FAQ
Please find answers to commonly asked questions, below. If you do not find what you are looking for, we will happily receive your inquiry via the message form on this page.
The Answer is Yes
We love telling our patients “Yes,” so here are a few quick wins to get us started. Yes, we are accepting new patients. Yes, we accept insurance. And, yes, we absolutely recommend that you come in to have that spot of concern looked at.
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FAQ
Q: What is considered an insurance visit?
A: An insurance visit refers to a visit that is covered by accepted insurance providers such as Aetna, Cigna, United Healthcare, BCBS, Medcost and Medicare. These visits primarily focus on evaluating and treating medical conditions. The treatment plan is guided by medical necessity and follows the guidelines set by the insurance company. Patients are responsible for copays, deductibles, and out-of-pocket expenses associated with these visits. Our office will collect these payments at the time of the visit.
Q: What insurance plans do you accept?
A: We currently accept some insurance plans for our medical dermatology services, including United Healthcare, Aetna, Cigna, BCBS, Medcost and Medicare. We are actively working to add additional insurance plans. We strongly advise all patients to contact their insurance company to confirm coverage and in-network status. If your commercial insurance plan is not accepted at our practice, we offer direct care services with transparent pricing.
Q: How much will my insurance visit cost?
A: The cost of your dermatology visit can vary depending on several factors, so we can’t give you a single one-size-fits-all answer. However, we can provide you with some information to help you estimate your out-of-pocket expenses. Your insurance plan will determine your copay or coinsurance amount. We recommend contacting your insurance provider for specific details about your coverage for dermatology visits, as well as learning about any deductible amounts. Moreover, additional procedures like biopsies or lab tests will have their own associated costs.
Q: What if my insurance is out-of-network or I do not have insurance?
A: Esse Dermatology offers direct care services to patients who are out-of-network or do not have insurance coverage. A direct care visit offers a direct payment arrangement between the patient and the dermatologist. Our clinic can provide you with a super-bill of your visit, which you can use to request reimbursement directly from your insurance provider. It is important to note that reimbursement from your insurance company is not guaranteed.
Q: What is the cost of direct care appointments?
New Patients
Skin cancer screening: $250
2 straightforward concerns: $250
1 complex concern (autoimmune, drug rash, second opinion): $250
Hair loss consult: $300
Return Patients
Skin cancer screening: $200
Up to 2 established concerns: $150
1 established concern + 1 new concern: $175
Stable problem; refills only with no changes: $125
Hair loss follow up: $175
Hair loss consult: $300
Procedures:
Shave biopsy (1 lesion): $100
Each additional shave biopsy: $50
Punch biopsy: $150
Each additional punch biopsy: $60
Intralesional kenalog (up to 5 lesions): $100
Intralesional kenalog (5-10 lesions): $150
Benign destruction (up to 10 lesions): $250
Benign destruction (11-25 lesions): $400
Skin tag removal (up to 10 lesions): $300
Skin tag removal (11-25 lesions): $400
Labs and pathology will incur separate charges.
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Q: Is Medicaid accepted at Esse?
A: Unfortunately, we are unable to accept Medicaid for services covered by under the program. However, we are more than happy to assist Medicaid patients in scheduling cosmetic appointments at our office. If you require treatments covered by Medicaid, we kindly suggest contacting your insurance company to explore alternative dermatology providers who can offer the necessary assistance.
Q: Do I need a specialist referral to make an appointment?
A: While our office does not require a referral, your insurance company may necessitate one before they will cover a dermatology visit. We strongly encourage you to check the details of your plan or contact your insurance company if you have any question about the need for a referral.
Q: What is a cosmetic visit and are cosmetic treatments covered by insurance?
A: A cosmetic visit involves elective procedures that are not medically indicated and are aimed at enhancing appearance. These procedures are paid for directly by the patient and are primarily performed for aesthetic purposes.
Generally, insurance plans do not cover cosmetic dermatology treatments. These procedures are elective and considered for aesthetic enhancement, not deemed medically necessary by most insurance providers.
Q: How much do cosmetic services cost?
We offer competitive pricing and package specials that make our cosmetic dermatology offerings very attractive. For an accurate quote, we request that you book a cosmetic consultation with Dr. Ogunsiakan so that she may tailor a treatment plan to your specific goals.
Q: What is coinsurance? What is a deductible?
A: Coinsurance is your share of covered healthcare costs after meeting your deductible. Think of it like a percentage (often 20%) you owe on covered services, while your insurance covers the rest. So, if your coinsurance is 20% and your bill is $100, you’d pay $20 and your insurance pays $80. Remember, this applies after your deductible is met!
A deductible is your out-of-pocket expense before your insurance starts covering covered services. Think of it like a yearly “hurdle” you pay for most covered care. For example, a $2,000 deductible means you pay the first $2,000 for covered services each year. After that, your insurance helps with the rest.
Q: What is your cancellation policy?
A: At Esse Dermatology, we value your time and strive to provide exceptional patient care. To ensure that we can accommodate all our patients effectively, we kindly ask for your cooperation with our cancellation policy:
– We do not overbook our clinic to minimize wait times and optimize patient care.
– To make any changes or cancellations to an appointment, we require a minimum of 24 hours notice.
– Patients arriving more than 15 minutes after their scheduled appointment time may not be seen and will be considered a no-show.
– Adherence to this policy helps us maintain operational efficiency and deliver the highest quality care to all our patients.
Late cancellation and no-show charges will apply as follows:
- $50 for medical visits
- $150 for surgery visits
- $200 for cosmetic visits
We understand that emergencies and unforeseen circumstances may arise that prevent patients from attending their scheduled appointments. If you have a valid reason for missing your appointment, please contact us as soon as possible to discuss the situation. Exceptions to the policy may be made on a case-by-case basis with approval from the clinic. Thank you for your understanding and cooperation.
Q: What is your credit card policy?
At Esse Dermatology, we utilize a credit card on file system to streamline appointment scheduling and payment processes. Please review the following details regarding our credit card on file policy:
The credit card information provided during appointment scheduling will be securely stored in our processing system.
Your credit card will only be charged for the following:
– No-show/late-cancellation fees
– Video visit fees
Please refer to the no-show fees outlined above for more information. Rest assured that your card information is stored securely with the same level of protection as your confidential medical records.
Your office visit fee will be charged in the office at the time of your appointment.
We appreciate your cooperation with our credit card on file policy, which helps us maintain efficiency and provide quality care to all our patients. Thank you for entrusting us with your care.
Q: What is a Good Faith Estimate?
If you do not have health insurance or prefer to pay for your healthcare costs out of pocket, you are entitled to a Good Faith Estimate. Esse Dermatology will provide this estimate when you schedule an appointment or if you request for one. Our estimates are based on the available information at the time of scheduling. You can also find upfront pricing on our website. We want to keep things transparent and help you understand the costs of your care so you can make informed decisions. Thanks for trusting us with your health and well-being!
Still Have a Question?
Please message us via the contact form provided here.