How Insurance Works
We want you to receive the very best care possible and - be totally satisfied with our service. To this end, your doctor will gladly discuss your proposed treatment and answer any questions you have. Our experienced office staff will also be happy to answer your questions regarding your account. Upon request, we will provide you with a written estimate of our fees for your planned procedure or course of treatment.
We are contract providers for Medicare and some private insurance plans. In those cases, we have agreed to accept their determination of fees for covered services. You will still be responsible for the payment of deductibles, co-payments, and non-covered services. These payments are due at the time of service. While the filing of insurance claims is a courtesy that we extend to our patients, all charges are your responsibility from the date the services are rendered.
Not all services are a "covered" benefit . in all insurance policies. Your policy is a contract between you and your insurance company. We are not a party to that contract. We cannot determine the benefits of your insurance policy. Medicare and some insurance companies select certain services that they will not cover. Payment for these services is the responsibility of you, the patient. We strongly encourage you to carefully read your insurance policy so that you will know the conditions and circumstances of the coverage that available to you.
Our fees are generally considered to fall within the acceptable range by most companies, and therefore are covered up to the maximum allowance determined by each carrier. This applies only to companies who pay a percentage (such as 70% or 80%) of "U.C.R." "U.C.R." is defined as usual, customary and reasonable fees for this region. Thus, our fees are considered usual and customary and reasonable by most companies.
When we are able to verify your coverage and benefits in advance for Medicare and our approved private insurance plans, we will accept assignment of your insurance benefits and we will bill the carrier(s) directly. Accepting assignment means that your insurance company may (should) send us the bulk of the payment for treatment, and that you, the patient, pay us directly for the deductibles, co-payments and non-covered services and fees. In these circumstances, payment of your portion will be estimated at the time of service and must be paid at that time. When the insurance company does pay us, or at 45 days from the date of billing your insurance company, whichever occurs first (insurance companies are required by law to pay or deny claims within 30 days), you will be responsible for any remaining balance or we will refund you any overpayment(s) you have made.
Our staff can answer many questions over the phone and when necessary our doctors are happy to call you back at a convenient break.
Insurances
- Medicare
- Medicaid DC and MD
- Blue Cross Blue Shield National Capital Area - Preferred Provider
- Blue Cross Blue Shield Maryland
- Blue Choice (BCBS HMO)
- TRICARE
- Aetna PPO and HMO
- Cigna PPO and HMO
- United PPO and HMO and Medicaid (AmeriChoice)
- Mamsi Life and Health
- MDIPA
- Alliance
- Guardian
- Optimum Choice
- NCPPO
- Georgetown Health Plan
- PHCS
- PCS
- Great West
- One Health Plan
- AARP
- All Private Insurances
How Insurance Works
We want you to receive the very best care possible and - be totally satisfied with our service. To this end, your doctor will gladly discuss your proposed treatment and answer any questions you have. Our experienced office staff will also be happy to answer your questions regarding your account. Upon request, we will provide you with a written estimate of our fees for your planned procedure or course of treatment.
We are contract providers for Medicare and some private insurance plans. In those cases, we have agreed to accept their determination of fees for covered services. You will still be responsible for the payment of deductibles, co-payments, and non-covered services. These payments are due at the time of service. While the filing of insurance claims is a courtesy that we extend to our patients, all charges are your responsibility from the date the services are rendered.
Not all services are a "covered" benefit . in all insurance policies. Your policy is a contract between you and your insurance company. We are not a party to that contract. We cannot determine the benefits of your insurance policy. Medicare and some insurance companies select certain services that they will not cover. Payment for these services is the responsibility of you, the patient. We strongly encourage you to carefully read your insurance policy so that you will know the conditions and circumstances of the coverage that available to you.
Our fees are generally considered to fall within the acceptable range by most companies, and therefore are covered up to the maximum allowance determined by each carrier. This applies only to companies who pay a percentage (such as 70% or 80%) of "U.C.R." "U.C.R." is defined as usual, customary and reasonable fees for this region. Thus, our fees are considered usual and customary and reasonable by most companies.
When we are able to verify your coverage and benefits in advance for Medicare and our approved private insurance plans, we will accept assignment of your insurance benefits and we will bill the carrier(s) directly. Accepting assignment means that your insurance company may (should) send us the bulk of the payment for treatment, and that you, the patient, pay us directly for the deductibles, co-payments and non-covered services and fees. In these circumstances, payment of your portion will be estimated at the time of service and must be paid at that time. When the insurance company does pay us, or at 45 days from the date of billing your insurance company, whichever occurs first (insurance companies are required by law to pay or deny claims within 30 days), you will be responsible for any remaining balance or we will refund you any overpayment(s) you have made.
Our staff can answer many questions over the phone and when necessary our doctors are happy to call you back at a convenient break.
Insurances
- Medicare
- Medicaid DC and MD
- Blue Cross Blue Shield National Capital Area - Preferred Provider
- Blue Cross Blue Shield Maryland
- Blue Choice (BCBS HMO)
- TRICARE
- Aetna PPO and HMO
- Cigna PPO and HMO
- United PPO and HMO and Medicaid (AmeriChoice)
- Mamsi Life and Health
- MDIPA
- Alliance
- Guardian
- Optimum Choice
- NCPPO
- Georgetown Health Plan
- PHCS
- PCS
- Great West
- One Health Plan
- AARP
- All Private Insurances
