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FEES and REIMBURSEMENTS

  MEDICARE   

 

  • Medicare patients are welcome! We are non-participating and accept Medicare on a case-by-case basis. We do not accept Medicare Advantage.

  • We do not accept Medicare Advantage.

  • Cosmetic services are considered elective and are not covered by Medicare.

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  MEDICAID  

 

  • The clinic does not accept Nevada Medicaid. Please call Medicaid to further discuss rules and regulations for seeking care.

  • You CANNOT submit a Superbill to Medicaid.

  • Medicaid patients are encouraged to seek medical care from a clinic that accepts Medicaid. Dr. Egan and the clinic are not responsible for any unreimbursed costs if you do not disclose Medicaid enrollment.

  • Medicaid patients may be seen for cosmetic services. Cosmetic services are not covered under Medicaid.

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 TRICARE  

 

  • Tricare patients should discuss claim reimbursement procedures with a qualified Tricare representative before scheduling an appointment. If allowable by Tricare, we are happy to give you a Superbill to submit for partial reimbursement.

  • Dr. Egan and the clinic are not responsible for any unreimbursed costs.

 

  ALL INSURANCES  

 

  • If you have questions or concerns about submitting Superbills or reimbursements, please contact your chosen insurance company before scheduling your appointment.

  • Insurance coverage varies dramatically between companies and plans. Our clinic is dedicated to taking care of patients, not following the reimbursement “rules” of insurance companies. It is very important that you understand your plan and what is and what is not covered.

  • Our clinic is happy to provide a Superbill to submit for reimbursement, but our clinic will not communicate or negotiate with insurance companies.

  •  Our clinic is not responsible for unreimbursed costs. The patient is responsible for all costs regardless of insurance reimbursement.

  • Labs, imaging, and pathology are typically covered by your insurance. If you have any concerns, please verify coverage with your chosen insurance plan.

 

 WHY? 

 

  • Our clinic has chosen to focus on high-quality patient care, not billing and collections. By doing so, we can keep our clinic small and cozy without a need to work directly with insurance companies, billers, and collectors.

 

  PRICING  

  • Please see an updated list of pricing on our website.

  • If you have any questions, please call 702-930-6441.

  • Pricing for procedures not listed online will be discussed and disclosed prior to your procedure appointment. We are committed to transparent pricing.

CREDIT CARDS and FINANCIAL POLICIES

  Credit Cards:  

 

Credit card information for payment of services and products are entered and stored on a secured payment platform, “Stripe” through our HIPAA compliant and secure electronic medical record “Jane.” We do not store your credit card information physically in our clinic.

 

  Day of the Appointment:  

 

On the day of your appointment, you can choose to pay by credit card or Zelle. We are a cashless business. Fees are due on day of service. We are happy to provide a Superbill for insurance reimbursement.

 

All payments will be discussed and collected on the day of service when you are in our office. Pricing can also be viewed online. We do not contract with insurance companies, so you should not receive any surprise bills from our clinic. We don’t want to work with billers or collectors. This allows us to keep our clinic cozy and focused on high-quality care.

 

Superbills and Reimbursements:

 

Although we can supply a Superbill for your visit, we do not guarantee reimbursement. We do not provide refunds due to an inability to be reimbursed by your insurance company. If you have questions or concerns, please contact your insurance company before scheduling an appointment. In the Era of high deductibles and high premiums, you may find that our prices are more reasonable than the bill that follows a traditional dermatology practice visit.

 

  Pathology Fees:  

 

Pathology fees are typically covered by insurance companies. If you have any questions or concerns, please contact your insurance company before scheduling. Dr. Egan sends all pathology to Compass Dermatopathology in San Diego, CA. Compass Dermatopathology accepts most insurance companies. The cash pay cost for a biopsy is typically $75 to $100. If necessary, additional stains may add additional costs. Dr. Egan chose this dermatopathology group because of their dedication to detail, expertise, and experience. Because of their extensive experience, they will only run special stains with additional costs if necessary. Dr. Egan prioritizes high-quality through care.

 

  Lab and Imaging Fees:  

 

Lab and imaging fees are typically covered by insurance companies. Specialized labs and imaging may not be covered. If you have any questions or concerns, please contact your insurance company before getting labs or imaging completed.

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