TIP Membership with Insurance

Our TIP Insurance + Membership plan, you’ll pay a monthly membership fee for the program, and your insurance will be billed for the portions of care that are eligible. 

HSA-FSA-1

TIP Treatment Pricing

Program costs are divided into three key components: a TIP Fee, a once Annual Blood Draw Fee, and Clinical Services Fees. The TIP Fee is an out-of-pocket membership fee that covers treatment plan creation and maintenance, food dosing, and 24/7 reaction support. The Once Annual Blood Draw Fee covers comprehensive testing for personalized treatment, while Clinical Services Fees support essential in-office procedures like food challenges and other testing. The yearly costs below reflect average amounts before insurance is applied.

Key Components
  • $5,280

    Annual TIP Membership Fee
    Out of Pocket Expense
    HSA/FSA Eligible
  • $2,500

    Once annual blood draw
    Insurance Eligible
    HSA/FSA Eligible
  • $7,645*

    Average first year clinical services cost
    Insurance Eligible
    HSA/FSA Eligible

=

Annual Cost

$15,425

 

Estimated average first-year cost before insurance

Program Cost Overview

Understanding your investment in food allergy treatment

  • What Insurance Typically Covers

    Office visits and consultations
    Diagnostic testing and laboratory work
    Laboratory Testing
  • Patient Responsibility

    Copayments for office visits
    Deductible amounts
    Annual TIP Membership Fee

In-Network/PPO Insurance

Depending on your specific insurance plan, some or all of your clinical and once annual blood draw fee may be covered. Kaiser and most HMOs are out-of-network and will not cover diagnostic and clinical costs.

  • In-Network PPO Carriers:

    • Aetna, Meritain Health (Aetna)
    • Cigna
    • Health Partners (Cigna)
    • Blue Shield of California
    • Anthem Blue Cross of California
    • United Healthcare
    • Oxford Health
    • UMR
    • Healthnet of California
    • Multiplan
    • First Health
    • Blue Cross Blue Shield (Outside of CA)

Insurance Verification Process

  • Frame 36368 (4)
    Submit Insurance Information

    Provide your insurance card details and policy information

  • Frame 36368 (5)
    Benefit Verification

    We verify your coverage and determine copay/deductible requirements

  • Frame 36368 (6)
    Coverage Confirmation

    Receive detailed explanation of covered services and patient responsibility

CPT Codes for Insurance Billing

Share the CPT codes below with your insurance provider to check your coverage. You can call the number on the back of your insurance card or submit your insurance information using the link below for a free, no-obligation cost estimate from our team. All TIP-related expenses are HSA and FSA eligible.

Zone 1

Visit and fee schedules vary by location. Select your time zone to view details.

Year 1

  • Onboarding Visit arrow_forward
    Items CPT Code Cost FSA / HSA
    Office Visit (New) 99205 $450
    Skin Prick Test 95018 $950
    Blood Draw See List $2,500
    Total - $3,900

     

  • Launch Visit arrow_forward
    Items CPT Code Cost FSA / HSA
    Office Visit 
    99215
    $450
    Skin Patch Test (25 Allergens) 95018
    $625
    PFT 94010 $120
    ENO Test 95012 $40
    Challenge Visit (Office + Food Visit 1 Day) 99215 +95076 $435
    Total - $1460

     

  • Food Challenge Visits arrow_forward
    Items CPT Code Cost FSA / HSA
    Challenge Visit (Office + Food Visit 1 Day)  99215 +95076 $435
    *In clinic every 6 - 8 Weeks, Approx.  11 visits / $435 per visist    
    Estimated Yearly Cost  - $4,785

     

  • TIP Membership arrow_forward

    The TIP Fee is an out-of-pocket membership fee that covers treatment plan creation and maintenance, food dosing, and 24/7 reaction support. The TIP Fee is not billable to insurance.

