Handling Upfront Payment Requests

In some cases, especially for members on a PPO Plus HSA plan, you may be asked to pay some or all provider fees upfront. This will depend on the individual facility as well as the services being rendered.

Are you on a Sana First Health Plan (SFHP)?

If a provider asks you to pay upfront, contact Sana Care or Care Navigation before paying or receiving care.

Our team can help review the situation and work with the provider when appropriate. This may include:

• Researching expected rates or costs
• Confirming or sending referral documentation
• Helping coordinate direct billing with the provider
• Working with you on other provider options if needed

If the care requires a Sana Care referral, paying upfront does not replace the referral requirement. Make sure your referral is in place before receiving care to avoid a claim denial.

We recommend the following articles to guide your conversation with the provider, plus any next steps.

• Talking to Providers About Sana
• Flex Pay Options