Many insurance companies have a deductible, co-payment, or out-of-pocket patient liability. Some also do not pay for items they consider your responsibility, or "convenience" items - such as slippers or facial tissues. Please contact your insurance company or review your benefits booklet for more information on your individual insurance plan if your personal liability balance is larger than you expected.

During registration you will be informed of any deposit, deductible or co-insurance that is expected at time of service. Your plan may have special requirements, such as a second opinion or pre-certification for certain tests or procedures. It is your responsibility to make sure the requirements of your plan have been met. If your plan requirements are not followed, you may be financially responsible for all or part of the services rendered in the hospital.

Many health plans cover this surgery if the person meets all requirements. For example, you must be able to document that you have seriously tried to lose weight multiple times through more conventional methods without lasting results. If you have an HMO or POS insurance plan, your insurance company will require a six month trial of medically supervised weight loss attempts before you can begin the screening for bariatric surgery or make an appointment with a surgeon.

Interscope will bill any secondary insurance after the primary insurance has paid. Medicare electronically forwards the charge and payment information to a number of secondary insurances on file with Medicare. Secondary insurances may make payment directly to the patient regardless if an "assignment of benefits" is on file. If you feel you have received a bill in error please call the billing department at your earliest convenience.

If you have insurance, your deductible fee will be due at the time of service. You will be notified when your insurance has paid your claim. At that time, payment for any remaining balance is due within 30 days of the notification.

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Blue Cross, Blue Shield, Aetna, Cigna, and other PPO insurance companies usually cover varicose vein treatments (including laser closure of the saphenous vein and microphlebectomy), but each has a different pre-approval process, and each has a different reimbursement policy. I have chosen to contract with several PPOs (including Medicare), so my professional fee reimbursement follows their contractual obligations.

All the major health insurers (BUPA; PPP; Norwich Union; WPA; Standard Life) will cover EVLT treatment

In some older patients when the eyelid skin blocks the vision, some insurance plans will cover the surgery. Most of these operations are cosmetic and are not covered by insurance.

The initial consultation and office visit are usually covered by insurance, although we ask that you pay the small consultation fee at the time of your visit. Treatment of large varicose veins is covered by Medicare and most other insurance plans when the patient has discomfort, pain, clots, ulceration, or other symptoms. Patients are responsible for co-payments, deductibles, and other amounts not covered by their insurance. Patient "out of pocket" expense varies by policy.

It depends on your Insurance policy. Very few insurance companies provide coverage for vein problems. Spider veins injections are generally considered cosmetic. We suggest you fax us a copy of the pages in your Insurance policy booklet that pertain to the care of vein disease (fax: 919.844.2011). If you do this before your appointment, we can look into this and have some answers for you at your consultation.

About 50% of insurance plans will cover the LAP-BAND® System procedure with a Letter of Medical Necessity from our surgeon. However, you should check with your health plan beforehand to find out if you are covered. Please read detailed information on the insurance coverage process under "Insurance Information".

Most insurance companies offer coverage for physical therapy services. However, the amount of coverage varies from policy to policy, so be sure to check your insurance company's handbook or call your insurance company to verify your benefits for physical therapy. You may have co-pay per visit, or be responsible for meeting a deductible. Once a deductible is met, insurance typically pays 70-100% of charges and you are responsible for the difference.