    Items CPT Code Cost FSA / HSA
    Program Creation Not Billiable to Insurance  -
    Gummy Home Dosing Not Billiable to Insurance  -
    24/7 Reaction Support Not Billiable to Insurance  -
    Total   $5,280

     

  • SLIT arrow_forward

    Environmental and food allergens share similar proteins. To effectively treat certain food allergies, for some patient it may be essential to address environmental allergies as well. Our unique TIP-driven SLIT formula not only supports TIP patients but also provides relief from pollen allergies (nasal, eye, and lung symptoms). Not all patients will require slit. SLIT is an out-of-pocket cost and not billable to insurance.

    Items CPT Code Cost FSA / HSA
    Sublingual Immuno Therapy Not Billiable to Insurance  $300 / quartlery 
    Estimated Yearly Cost
     - $1,200

     

Year 2+

  • Lab Visit (Every 1.5 yrs) arrow_forward
    Items CPT Code Cost FSA/HSA
    Blood Draw See List
    $2,500  
    Total - $2,500

     

  • Food Challenge Visits arrow_forward
    Items CPT Code Cost FSA/HSA
    Challenge Visit (Office + Food Visit 1 Day) 99215 +95076  $435
    *In clinic every 9 - 12 Weeks, Approx.  12 visits / $435 per visist    
    Estimated Yearly Cost  - $5,220

     

  • TIP Membership arrow_forward

    The TIP Fee is an out-of-pocket membership fee that covers treatment plan creation and maintenance, food dosing, and 24/7 reaction support. The TIP Fee is not billable to insurance.

    Items CPT Code Cost FSA/HSA
    Program Creation Not Billiable to Insurance   -
    Gummy Home Dosing Not Billiable to Insurance   -
    24/7 Reaction Support Not Billiable to Insurance   -
    Estimated Yearly Cost   $5,280

     

  • SLIT arrow_forward

    Environmental and food allergens share similar proteins. To effectively treat certain food allergies, for some patient it may be essential to address environmental allergies as well. Our unique TIP-driven SLIT formula not only supports TIP patients but also provides relief from pollen allergies (nasal, eye, and lung symptoms). Not all patients will require slit. SLIT is an out-of-pocket cost and not billable to insurance.

    Items CPT Code Cost FSA/HSA
    Sublingual Immuno Therapy  Not Billable to Insurance $300 / quarterly 
    Estimated Yearly Cost  - $1,200

     

Remission

  • Annual Visit arrow_forward
    Items CPT Code Cost FSA / HSA
    Office Visit 
    99215 $240
    Skin Prick Test 95018 $950
    Telehealth Visit  99443 $240
    Total - $3,900
     
     

     

  • Annual Lab Visit arrow_forward
    Items CPT Code Cost FSA / HSA
    Blood Draw See List $2,500
    Estimated Yearly Cost  - $2,500  

     

  • TIP Membership arrow_forward

    The TIP Fee is an out-of-pocket membership fee that covers treatment plan creation and maintenance, food dosing, and 24/7 reaction support. The TIP Fee is not billable to insurance.

    Items CPT Code Cost FSA / HSA
    Program Updates Not Billiable to Insurance   -
    24/7 Reaction Support    -
    Estimated Yearly Cost   $375  

     

Zone 2 & 3

Visit and fee schedules vary by location. Select your time zone to view details.

Year 1

  • Onboarding Visit arrow_forward
    Items CPT Code Cost FSA/HSA
    Office Visit (New) 99205 $450
    Skin Prick Test 95018 $950
    Blood Draw See List $2,500
    Total - $3,900  

     

  • Launch Visit arrow_forward
    Items CPT Code Cost FSA/HSA
    Office Visit 
    99215
    $240  
    Skin Patch Test (25 Allergens) 95018
    $625
    PFT 94010 $120  
    ENO Test 95012 $40
    Challenge Visit (Office + Food Visit 4 Days) 99215 +95076 $1,740  
    Total - $2,765  

     

  • Food Challenge Visits arrow_forward
    Items CPT Code Cost FSA/HSA
    Challenge Visit (Office + Food Visit 1 Day) 99215 +95076 $435

    *Zone 2 In clinic every 9 - 12 weeks, 12 Visits / $435 per day

    *Zone 3 In clinic every 9 - 12 weeks, 12 Visits / $435 per day

       
    Estimated Yearly Cost  - $3,480  

     

  • TIP Membership arrow_forward

    The TIP Fee is an out-of-pocket membership fee that covers treatment plan creation and maintenance, food dosing, and 24/7 reaction support. The TIP Fee is not billable to insurance.

