NEW PATIENTS
Welcome to Our Practice
We are pleased you have chosen our practice, and we look forward to meeting you.
This page outlines our appointment, insurance and payment policies to help you prepare
for your visit.
For your first visit:
- Please fill out the patient information form and bring it with you, along
with your insurance card(s).
- You can also register online with
MEDFUSION. If you are a new Aesthetic/ nonsurgical patient,
you will have additional treatment specific forms to complete.
- Bring any test results or radiology films that relate to your visit.
- If your HMO, Medicaid or Workers’ Compensation carrier requires authorization
from your primary care physician, be sure you have a referral authorization at the
time of your appointment.
- Plan to arrive at least 15 minutes early to check in so we can process your information.
Appointment Scheduling
We participate with the following insurance carriers:
- Blue Care Network (BCN)
- HAP HMO, POS, HAP Senior Plus
- Medicaid
- Medicare
- Priority Health HMO/PPO
- Workers’ Compensation
Most HMO, Medicaid and Workers’ Compensation carriers require a referral authorization
from a primary care physician or employer before service is rendered. If we do not
receive this authorization, you are responsible for payment at the time of service.
We are nonparticipating with Blue Cross/Blue Shield and all other commercial carriers,
and office visit fees are due at the time of service. We do accept “assignment“
(the insurance carrier’s payment) for many medically necessary procedures. Medical
necessity is determined by your surgeon, and you will be able to discuss your financial
responsibilities with your patient representative.
Before your visit, contact your insurance carrier about:
- Required authorizations
- PPO out-of-network restrictions and costs
- Your coverage, co-pays and deductibles.
This will help you avoid unexpected out-of-pocket expenses.
We file claims for medically necessary procedures only. Referral authorizations
received after services are rendered will not be processed. We accept cash, personal
checks, VISA and MasterCard. Financing is available.
Insurance and Fees
If you cannot keep an appointment, please let us know as soon as possible (at
least 24 hours in advance) by calling 734 712-2323.
For more information please call 734-712-2323 or
contact us.