Our team is here to help. We understand the insurance process can be complicated, so we’ll guide you every step of the way. Give our office a call today to learn more about how your pending procedure can interact with your insurance coverage plan.
How We Help You Get Partially Reimbursed
Important Note
Not all cosmetic procedures qualify for reimbursement. You will be required to pay out-of-pocket initially. Please note that Medicare and Medi-Cal patients are not eligible for this service.
What Type of Reimbursement Can You Expect?
Once approved, patients can expect a partial reimbursement of approximately 30% of the initial procedure cost. However, this percentage can vary depending on your specific insurance provider, the medical necessity of the procedure, and the documentation we submit. We always aim to maximize your potential reimbursement through extensive documentation and thorough claim preparation.
What Qualifies as Medically Necessary?
A procedure is typically considered medically necessary if it meets specific criteria. It must evaluate, diagnose, or treat an illness, injury, or disease. The treatment should follow accepted medical practice standards and provide clinically appropriate and effective care. Additionally, it must be cost-effective compared to alternative treatments and clearly not be purely cosmetic in nature.
