We are happy to see ANY patient regardless of insurance and will file with ANY insurance plans even if out of network.
See our prices below if you are out of network or self-pay.
NOTE ON OUT OF NETWORK PLANS: If your plan is out-of-network with us we ask that you pay at the time of service, and we will file with your insurance. Your insurance will then send payment directly to you based on the out-of-network benefits with your plan. See fee schedules below for typical costs.
We are currently in-network with:
BlueCross BlueShield PPO & Health Select Plans
Humana PPO
Medicare provider
⚠️I AM NOT IN NETWORK WITH UNITED. No matter what the United reps say on the phone, they are wrong. I will be publishing my termination letter effective 1/1/24 on the web site for evidence.
A NOTE ON MEDICARE and MEDICARE ADVANTAGE PLANS: Dr. Dano does not accept assignment on most Medicare claims due to sequestration, administrative costs and cuts to physician payments every year. They are calling for another 3% cut to reimbursement for 2025. 🤕
This means Medicare patients pay the Medicare Limiting Charge (this is about 15% above the regular Medicare fee schedule) at the time of service, we file the claim within one week, and you will receive reimbursement directly from Medicare within 3 weeks.
Your secondary that covers the part Medicare does not pick up may take two more weeks.
Dr. Dano or any of her team members can tell you the cost/limiting fee before anything is done so there are no surprises.
DEPENDING ON YOUR PLAN YOU WILL RECIEVE MOST OF WHAT YOU PAY BUT MAYBE NOT ALL.
Worst case scenario: you get 83% back of what you paid. Example: you pay $100 you get back $83. This is way less than most copays on commercial plans and way way way less than people pay for hair cuts.
Medicare should forward your claim to your secondary insurance for payment. You do need to make sure you have this Medigap Option activated with Medicare for this to happen though.
⚠️I AM NOT IN NETWORK WITH ANY MEDICARE ADVANTAGE PLAN.
**Make sure you call your Advantage Plan Member Service number on your card to confirm that you have out of network benefits on UNASSIGNED claims if you want to get reimbursed for your visit. **
If you do not have out of network benefits you will not be reimbursed.
I file claims electronically for patients except for United Advantage plans.
I only have problems with how United Advantage plans process the claims I send electronically so our United Medicare Advantage plan patients need to file their own claims per the rep I spoke with personally. Sorry about this but not hard to file.
So if you have United Advantage plan:
-Here is link with more details and how to file an out of network claim with United:
https://www.uhc.com/member-resources/how-to-submit-a-claim
-We will give you the paperwork necessary to file your claim the day of your visit. If filing electronically you will need to upload these documents with your claim.
- Call the member service number and get the address of where to mail your claim If you prefer to mail your claim.
-You mail the paperwork to them with the claim form to that address.
-They process claim and send you the payment usually within three weeks of mailing.
-EASY!
IF THEY HOLD UP PAYMENT TO YOU AND/OR TELL YOU:
"The doctor has to file the claim " or "Dr. Dano is in network" THIS IS WRONG.
Refer them to this section of my web site.
Failure to reimburse you if you have out of network benefits is illegal.
Get the name of the person, record the date and time of the call.
Please do not call our office to report this. I have spent hours on this to no avail.
Call the Texas Department of Insurance and report it . Their help number is 800-252-3439. Tell them your insurance company refuses to reimburse you on an out of network claim you filed.
Costs if self-pay or out of network
New patient office visit: $150 and $200
This includes the cost for full body skin cancer screening. (WINK: This is less than most hair highlighting, only once a year and can save your life. END WINK)
Follow up office visit: $115 to 140 for full body skin cancer screening. Most follow up visits are $115
(Note about office visits: I am thorough and want to take good care of you. It takes time to properly document everything in order to provide you with best care. I am still charting and reviewing notes for hours a day after you leave our office. I can address 2-3 problems or lesions per in-office visit. My skin cancer screenings are thorough so I focus on this and would ask that you schedule another appointment if you have other problems that I can help you with. Dr. Dano)
Tangential/Shave biopsy: $125
Punch biopsy: $150
Pathology is not included in the biopsy cost.
There is an additional cost for the pathologist to prepare and read the slides and ranges from $85-$120 (based on rates for your insurance plan). Dr. Dano will send to the pathologist that is in network with your plan and let you know how much it usually is with that plan. If you do not have insurance, there is a rate you can discuss with Dr. Dano to keep your costs down.
Cosmetic Consults/Office visit with Dr. Dano : same as office visit rates (because it really is an office visit and often an prescription is given for tretinoin or other topical retinoid)
Sclerotherapy: $400 per treatment. It usually takes 2-5 treatments.
Prescription drug prices: ARE CRAZY.
Insurance companies, pharmacy benefit managers and other players are now using your prescription as a revenue center and marking up the cost of your prescriptions.
I will work hard to find best pricing with alternate medications or use of coupons to help you afford your care.
This is another BIG time and work element now that factors into the time it takes me to address your problems and get you proper care. I long for the good old days when insurance companies used to try to save us money on prescriptions. 😔
* Please call if you would like a price quote on any other service including in-network or Medicare costs*
We will also work with you to find best prices on prescriptions you may need.
I don't believe in surprise billing or inflated medical costs. We need to change this.
Sincerely, Dr. Dano
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