Step 1: Scheduling Your Appointment
When calling a provider, let them know you are a self-pay or cash-pay patient. You can simply say:
“I will be paying cash and would like to know the self-pay rate for this visit.”
Many offices offer discounted rates for cash pay patients and can provide pricing upfront.
Step 2: At the Appointment
At check-in, confirm again that you are self-pay. If asked for coverage information, let them know you are not billing traditional insurance and will be paying directly.
Ask for:
Self-pay or cash pricing
Any available discounts
An itemized bill after the visit
Step 3: Paying for Care
Pay the provider directly at the time of service or once you receive the bill. Always request a detailed, itemized receipt that includes:
Patient name
Provider name
Date of service
Diagnosis and procedure codes
Total amount paid
This documentation is required for sharing consideration.
Step 4: Submitting for Sharing
Log into the MPB Health App and submit a Sharing Request. Upload your itemized bill and proof of payment. Make sure all information is clear to avoid delays.
Important Sharing Disclaimer
Medical cost sharing is designed to help with larger, eligible medical needs, not routine or isolated appointments such as occasional office visits, labs, or minor services. Members typically use cash pay pricing for smaller expenses and submit Sharing Requests when costs become significant and meet sharing eligibility guidelines.
Always refer to your Membership Guidelines for details on what is eligible for sharing.
Helpful Tip
If you are unsure what to say, how to estimate costs, or want help finding fair pricing, your Concierge can assist with provider selection, pricing guidance, and next steps before your visit.
Using MPB Health as a cash pay patient puts you in control and helps keep healthcare simple, transparent, and affordable.
📞 Concierge: 1-800-519-2969
📧 Email: concierge@mympb.com
🌐 Member Portal: https://app.mpb.health/