    Items CPT Code Cost FSA/HSA
    Program Creation Not Billiable to Insurance  -
    Gummy Home Dosing Not Billiable to Insurance  -
    24/7 Reaction Support Not Billiable to Insurance  -
    Total   $4,800  

     

  • SLIT arrow_forward

    Environmental and food allergens share similar proteins. To effectively treat certain food allergies, for some patient it may be essential to address environmental allergies as well. Our unique TIP-driven SLIT formula not only supports TIP patients but also provides relief from pollen allergies (nasal, eye, and lung symptoms). Not all patients will require slit. SLIT is an out-of-pocket cost and not billable to insurance.

    Items CPT Code Cost FSA/HSA
    Sublingual Immuno Therapy Not Billiable to Insurance  $300 / quartlery 
    Estimated Yearly Cost
     - $1,200  

     

Year 2+

  • Lab Visit (Every 1.5 yrs) arrow_forward
    Items CPT Code Cost FSA/HSA
    Blood Draw See List
    $2,500  
    Total - $3,900  

     

  • Food Challenge Visits arrow_forward
    Items CPT Code Cost FSA/HSA
    Challenge Visit (Office + Food Visit 1 Day) 99215 +95076 $435  
    *In clinic every 6 - 8 Weeks, Approx.  11 visits / $435 per visit    
    Estimated Yearly Cost  - $4,785  

     

  • TIP Membership arrow_forward

    The TIP Fee is an out-of-pocket membership fee that covers treatment plan creation and maintenance, food dosing, and 24/7 reaction support. The TIP Fee is not billable to insurance.

    Items CPT Code Cost FSA/HSA
    Program Creation Not Billiable to Insurance   -
    Gummy Home Dosing Not Billiable to Insurance   -
    24/7 Reaction Support Not Billiable to Insurance   -
    Estimated Yearly Cost   $4,800  

     

  • SLIT arrow_forward

    Environmental and food allergens share similar proteins. To effectively treat certain food allergies, for some patient it may be essential to address environmental allergies as well. Our unique TIP-driven SLIT formula not only supports TIP patients but also provides relief from pollen allergies (nasal, eye, and lung symptoms). Not all patients will require slit. SLIT is an out-of-pocket cost and not billable to insurance.

    Items CPT Code Cost FSA/HSA
    Sublingual Immuno Therapy  Not Billable to Insurance $300 / quarterly   
    Estimated Yearly Cost  - $1,200  

     

Remission

  • Annual Visit arrow_forward
    Items CPT Code Cost
    Office Visit 
    99215 $240
    Skin Prick Test 95018 $950
    Telehealth Visit  99443 $240
    Total - $3,900
     

     

  • Annual Lab Visit arrow_forward
    Items CPT Code Cost
    Blood Draw See List $2,500
    Estimated Yearly Cost  - $2,500

     

  • TIP Membership arrow_forward

    The TIP Fee is an out-of-pocket membership fee that covers treatment plan creation and maintenance, food dosing, and 24/7 reaction support. The TIP Fee is not billable to insurance.

    Items CPT Code Cost
    Program Updates Not Billiable to Insurance   -
    24/7 Reaction Support    -
    Estimated Yearly Cost   $375

     

Zone 2 & 3

Visit and fee schedules vary by location. Select your time zone to view details.

