Most of us would agree that health insurance is the greatest challenge to achieving quality health care today. We pride ourselves in being able to help you maximize your insurance reimbursement for covered procedures. To do so, we must ask you to bring all of your insurance information to your consultation. Once we have a diagnosis, we will appropriately file a claim either for reimbursement to our office or to you. We will attempt to “prior authorize” your procedure with your insurance company. Once we have determined how much of your procedure is covered by insurance, we will let you know what your financial responsibility will be. Your portion of the fee is due at the time of surgery. We will also file a claim at that time. Most insurance companies will respond within four to six weeks. Please call our office if you receive a statement that does not reflect your insurance payment within that time frame. If there is a balance due, you will receive a statement from us which will show your additional responsibility. If you are due a refund, on the portion you paid, we will send it to you between the 25th and end of the month in which your insurance paid. For certain procedures that require an extended time of treatment we can make arrangements for an in-office payment plan but that must be implemented prior to the actual procedure. Generally, if you require a payment plan to afford care, we offer Care Credit and are happy to help you apply for this program.
If you are seen in consultation and the doctor decides that you are able to have a procedure performed the same day, we are unable to verify insurance coverage and obtain a copayment for you. Therefore, for same-day surgeries, we collect all fees in full. We will then file an insurance claim for reimbursement to you.
Please bring your insurance information to your first office visit so that we can expedite reimbursement.