BILLING FAQ

 

We are very pleased that you have chosen us for your dermatological needs. The following information should be helpful to you in understanding the billing process.

 

INSURANCE PLANS: Dr. Oriba participates with all major local and national health plans. However, an occasional health plan may not offer participation to physicians in the area.  It is your responsibility to make sure the provider you are seeing is a participating provider with your health plan.  You can call the number on the back of your insurance card.  Some health care plans may not cover services such as removal of benign or non-irritated growths.  These would be considered cosmetic and payment is due at the time of treatment.  

We do NOT participate in Medi-Cal, Central California Alliance, or Covered California Plans.

 

MEDICARE:  We accept assignment.  Medicare may not consider all services medically necessary such as removal of benign or non-irritated growths.  These would be considered cosmetic and payment is due at the time of treatment.

 

REFERRALS: If you belong to an HMO, Tricare Prime, or any insurance that requires a referral, you are responsible for getting a referral from your primary care doctor. If you do not have the referral at our office at the time of your appointment and we are unable to obtain one for you, you will be required to pay for the visit, or, you may reschedule your appointment.

 

DUE AT TIME OF CHECK-IN: 

• Co-Payments

• Deductible/Co-insurance

• Past Due Balances

• Self Pay Charges

• Non-covered charges (those considered to be cosmetic by your insurance)

 

HOW TO PAY YOUR BILL: We accept MasterCard, Visa, AXP. We also have a secure online billing link at InstaMed portal: https://pay.instamed.com/Form/PaymentPortal/Default?id=MONTEREYSKIN.  You can pay for your bill via credit card by calling our billing office, 1-800-300-7819, 1-831-233-6474, or use InstaMed portal.  If you have any other questions, please contact the billing service at 1-800-300-7819. 

 

CANCELLATION OF APPOINTMENTS: If you are unable to keep your scheduled appointment we REQUIRE a 24-hour notice.

 

NO SHOW: If you fail to keep your appointment and fail to cancel within 24 hours, you may be assessed an appointment hold fee on subsequent appointments. Call our office for details.

 

BILLING STATEMENT: You will receive a bill/statement once the insurance company has processed the claim.  Payment in full is expected by the due date on your statement. If you are unable to pay your balance in full by the due date, you will need to contact our billing office to discuss other options, at 1-800-300-7819.

 

INSURANCES

 

General Dermatology Appointments Available within the Week

We accept most insurances including:

• Aetna PPO

• Aspire Health Plan PPO/HMO

• Blue Cross PPO (Examples: Blue Cross Select PPO, Blue Cross Pers Choice PPO, MCSIG, Monterey County EPO/PPO)

• Blue Shield PPO
• Cigna PPO (Open access and PPO)
• Coastal TPA
• GEHA PPO
• Health Net PPO
• Mail Handlers
• Medicare
• Monterey Bay Public Employee Trust
• Tricare Select (Standard)
• Tricare Prime  needs authorization from your PCP
• UMR - Through United Health Care Only
• United HealthCare Pro
• United HealthCare Medicare Advantage 
• Western Growers

• Continually being updated.  Please call your insurance carrier to see if we accept your insurance