Your health insurance provider may cover a portion of the cost of your procedure. The cost of your consultation is determined by your deductible, co-insurance, and co-pay.
We may accept insurance from the following providers:
Please call our office to verify if we are in-network with an insurance not listed.
Due to the high volume of insurance requests your insurance inquiry may take up to 3 weeks to verify through our authorizations department. We ask that you investigate your insurance coverage carefully before inquiring with us. This may mean talking with a benefits representative where you work or talking with your insurance company’s member services department. Typically, there is a 1-800 phone number for member services on your insurance card or a listing for an 800 number that you can reach through the operator.
You may want to investigate whether or not you need to have a referral from a specific physician or physician group in order to be covered for mental health or medical services.
When calling Member Services please ask the following specific questions to help us get your procedure pre-qualified:
Is Dr. Russell Sassani (NPI# 1194788026) a provider with my specific plan? Please make sure that you provide the representative with the NPI number
If Dr. Sassani is NOT a provider, does my plan have out of network benefits?
Does my plan cover my surgery?
How much is my deductible and copayment?
Please provide them with ICD-10 code F64.1 and CPT code 19303 (FtoM) or CPT 19325 (MtoF)
Once you have called member services, you may forward your insurance information to [email protected]
along with a clear copy of your insurance card, a legal photo identification card and your date of birth.
Please keep in mind that in the event that your insurance does not pay any or only a portion of the cost of your health care, the entire bill or remaining balance is your responsibility.
** Additional costs may be incurred for procedures not covered by your plan.**
Financial Assistance, Payment Plans, Discounts, Charity Care Policy and Collection Procedures
If Facility believes that you have health insurance and/or HMO coverage(s) that may cover some or all of the Services, Facility may initiate contact with them to determine your cost-sharing responsibilities for Facility’s’ bill. You may contact them directly as well for additional information concerning your cost-sharing responsibilities. If Facility determines that you have cost-sharing responsibilities for Facility’s bill, in accordance with Facility’s financial assistance policies, you will be required to pay your cost-sharing responsibilities in full on or before Services are provided. The Facility’s financial assistance policies are that if you are unable to pay your cost-sharing responsibilities in full on or before Services are provided, because you believe you are medically indigent, or you are not covered by any health insurance or HMO, upon request, the Facility, in its sole discretion, may offer you a discount on the amount due and/or offer a payment plan. Any such discount is considered by Facility to be “charity care.” There is no formal application process for obtaining “charity care” at Facility.
Facility’s standard collection policy is to produce and send one or more bills to patients for their cost sharing amounts, which if not paid on a timely basis, may then be placed with an attorney or collection agency to pursue such unpaid amounts. If accounts are placed with an attorney and/or collection agency, the costs charged by the attorney and/or collection agency will be passed onto the patient to pay, and the patients’ credit score may be negatively impacted.
Upon your request, and before the provision of non-emergency care at Facility, you can receive a good faith estimate of anticipated charges for the treatment of your condition at the Facility. This estimate must be provided to you within seven (7) days of the request being received by the Facility. To obtain this request, you can call (954) 585-3800, or Email at [email protected].