NOVO Health

A “bundle” is the related medical services for the physician, the surgery center, anesthesia and physical therapy packaged together for an episode of care. The price of the bundle is known in advance and is the same irrespective of provider or location. A 90-day post-op limited warranty is included.

The NOVO Health Bundled Payment Program for Health Services was designed to include the most common procedures performed by our participating providers. We are regularly adding new bundles, but not all care is available in a bundled format. If your care cannot be bundled, choosing a NOVO Health participating provider still gives you peace of mind you are receiving care from a top-quality provider whose cost-efficiency can reduce your out-of-pocket expenses in comparison to other market alternatives. Questions regarding whether your care can be bundled should be directed to Care Navigation at (833) 361-6686.

NOVO Health has a dedicated hotline for patients interested in learning more about the program, finding a participating provider, or scheduling an appointment. The phone number is (833) 361-6686. Another great place to start is the NOVO Health mobile app, which features videos and other materials you can use to explore your options any time that’s convenient for you. The app can also be used to reach out to Care Navigation with questions, or to schedule an appointment.

In general, the NOVO Health bundle begins on the date of the surgery or procedure and continues for 90 days. This allows us to package care needed for recovery into the same bundle. It is possible that you may receive services within 90 days that are not included in the bundle. Examples of this would include care provided to you by a health care provider who does not participate in the NOVO Health Bundled Payment Program for Health Services, or care that is for an injury or condition unrelated to the bundled surgery or procedure. If you receive an explanation of benefits (EOB) from your insurance carrier, or a bill from a provider that you believe was in error, please contact Care Navigation at (833) 361-6686.

For you to use the NOVO Bundled Payment Program for Health Services, your health plan (whether primary or secondary) must agree to work with NOVO Health. If the health plan that provides your secondary coverage has agreed to work with us, and your primary coverage is not available, your secondary coverage may be used. If not, your secondary coverage will not be available. If secondary coverage would be expected to cover a portion of your procedure, we can work with you and your health plans to better understand your options, but most often using your primary coverage to obtain a bundle will still be worthwhile. If you have secondary coverage through a state or federal program, special rules and limitations may apply to comply with state and federal law. This program is not sponsored by, or offered in connection with, any state or federal government program. Please contact Care Navigation at (833) 361-6686 to discuss your coverage and learn how to best use this program in connection with your health benefits plan(s).

Your provider is focused on delivering the best medical care possible, and though they may have knowledge regarding the NOVO Health Bundled Payment Program for Health Services, any questions related to the program should be directed to Care Navigation at (833) 361-6686. Bundles involve coordinated care among multiple providers, and our Care Navigation team is familiar with the entire process and experience.