Our #1 goal is to provide elite care for female athletes to prevent future injuries while minimizing their out of pocket obligations. Pelex is dedicated to making healthcare accessible and affordable; if you do not have out of network benefits, or cost is a barrier, we have a responsive care team that will work with you to explore generous payment options and self-pay discounts.
Right now, Pelex Sports does not participate with private insurance plans, but don’t confuse this with “Pelex doesn’t take my insurance.” What this means is that our fees are covered under your “out of network” benefits, which may be at a lower level of coverage. When you see a provider who is not contracted with your insurance they can do something called “balance billing.” This is when a provider sends a patient a bill for the balance (or portion of the balance) between what the insurance company paid for your visit and what the provider billed (which sounds very scary!!) However, one of the benefits to seeing an out of network provider is that because they are not contractually obligated, they can adjust this balance bill at their discretion.
