Michael Rosenbaum, M.D.  
     
     

Financial Policies


OFFICE FINANCIAL POLICIES


We would like to share the following policies with you. We are pleased to discuss our professional fees and financial policies with you at any time.


CO-PAYMENTS, DEDUCTIBLES AND COINSURANCE: Our office staff will try to help you understand and cope with the various ways that your insurance company has devised to make you responsible for paying more and more of the expenses connected with your office visit. We will attempt to electronically verify your insurance benefits, and deductible/co-payment information at each visit.

If your insurance requires a co-payment, we are required to collect that at each visit.

If your insurance has a 20% co-insurance requirement (e.g. Medicare, Blue Cross Master Medical), we will collect 20% of the allowed insurance fee at the end of each visit unless you have a secondary insurance plan.

Every year we find that more patients have larger and larger deductibles that must come from out-of-pocket payments before their insurance companies will pay anything. For many insurance plans, including BLUE CROSS FEDERAL, office visit co-pays apply only to the medical evaluation itself, and the charges for any other services such as injections, biopsies, lesion removals and wart treatments may be applied to the annual deductible of your plan. If your policy states that you have a large annual deductible that must be met before insurance will pay anything, you will have two options.

1) You can sign a credit/debit card authorization form. When we receive the final statement from your insurance company, we will charge your card for the amount that insurance states is your responsibility. You will not have to bother with writing a check and paying for postage.

2) If you do not have a card or prefer not to leave your credit card information, we will calculate the payment that your insurance company allows for your visit and collect that amount before you leave. You may pay by cash, check or credit card. We will submit a claim to your insurance company. If, when we receive the final statement from your insurance company, it turns out that you paid more than what your insurance plan required, we will send a refund check in the mail to you within 48 hours.


NON-COVERED SERVICES --?NOT MEDICALLY NECESSARY?: In dermatology, there are many procedures that are considered by Medicare, and other insurance companies as non-covered or not medically necessary. These services include, but are not limited to, removal of skin tags, benign moles, seborrheic keratoses, and small cysts and milia. If you choose to have a non-covered service performed, we will do our best to inform you prior to the service that your insurance usually does not cover the service, and what your cost for that service will be. Payment for these non-covered services is required at the time that services are rendered.

OUTSIDE LABORATORY TESTS: Tests such as biopsies and cultures obtained by the physician during your appointment will be sent to an outside laboratory and will not be part of your office visit charge. You will receive a separate bill from the laboratory.

If you believe that our fees or financial policies will create a hardship for you, please feel free to discuss that fact with the office staff or Dr.Rosenbaum. We will often try to make some kind of adjustment if there is a need.


I have read and understand the above office financial policies.




___________________________ ________
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OFFICE FINANCIAL POLICIES


We would like to share the following policies with you. We are pleased to discuss our professional fees and financial policies with you at any time.


CO-PAYMENTS, DEDUCTIBLES AND COINSURANCE: Our office staff will try to help you understand and cope with the various ways that your insurance company has devised to make you responsible for paying more and more of the expenses connected with your office visit. We will attempt to electronically verify your insurance benefits, and deductible/co-payment information at each visit.

If your insurance requires a co-payment, we are required to collect that at each visit.

If your insurance has a 20% co-insurance requirement (e.g. Medicare, Blue Cross Master Medical), we will collect 20% of the allowed insurance fee at the end of each visit unless you have a secondary insurance plan.

Every year we find that more patients have larger and larger deductibles that must come from out-of-pocket payments before their insurance companies will pay anything. For many insurance plans, including BLUE CROSS FEDERAL, office visit co-pays apply only to the medical evaluation itself, and the charges for any other services such as injections, biopsies, lesion removals and wart treatments may be applied to the annual deductible of your plan. If your policy states that you have a large annual deductible that must be met before insurance will pay anything, you will have two options.

1) You can sign a credit/debit card authorization form. When we receive the final statement from your insurance company, we will charge your card for the amount that insurance states is your responsibility. You will not have to bother with writing a check and paying for postage.

2) If you do not have a card or prefer not to leave your credit card information, we will calculate the payment that your insurance company allows for your visit and collect that amount before you leave. You may pay by cash, check or credit card. We will submit a claim to your insurance company. If, when we receive the final statement from your insurance company, it turns out that you paid more than what your insurance plan required, we will send a refund check in the mail to you within 48 hours.


NON-COVERED SERVICES --?NOT MEDICALLY NECESSARY?: In dermatology, there are many procedures that are considered by Medicare, and other insurance companies as non-covered or not medically necessary. These services include, but are not limited to, removal of skin tags, benign moles, seborrheic keratoses, and small cysts and milia. If you choose to have a non-covered service performed, we will do our best to inform you prior to the service that your insurance usually does not cover the service, and what your cost for that service will be. Payment for these non-covered services is required at the time that services are rendered.

OUTSIDE LABORATORY TESTS: Tests such as biopsies and cultures obtained by the physician during your appointment will be sent to an outside laboratory and will not be part of your office visit charge. You will receive a separate bill from the laboratory.

If you believe that our fees or financial policies will create a hardship for you, please feel free to discuss that fact with the office staff or Dr.Rosenbaum. We will often try to make some kind of adjustment if there is a need.