Participating Insurance Companies
We participate with most major commercial insurance providers and Medicare for medical dermatology. For patients of participating insurance plans and medicare, we will submit a claim on your behalf for all services rendered during the visit, and patients are responsible for prompt payment of their copay, deductible, or patient responsibility as determined by their insurance provider. Note, we do not participate with Medicaid and cannot accept medicaid as a medicare secondary (this includes UHC Medicare Dual Complete).
Current Participating Insurance Plans
Aetna
Carefirst Blue Cross Blue Shield (All BC/BS Commercial Plans)
Cigna (Cigna Care Designated Tier 1 Provider)
Great West
Medicare (Including Aetna/Carefirst/UHC Medicare Advantage)
Tricare 4 Life (OUT OF NETWORK for Tricare East/Humana Military)
United Healthcare (UHC)
EXCEPT UHC Medicare Dual Complete or ANY D-SNP Plans
Private Patients
For patients with non-participating insurance we offer very reasonable private patient rates (see below). In many cases, with high-deductible plans, these rates are less than what a patient would be responsible for if they were to visit a dermatologist who participates with their insurance. Private patients are provided with itemized bills and forms required to submit a claim to their insurance provider as an out-of-network visit.
Private Patient Initial Visit: $125
Private Patient Follow-up Visit: $85
Cosmetic Procedure Payment Policies
In general, insurance companies will not cover any product, procedure, or visit considered ‘cosmetic’ in nature. While this may seem unfair, we have no control over what an insurance company may consider cosmetic in nature. Procedures which are universally considered cosmetic include Botox, Wrinkle Fillers, Laser Hair Removal, Laser Tattoo Removal, Laser Wrinkle Reduction, Laser Treatment of Age Spots, cryotherapy of benign seborrheic keratosis, skin tag removal, and removal of benign lesions or moles. All cosmetic treatments are considered fee for service and payment is due at or before the time of service. If you would like to submit an insurance claim for a certain procedure after your treatment we can provide you with the appropriate forms to do so, however full payment will be due at time of service. If you have any questions about whether a procedure may be covered by your insurance, please call our office to speak with an insurance and billing specialist.
Flexible Spending Accounts (HSA/FSA) for Cosmetic Procedures
In many cases a patient may be able to use a flexible spending account for procedures not covered by their primary health insurance carrier. Please call your HSA/FSA provider to determine if HSA or FSA payment for uncovered procedures is possible.
