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 Eligible

Program Cost Overview

Program costs are divided into three key components: 
a TIP Membership Fee, a Once Annual Blood Draw Fee, and Clinical Services Fees. 

  • image 1-2

     TIP Membership

    • Custom Treatment Planning: Precision protocols powered by predictive data and AI.
    • Research-Driven Care: Continuous clinical and lab research to improve outcomes.
    • Precise At-Home Dosing: Tailored gummy treatments based on your immune signature.
    • 24/7 Reaction Support: Expert clinical guidance and safety monitoring at all times.
    • TIP Membership Fee: An out-of-pocket fee covering all plan maintenance and dosing.
  • image 2-1

     Once Annual Blood Draw

    • Comprehensive Blood Mapping: Advanced testing of 130+ allergen components at our Aperture Immunodiagnostics lab.
    • Precision Skin Testing: Targeted skin prick tests to identify IgE-mediated allergies for treatment planning.
    • Patch Testing Analysis: Assessing delayed allergic reactions to monitor progress over time.
    • Once Annual Blood Draw Fee: Covers the comprehensive diagnostic testing required for personalized treatment.
  • image 3-1

     Clinical Services

    • Routine Food Challenges: 10–12 annual in-office visits to safely build and verify food tolerance.
    • Advanced Lung Function Testing: Comprehensive PFT and FeNO testing to monitor respiratory health.
    • Cardiac Telemetry Monitoring: Real-time heart monitoring to ensure patient safety during challenges.
    • Clinical Services Fees: Supports essential in-office procedures including food challenges and diagnostic testing.

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)/Virtual Onboarding

    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 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   $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 - $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   $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
    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

Prefer Simple, Predictable Pricing?

Our TIP Subscription Plan offers all-inclusive monthly pricing with no insurance hassles.