We have compiled a list of answers to common questions we receive from patients. If your question is not on our list, please feel free to contact our office or ask at your next visit.
Frequently Asked Questions
Initial appointments usually last about 90 minutes. The doctor will review your medical and personal history, discuss concerns, perform an exam, and, if a diagnosis is reached, develop a treatment plan.
Each insurance company is different, and each situation is unique, however insurance can take up to two weeks to approve a referral and fax it to us.
Typically, no. Each treatment has its own protocol and multiple treatments usually cannot be performed in a single appointment.
For new patients, the wait time is usually about 2-3 weeks. Some locations may have greater availability than others. Existing patients usually maintain regularly scheduled appointments.
It is our policy to obtain a copy of the patient’s medical insurance card before scheduling their appointment so we can verify coverage with their insurance. We do this to provide accurate cost estimates for treatments. Please note that prior authorization does not guarantee payment by an insurer.
To upload your card to Klara, a HIPAA-safe texting app you may use to communicate non-emergency information with us, please follow the directions found here.
Billing and Payment
If you have questions about billing, insurance, or payment arrangements, please contact our Billing department:
Phone: (844) 235-9881
We offer installment plans and third-party financing through CareCredit. To learn more, please contact our office.
We accept only medical insurance, not dental insurance. Please check our insurance page to see if we accept insurance from your carrier. Coverage does vary, so please check with your carrier for services covered by your specific plan.
Insurance coverage can vary depending on your plan and the treatment needed. We encourage you to check with your insurance carrier to confirm that we are in network for your plan. Using an in-network provider may lead to a more affordable treatment experience.
No. Prior authorization is not a guarantee of payment by an insurer, but it is a good indication of the health plan’s intentions to pay for the service or medication. If you do have a prior authorization for a specific treatment, your insurance carrier is not promising that they will pay 100% of the costs. You are still responsible for your share of the cost, including co-payments, coinsurance, and/or remaining calendar year deductibles set forth by your health plan’s design.
This is the amount that you pay to our office front desk at the time of each visit. Usually, your co-pay amount is listed on your insurance card.
This is the amount that you must spend on covered expenses before your insurance will cover the cost of treatment. For example, if your deductible is $1000, you will need to spend $1000 before insurance will pay any of our fee. If you have spent nothing toward your deductible and your bill from us (after any co-insurance adjustment) is $500, you will be responsible for the full $500. Your insurer can explain your specific deductible to you.
This is a percentage of the total bill that you are responsible for. For example, if you have met your full deductible (if any), your coinsurance is 10%, and your bill is $1000, you will pay $100 (10% of $1000) and your insurance will pay the balance of $900. Please note, Medicare has a 20% co-insurance. Your insurer can explain your specific coinsurance to you.
HMO carriers (and in some cases, PPO carriers) require prior authorization before they will cover the cost of treatments. Authorization must be approved prior to your treatment.
Authorization can take anywhere from 5-10 days, depending on the insurance carrier. If you’re looking to speed up the process, you may wish to:
- Review your medical insurance for coverage.
- Call your insurance company to discuss your benefits.
- Have your doctor fax a referral to us at 760.436.5123.
- Inform our staff of any pertinent information you obtain about your coverage.
“Out-of-network” refers to healthcare providers who do not have a contractual agreement with a particular insurance company. If our practice is considered out-of-network with your insurance plan, your insurance company may cover a reduced percentage of the treatment costs or none at all. Our team will assist you in understanding your out-of-network benefits and help you explore alternative payment options if needed.