will charge a no-show fee of $60.
If you are more than 10 minutes late, your provider may recommend rescheduling due to insufficient time for a full visit, which will be considered a "no-show."

How to Reschedule or Cancel Appointments

Appointments must be rescheduled or canceled at least 24 hours in advance.
You can do this directly in your Paloma portal by clicking here.
If your appointment is less than 24 hours away, please message your Care Manager or email contact@palomahealth.com for assistance.

Lab and Intake Form Policy

At Paloma Health, we are committed to providing integrated and effective thyroid care. Please adhere to the following guidelines regarding lab results and intake forms:

Lab Results

First Visit: All thyroid lab results must be dated within 4 months of your scheduled visit date.
Follow-Up Visits: Your most recent lab results must be dated after your last visit to help us monitor any changes or progress.

Intake Forms

Submission: All required intake forms must be completed prior to each visit, including sections on current symptoms, preferred pharmacy, and medication.
Completing these forms in advance helps prepare for your appointment and provides essential information for your provider.

Additional Information

Timeliness: Please submit your intake forms and lab results as early as possible before your appointment.
Contact Us: For questions or assistance, please reach out to your Care Manager or email contact@palomahealth.com. We are here to ensure your visit is productive.

Insurance Reimbursement FAQs

Paloma Health is committed to making healthcare affordable and accessible. We accept a wide range of insurance plans and continually expand our offerings. On your Explanation of Benefits, you may see "Chrysalis Health," the legal name of our medical practice.

If Paloma Health is in your insurance network, we will submit claims after your visit. Your insurance will process the claim and determine your copay, coinsurance, and deductible.
Our system will charge the amount to the card on file. Please allow 30-45 business days for this process, which may take longer if appeals are involved.

To check if we accept your plan, please upload a photo of your insurance card [here]. Note that we do not accept Medicare or Medicaid, though certain Medicare Advantage Plans are accepted.

Insurance Acceptance and Billing

Paloma Health accepts various insurance plans as an in-network provider. When you use your insurance benefits, we bill your insurance carrier directly, adhering to the terms of your policy, which includes copays, deductibles, and coinsurance. Each plan is unique, and your progress toward meeting your deductible may vary based on your monthly healthcare usage.

Self-Pay Option

If you choose not to use your insurance, Paloma Health offers a discounted self-pay rate for quicker payments and reduced administrative overhead.
Please note that for self-pay visits, we cannot provide superbills.

Assistance with Insurance Navigation

We are here to help you navigate the insurance process and ensure you receive your entitled benefits. If you need assistance, please reach out to us. To facilitate the process, kindly upload your insurance card here.

Timing of Charges for Provider Visits

For Self-Pay Patients

Billing will occur 1-3 business days after your provider visit and will be charged to the clinician card on file.
This may differ from the card used for purchasing home test kits.

For Patients Using Insurance

After your visit, Paloma Health will submit the claim to your insurance within 30 days.
The insurance company may take up to 90 days to adjudicate the claim.
Once complete, we will post the copay and any deductible or coinsurance payments to the card on file. This may also differ from the card used for purchasing home test kits.

If you need to update your payment methods, please do so HERE.

Thank you for your cooperation and commitment to your thyroid and hormonal health. We look forward to providing you with the best possible care.