|
Insurance
Information /
Cancellation Policies
We
have two areas of billing. The two entities are separate and distinct.
The first entity is our office...Ponte Vedra Dermatology &
Aesthetic Surgery (PVDAS). This is where office
visits and office surgery is performed. The second
entity is our surgery center.. Ponte
Vedra Surgery Center (PVSC). This is where we
perform more aggressive surgeries or certain
cosmetic procedures such as liposuction, laser
resurfacing or eyelid surgery.
It is
important to understand this because
you
may receive two (2) statements if you are having
certain types of surgical procedures performed at
our "office & surgery center complex". In such
instances, the first statement would be
generated as an office billable service (physician
payment) and the second statement would be
generated as a surgery center service (facility fee
payment).
PONTE VEDRA DERMATOLOGY AND AESTHETIC SURGERY
Our office, Ponte Vedra Dermatology & Aesthetic Surgery
(PVDAS) is currently
participating with or accepting the following insurance plans.
(Effective September 15,
2006)
Aetna
Medicare
Blue Cross Blue Shield
Beech Street
Cigna
First Health PPO
Humana (Choicecare Only)
Southcare PPO
Tricare
United
PONTE VEDRA
SURGERY CENTER
Our surgery center,
Ponte Vedra Surgery Center (PVSC) is
a separate and distinct facility.
In terms of a surgery
center facility fee,
“A facility
fee may be charged to either you and/or your insurance carrier
if your case requires a complex repair, flap, or
skin graft to close the wound”.
Please check with your insurance carrier or our
billing department for information on coverage,
deductibles and co-pay information. If your
insurance company is one that we do not participate
with, you will be responsible for the facility fee. For more
information, you may contact our billing department
at
285-7546 ext 203 or
click here.
PVSC
Participating Plans
(Effective September 15,
2006)
Aetna
Medicare
United
|
The above is
a partial
listing meant to assist those seeking
care through our office. If your insurance
plan is not listed ,
please call the customer service number listed
on the back of your card to determine if we
are a network provider. The State of Florida does
have an open access policy for dermatology
care (5 visits within a twelve
(12) month period for managed care). Remember, it is your
responsibility to verify if a referral is
needed and to maintain a record of the
number of visits to our practice. Our office
is staff is ready to assist you if you still
have questions. Feel free to contact our
billing department care of 904-285-7546
ext 203 or 206. |
MEDICAL RECORDS POLICIES
For a copy of your medical records, please allow us
5 business days notice. There will be a charge of $1.00 for the first
25 pages and $0.25 for every page after.
If you would like to expedite your request we do
need a signed medical records release form to
proceed. Please make sure to fill this out
completely.
Click
here to download the medical records release
form. Once you have done so, you may fax this over
to our office and send the appropriate compensation
to our office. If you have any questions, please
feel free to contact
robert@pvderm.com
or dial 904-285-7546 ext 203. Thank you.
CANCELLATION POLICIES
OFFICE VISITS
All office appointment cancellations require at least
24
hours notice unless an emergency (documented)
arises. Failure to give a 24-hour cancellation
notice will result in a
$75 office visit
assessment. Call
904-285-7546 to cancel.
SURGERY VISITS
All surgery appointment cancellations require at least
72 hours
notice unless an emergency (documented) arises.
Failure to give a 72-hour cancellation notice will
result in a $250 surgery visit
assessment. Call
904-285-7546 to cancel.
SPA VISITS
All
spa appointment cancellations require at least
24
hours notice unless an emergency (documented)
arises. Failure to give a 24-hour cancellation
notice will result in a
$50 spa visit
assessment. Call
904-285-7546 to cancel.
COSMETIC SURGERY
All
cosmetic surgery
appointment cancellations
require at least a
one week (7 day)notice
unless an emergency
(documented) arises. Failure to give a one week (7
day) cancellation notice will result in a
50% charge or the
entire scheduling fee,
whichever is greater,
being retained by PVDAS. Call 904-285-7546 to
cancel. |