Before scheduling your initial appointment, we strongly recommend that you reach out to your insurance carrier to confirm that our office and providers are in network with your particular plan. Keep in mind that even if we have a contract with your insurance company, some plans may still be considered out of network.” In such a case, your insurance carrier would not pay for services you would receive at Northstar Dermatology. We always advise that you double check so you aren’t stuck with an unexpected balance!
Also, please confirm with your insurance company if your particular plan requires a referral from your Primary Care Physician (PCP) to see a specialist! Most HMO plans will require a referral, but some PPO plans might require one as well. Unfortunately, your insurance will not always tell us if you need a referral, so it is in your best interest to confirm directly with your insurance. If your insurance plan requires a referral, it is your responsibility to obtain the referral from your PCP prior to your appointment at our office. We will make our best effort in securing the referral, but it is your ultimate responsibility to follow up with your PCP s office to ensure they send us your information. If we do not have your referral on file at the time of your appointment, you will be responsible for the full cost of your visit.
1. Is Northstar Dermatology and (provider name) considered an “in-network” provider with my plan?
2. Does my plan require a referral from my primary care physician to see a dermatologist?
3. What are my benefits for a specialist office visit? Do I have a copay, or a deductible?
4. What are my benefits for any procedures performed in the office? Will the procedures be covered with my copay, or will they apply to a deductible?
5. Does my plan cover any lab tests or pathology tests that may be needed following my visit at Northstar Dermatology? (Lab tests are performed by separate lab facilities, such as Quest Lab).