Year 1

  • Onboarding Visit arrow_forward
    Items CPT Code Cost FSA/HSA
    Office Visit (New) 99205 $450
    Skin Prick Test 95018 $950
    Blood Draw See List $2,500
    Total - $3,900  

     

  • Launch Visit arrow_forward
    Items CPT Code Cost FSA/HSA
    Office Visit 
    99215
    $240
           
    PFT 94010 $120
    ENO Test 95012 $40
    Challenge Visit (Office + Food Visit 4 Days) 99215 +95076 $1,740
    Total - $2,765  

     

  • Food Challenge Visits arrow_forward
    Items CPT Code Cost FSA/HSA
    Challenge Visit (Office + Food Visit 1 Day) 99215 +95076 $435  

    *Zone 2 In clinic every 9 - 12 weeks, 12 Visits / $435 per day

    *Zone 3 In clinic every 9 - 12 weeks, 12 Visits / $435 per day

       
    Estimated Yearly Cost  - $3,480  

     

  • TIP Membership arrow_forward

    The TIP Fee is an out-of-pocket membership fee that covers treatment plan creation and maintenance, food dosing, and 24/7 reaction support. The TIP Fee is not billable to insurance.

    Items CPT Code Cost FSA/HSA
    Program Creation Not Billiable to Insurance  -
    Gummy Home Dosing Not Billiable to Insurance  -
    24/7 Reaction Support Not Billiable to Insurance  -
    Total   $4,800  

     

  • SLIT arrow_forward

    Environmental and food allergens share similar proteins. To effectively treat certain food allergies, for some patient it may be essential to address environmental allergies as well. Our unique TIP-driven SLIT formula not only supports TIP patients but also provides relief from pollen allergies (nasal, eye, and lung symptoms). Not all patients will require slit. SLIT is an out-of-pocket cost and not billable to insurance.

    Items CPT Code Cost FSA/HSA
    Sublingual Immuno Therapy Not Billiable to Insurance  $300 / quartlery 
    Estimated Yearly Cost
     - $1,200  

     

Year 2+

  • Lab Visit (Every 1.5 yrs) arrow_forward
    Items CPT Code Cost
    Blood Draw See List
    $2,500  
    Total - $3,900  

     

  • Food Challenge Visits arrow_forward
    Items CPT Code Cost FSA/HSA
    Challenge Visit (Office + Food Visit 1 Day) 99215 +95076 $435
    *In clinic every 6 - 8 Weeks, Approx.  11 visits / $435 per visit    
    Estimated Yearly Cost  - $4,785  

     

  • TIP Membership arrow_forward

    The TIP Fee is an out-of-pocket membership fee that covers treatment plan creation and maintenance, food dosing, and 24/7 reaction support. The TIP Fee is not billable to insurance.

    Items CPT Code Cost FSA/HSA
    Program Creation Not Billiable to Insurance   -
    Gummy Home Dosing Not Billiable to Insurance   -
    24/7 Reaction Support Not Billiable to Insurance   -
    Estimated Yearly Cost   $4,800  

     

  • SLIT arrow_forward

    Environmental and food allergens share similar proteins. To effectively treat certain food allergies, for some patient it may be essential to address environmental allergies as well. Our unique TIP-driven SLIT formula not only supports TIP patients but also provides relief from pollen allergies (nasal, eye, and lung symptoms). Not all patients will require slit. SLIT is an out-of-pocket cost and not billable to insurance.

    Items CPT Code Cost FSA/HSA
    Sublingual Immuno Therapy  Not Billable to Insurance $300 / quarterly   
    Estimated Yearly Cost  - $1,200  

     

Remission

  • Annual Visit arrow_forward
    Items CPT Code Cost
    Office Visit 
    99215 $240
    Skin Prick Test 95018 $950
    Telehealth Visit  99443 $240
    Total - $3,900
     

     

  • Annual Lab Visit arrow_forward
    Items CPT Code Cost
    Blood Draw See List $2,500
    Estimated Yearly Cost  - $2,500

     

  • TIP Membership arrow_forward

    The TIP Fee is an out-of-pocket membership fee that covers treatment plan creation and maintenance, food dosing, and 24/7 reaction support. The TIP Fee is not billable to insurance.

    Items CPT Code Cost
    Program Updates Not Billiable to Insurance   -
    24/7 Reaction Support    -
    Estimated Yearly Cost   $375

     

  • TPIRC Medical Foundation, Inc.

    701 E. 28th Street, Suite 419 Long Beach, CA
    90806-2759
    NPI: 1225611312
    Tax Id: 86-3638185

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