We do not participate with commercial insurance plans, nor with Medicaid, at this office, but if you have coverage through a major insurance company, we will submit your claim for you.  Visit fees for non-medicare patients typically range from $205-290.  Procedures are not included.  If you do not receive a communication and/or payment from your insurance company after 6 weeks, you should contact your insurance company directly.  We regret that we cannot take on or continue to see patients covered by Medicaid or by a Medicaid alternative plan.

 

Some patients may have out-of-network coverage, and/or a healthcare savings account (HSA) to defray out-of-pocket costs.  Please check with your insurer or your human resources department to understand how these benefits may apply to you.  We will supply you with the necessary paperwork to help you utilize your HSA upon request.

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Drs. Goldwasser and Veritas are non-accepting Medicare providers.  This means that Medicare patients will be asked to pay at the time of service, and the office will submit a claim on their behalf so that they may be reimbursed.  Fees for Medicare patients are limited by law and are lower than our standard fees. 

If you have straight Medicare, with or without a Medigap plan, this applies to you.  There is automatic crossover of claims from Medicare to most Medigap insurance providers.  If you are an established patient here, undergoing a full body skin exam, you will likely be asked to pay a fee of about $160-220 at the time of service, and you will likely be reimbursed by Medicare and your secondary insurance at about 66%-100%, depending on your Medigap plan, assuming you have satisfied your annual deductible.  If you do not receive a communication and/or payment from Medicare and your secondary insurance company after 6 weeks, you should contact them directly.

The following explanation is from the AARP website:
A doctor who accepts assignment has agreed to accept the Medicare-approved amount as full payment for any covered service provided to a Medicare patient. The doctor sends the whole bill to Medicare. Medicare pays the 80 percent of the cost that it has decided is appropriate for the service, and you are responsible for the remaining 20 percent.

A doctor who doesn’t accept assignment can charge up to 15 percent above the Medicare-approved amount for a service. You are responsible for the additional charge, on top of your regular 20 percent share of the cost. If you have Medigap insurance, all policies cover Part B’s 20 percent copays in full or in part. Two policies (F and G) cover excess charges from doctors who don’t accept assignment.

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If you have a Medicare advantage plan, we will charge you the Medicare rate, but you may not be reimbursed at all.