Insurance FAQ's


 

Do I need a referral to make an appointment?

Some insurance plans do require a referral to see a Specialist. We advise that you contact your insurance directly to see if your particular plan requires a referral to see a Dermatologist.

Will my visit be covered by my insurance?

Most dermatology services are considered medically necessary by insurance. However, this does not mean that your insurance will pay 100% of the cost of your service. This is completely dependent on your Specialist Office Visit and In-Office Surgical benefits (see next question for more information).

Services that are typically NOT covered by insurance include treatment or removal of cosmetic moles, skin tags, milia, seborrheic keratoses, and cherry angiomas. Not to worry – we have very reasonable pricing for treatment of the cosmetic lesions listed above.

Finally, some insurance plans may have coverage exclusions for certain diagnosis (like certain types of hair loss, or acne). We advise that you contact your insurance directly to see if your particular plan has any exclusions for dermatology services.

How much will I have to pay?

If you have insurance, your patient responsibility amount depends on your particular insurance benefits. Keep in mind that there are many different insurance plans, even within one insurance company, and member benefits vary from plan to plan. We advise that you contact your insurance directly to find out what you will pay for your Specialist Office Visit and any In-Office Surgical Procedures you might have.

Not familiar with insurance benefits? We’ve got you covered!

Copay: A fixed amount a patient will pay for an office visit examination. Patients will often have two separate copays – one for their PCP and one for a Specialist. We are a Specialist.

Coinsurance: The percentage that a patient will pay for an office visit examination or surgical services AFTER the deductible has been met.

Deductible: The total amount that a patient has to pay towards their healthcare before insurance will cover any costs.

Example 1: A patient has already met their deductible for the year. They have 20% coinsurance for surgical procedures. The total cost of their procedure is $100. The patient will only be responsible for paying $20 for the procedure, and the insurance will pay the remaining $80.

Example 2: A patient has NOT met their deductible for the year. They have 20% coinsurance for surgical procedures. The total cost of their procedure is $100. The patient will be responsible for paying the full amount of $100 for the procedure, which will apply to the deductible. Insurance will not pay for the procedure until the deductible is met.

Out of Pocket: The maximum amount that a patient will have to pay for their healthcare expenses. Once the patient has met the out of pocket amount, insurance will cover 100% of covered costs for the remainder of the year.

What if I don’t have insurance?

No problem! We offer self-pay discounts for our office visit exams as well as surgical procedures. An office visit will range from $95 - $135 depending on the level of visit. If you need a procedure performed in office, we would be happy to provide you a quote after you are evaluated.

Location
Northstar Dermatology
5320 N. Tarrant Pkwy, Suite 200
Fort Worth, TX 76244
Phone: 817-369-8518
Fax: 817-427-3379
Office Hours

Get in touch

817-369-8518