Medical Insurance

Medical Insurance can be a complicated matter. This is especially true if you're insured by a Health Maintenance Organization (HMO). We have included some general information as well as a listing of insurance plans that we accept at the Laser & Skin Surgery Center.

Insurance Guidelines

There is often a great deal of confusion regarding the protocols required by managed care companies for services provided. Unlike most traditional or indemnity insurance plans, managed care companies require a referral for a visit to the physician's office and, additionally, pre-certification for a procedure that you may require. Some insurance companies provide the patient with written referral for his/her visit and others simply give the patient a referral number. A referral does not provide a patient with the necessary approval to undergo a procedure; it simply means you have permission to visit a specialist for consultation and/or an office visit. It may be necessary to obtain authorization each and every time you visit this office. This rule varies depending on your insurance carrier. Most of the procedures performed in this office require pre-certification. This means at the time of your consultation visit, you may have to return at another day or time for the recommended procedure when proper certification is obtained. Authorization and pre-certification varies from company to company. In many cases, pre-certification can be obtained by simply calling the insurance company. Some insurance companies, however, require written documentation for a procedure for review by a specialist, medical director, clerk or panel of varied professional and nonprofessional people. This can sometimes take one or two weeks. We are often asked to submit photographs and number of treatments determined; once again the pre-certification is delayed. Our billing staff is experienced and well-trained in obtaining pre-certification and authorization. Please keep in mind that this process is time consuming. It is often helpful for the patient to call his/her insurance company to help speed up the process.

We accept the following insurances:

Insurance Information

1199 SEIU Benefit Funds' Member Choice
Aetna (PPO/EPO/HMO)
Cigna/Great West (PPO/EPO/Open Access)
Empire Blue Cross/Blue Shield PPO/EPO/POS/H
First Health/Coventry
GHI (PPO)
HIP
Humana/ChoiceCare Network PPO
Island Group Administrator
Medicare
MultiPlan/PHCS
Oxford Freedom/Liberty/Medicare Advantage
POMCO
The Empire Plan
Tricare
United Healthcare (PPO/EPO/HMO)