Insurance questions
Information Hub
When you have an emergency, unexpected bills arise. Here is what you can expect.
What insurances are accepted?
We accept most commercial insurances. We will confirm that over the phone with you.
By commercial insurance, we mean insurance that is given to you by your employer. We also accept some workers comp plans.
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We do not accept car insurance, Medicare, or Medicaid plans. If you have one of these insurances and feel your injury warrants a plastic surgeon, please head to an emergency department or an urgent care for evaluation.
How much will I be charged? What will be my financial responsibility?
Your charges are dependent on the degree and location of the injury, as well as to a certain extent the physician that is on call. Charges are based off of the "Usual and Customary" rates for the area.
Your financial responsibility for most will be related to your In Network deductible and your In Network copay. The costs are based off of your Insurance companies' original payment. Many times, the final payment on a procedure is set by an independent arbitrator. You have no responsibility related to this.
In Network? Out of Network?
Since we are a collection of surgeons, the In vs Out of Network status of each physician varies. However, due to the "No Surprises Act," if your procedure is done at a hospital which has a contract with your insurance company (an In Network hospital), then for this instance all of our physicians will be treated as "In Network" when it comes to your insurance plan!
Therefore, you do not have to worry about "Out of Network" costs. We also have a strict no balance billing policy for any physician that is part of the group.
What is the "No Surprises Act"
The No Surprises Act protects people covered under group and individual health plans from receiving surprise medical bills when they receive most emergency services, non-emergency services from out-of-network providers at in-network facilities, and services from out-of-network air ambulance service providers. It also establishes an independent dispute resolution process for payment disputes between plans and providers, and provides new dispute resolution opportunities for uninsured and self-pay individuals when they receive a medical bill that is substantially greater than the good faith estimate they get from the provider.
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