AAPS Financial Policy

We are committed to providing you with the highest quality patient care.  A clear understanding of our financial policy is important to our professional relationship.  Should you have any questions regarding this financial policy, please contact us.  Our office staff is readily available to provide more specific information or answer any questions.

Cosmetic surgery procedures

Cosmetic surgery procedures are not covered by insurance.  There is a $100 fee for consultations with Dr. Amadi. During your consultation, Dr. Amadi will listen to your concerns, and fully evaluate your facial anatomy and recommend a customized surgical and/or nonsurgical plan for you. Once you have had a consultation with our plastic surgeon, you will meet with our patient care coordinator who will have more detailed information on policies and pricing specific to your personalized plan.

Cosmetic/elective surgery procedures are required to be paid in full prior to your scheduled surgery date, usually at your preoperative appointment. Your consultation fee will be applied to the cost of surgery if you proceed with surgery with Dr. Amadi.

There are three financial components to a cosmetic surgery:  the surgeon’s fee, the anesthesia fee, and the facility fee:

*  Anesthesia fee – the fee charged by your anesthesia provider for your cosmetic procedure(s).

*  Facility fee – the fee for the use of the operating room, equipment, and supplies related to

    your cosmetic surgery.

*  Surgeon fee – the fee charged by the surgeon performing your cosmetic procedure(s). Your consultation fee will be applied to this portion of your cosmetic surgery fees.

Should you decide to proceed with surgery, we accept cashier’s checks, Visa, MasterCard, American Express, and Discover.  Personal checks will also be accepted but are due at least one week prior to the surgical date to confirm available funds. We also offer financing through Care Credit.

Reconstructive surgery procedures

Reconstructive (functional) plastic surgery procedures may be covered by insurance if they qualify as medically necessary.  If criteria for medical necessity are met by your insurance carrier, our clinic will seek prior authorization through your insurance carrier.  Medical criteria may vary between insurance providers. We are in-network providers for the major insurance providers in our area, but we also provide surgical coverage if your plan has out of network privileges. Please check with our office on whether we are an in-network or out-of-network provider for your insurance plan, and with your carrier to determine the specifics of your in-network and out-of-network privileges/co-insurance/co-payments.

It is important to understand that prior authorization and/or pre-approval are not guarantees of payment by your insurance company.  Your insurance company will still reserve the right to deny payment for services at their sole discretion. In case of denial of payment, you will be responsible for payment of services provided.  Our office will work with you and your insurance company to help facilitate coverage in cases where medical necessity exists according to your surgeon. You will have access to your carriers’ policies in your benefits package.

On occasion, cosmetic surgeries are performed at the same surgical setting as a reconstructive procedure. The cosmetic fees (surgeon, anesthesia, and facility) cannot be waived as this is a violation of insurance laws (“Stark Laws”).

For medical and reconstructive-related appointments and procedures, the applicable co-payments and deductibles will be collected at the time of your office visits and prior to any procedures.  Co-insurance will be collected after your claim has been processed and paid by your insurance provider. All procedures, including office-based procedures, have separate fees in addition to office visit fees.  These fees may also include pathology, anesthesia, and facility fees when applicable.

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