Insurance Information
Our office is not a provider for any insurance company (except for Medicare, specifically for sleep appliances).
This practice allows us to focus our resources on treating you, the patient, rather than working to accommodate each individual health plan’s requirements. It also allows us to spend the time we need to assess your condition. In most cases an initial consultation at our office is one hour or longer. However, insurance plans place restrictions on how we can assess and treat patients, often limiting appointment time.
This policy means we do not bill insurance plans and our fees must be paid at the time of service. However, only if you go forward with treatment, as a courtesy, we will submit documentation to your medical insurance so you may be considered for reimbursement. In some instances you may receive a check directly from your health plan, in other instances the amount may be applied by your insurance company towards your deductible. Please be aware we do not know the amount, if any, your insurance plan may repay you. As part of our policy of courtesy submission, we do not negotiate fees, alter treatment plan recommendations or adjust codes to accommodate limits placed by insurance plans.
To be fair to all patients, we do not honor individual requests for exceptions.
Despite the variability in insurance coverage, Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) may be applied to our services. We also participate in Care Credit.
Please note, if your health plan is Medicaid or CHIP, or any other public insurance plan, neither you nor our office may submit for reimbursement. You must directly pay our office at the time of service with the understanding that you are being seen as a private pay patient.
For more information about your specific health plan, please contact your medical insurance company.
We welcome the opportunity to discuss any questions you may have about our financial policy. Our staff may be reached at Rochester Office Phone Number (585) 358-0460.