INSURANCE AND BILLING

INSURANCES WE ACCEPT

We anticipate accepting most major insurance plans as well as self-pay.  At this time, we are currently In-Network with the following insurance plans:

  • Aetna
    • Commercial
    • Medicare Advantage
  • Anthem BlueCross Blue Shield
    • Commercial (PPO, HMO, POS)
    •  Medicare Advantage (PPO, HMO, POS)
  • CareSource Marketplace only
  • Cigna
    • Commercial (Open Access Plus, PPO, HMO)
  • Custom Design Benefits
  • Medicare
  • Medigold Medicare
  • United Healthcare
    • Commercial Only
  • UMR

We are in the process of adding additional insurance plans to this list.  Please check back frequently for updates.

Qualifications for insurance coverage may differ due to the uniqueness of each procedure.  It is the your responsibility to contact your insurance company directly to confirm we are participating in your specific plan and for questions concerning your policy.   Please remember that your insurance determines your medical benefits so it is your responsibility to know your coverage. If your insurance is a plan for which we are not a contracted provider, we are more than willing to provide care but the total cost of your visit will be your responsibility at the time of service.

REFERRALS

Some insurance plans may require prior evaluation by a Primary Care Physician (PCP) in order to be seen by a dermatologist or other specialist. If your plan requires authorization by a PCP, you must obtain a referral order prior to scheduling your visit. If your plan requires a referral, you are responsible for providing proper documentation at the time of your visit. If you or your PCP do not provide the appropriate documentation by your scheduled appointment time, please be prepared to pay for your visit in full or reschedule.

COPAYMENTS, COINSURANCE, AND DEDUCTIBLES

A copayment is a set dollar amount you owe for each office visit. All claims are subject to a deductible if a procedure is performed (i.e., biopsy, cryosurgery, excisions, etc.). A deductible is the amount you are obligated to pay before your insurance company begins paying for your healthcare costs. Some insurance plans may also have a coinsurance, in which you may be responsible for a percentage of healthcare costs, in addition to your copayment or deductible. It is your responsibility to understand and acknowledge your plan and any associated copayment, deductible, or coinsurance. You will be billed for these amounts should your insurance company notify us that additional payment is due from you.

SELF-PAY

Patients that are responsible for their medical bill are required to pay at the time of service. The administrative staff will not be able to quote exact prices prior to the appointment.  Your bill will be determined by the provider based on the recommended course of treatment, and payment will be due in full at time of service. 

COSMETIC PROCEDURES

You will be responsible for all cosmetic procedure fees at the time of your visit. This includes procedures deemed cosmetic by your physician including injectables, peels, microneedling, removal of skin tags, removal of benign moles, and removal of seborrheic keratoses or keratoses, etc. If you subsequently bill your insurance company for a cosmetic procedure and your insurance company erroneously covers the procedure, you are not entitled to reimbursement by our office and we are obligated to notify your insurance company of their error.

PAYMENT OPTIONS

Payment, including copay, coinsurance, patient balances, and unmet deductibles will be collected at the time of service. We accept most forms of payment including cash, check, Visa, Master Card, and American Express. We also have a credit card on file (CCOF) policy to allow for smoother transactions. The credit is stored safely and held on a secure site with our third party merchant service processor, Square. Your credit card information will not be held in our office electronic health record so no financial information will be attached to your file. 

A Valid Picture ID and your Insurance Card are Required at the Time of your Office Visit

Without a valid insurance card we are unable to file a claim to your insurance company, therefore, you will be responsible for payment of the cost of the visit at the time of service.

It is your responsibility to notify the staff of any changes in your address, phone number and/or insurance plan, as well as providing a current up-to-date insurance card at each visit. Failure to do so may cause your insurance claim to be rejected, thus making it your responsibility to pay for the total cost of the visit.

Our Location

8300 Kenwood Road, Suite A, Cincinnati, OH 45236

Hours of Operation

Our Regular Schedule

Monday:

9:00 am-3:00 pm

Tuesday:

8:30 am-4:30 pm

Wednesday:

8:30 am-4:30 pm

Thursday:

8:30 am-4:30 pm

Friday:

8:30 am-1:00 pm

Saturday:

Closed

Sunday:

Closed