icon_patientsQuestions Patients Frequently Ask

What is HOOP?

HOOP stands for Healthcare Out Of Pocket and is an organization which empowers patients to make financially smart healthcare decisions.  We accomplish this through providing information that patients need to compare costs when choosing a provider or service and through access to reasonable rates.

Who is HOOP for?

HOOP is designed for patients who spend their out of pocket dollars for day-to-day medical expenses due to either a high deductible plan or lack of  health insurance.  HOOP is partnering with providers offering competitive pricing to patients for paying at the time of service  (cash payment) or those who do not have insurance.

How is HOOP different from traditional health insurance?

HOOP is not insurance nor is it a substitute for insurance.  It does not pay for any of your medical expenses.  HOOP is a simply a tool for patients to compare costs and access cash discounts.

Can I use the coupons along with my health insurance?

The cash discount price may be lower than what your insurance has negotiated.     Once you choose to benefit from cash discount, you won’t be able apply this amount to your deductible.  By using HOOP discounts or cash discounts  you agree to pay the full amount for the service at the time of care.  Your provider will not send a bill to your insurance company for that service.

Can I use my Health Savings Account (HSA) or Flexible Spending Account (FSA)?

Yes.  You can use your health savings account to pay for out-of-pocket qualified medical expenses.   Some employer-based FSA’s and HRA’s may have additional limitations.  For more information on qualified medical expenses, please visit: http://www.irs.gov/publications/p502/index.html

How can HOOP offer competitive prices?

HOOP provides a platform where providers can offer their service to compete for private patients’ business.  Providers determine their rates based on their costs and fair market value.  Because HOOP members pay for services out-of-pocket at the time of service, providers eliminate the high bad-debt rates as well as the tasks of billing, collecting, appealing, and other administrative tasks associated with submitting claims to insurance and are able to pass their savings on to self-pay consumers.