Practice Policy
These are my most commonly asked about policies. Each policy is thoroughly detailed in the Patient Service Agreement, which is completed during the intake process. If you would like to review the agreement in full, it can be viewed here:
Since I do not accept any insurances, I am classified as an out-of-network provider. As such, you are responsible for the full cost of the service, regardless of your insurance coverage. Telehealth appointments are billed at the same rates as in office appointments.
Preferred Provider Organization (PPO)
Some insurance providers may provide reimbursement for out-of-network services. In these cases, you will be provided with the information you need to submit a claim, called a "superbill." The practice does not have control over the reimbursement amount that your insurance will offer, and it is your responsibility to engage with your insurance provider to fully comprehend your policy.​
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Medicare
I am classified as an Ordering & Referring Only Physician for Medicare and Medicaid. Appointments with me are regarded as out-of-network services and are not covered by insurance. However, any labs, imaging, or test procedures and prescriptions written by me should be considered in-network and covered by Medicare per usual.
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Patients enrolled in Medicare are required to fill out a private pay contract, which states that they relinquish their rights to use any primary Medicare insurance or any secondary Medicare gap insurance for the services I provide. In these cases, neither the physician nor the patient can submit claims to Medicare for reimbursement.
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Medicaid
It’s important to note that some states prohibit physicians from charging patients with Medicaid out-of-pocket fees, even if the patient consents. Consequently, I am unable to accept patients whose primary insurance is Medicaid.