our practice
contact information
- Atrium Dermatology
- 6801 Mayfield Road
- Suite 244
- Mayfield Heights, Ohio 44124
- Tel: 440-646-1600
- Fax: 440-646-1505
- Map
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- Contact Us
- - General Information
- - Practice Philosophy
- - Conditions We Treat
- - Our Services
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- - Insurance Information
- - Hospital Affiliations
- - About Us
Insurance Information
As a Board Certified Dermatologist, Dr. Esti Gumpertz is a participating provider for most insurance plans. Due to the vast number of plans, it is not possible for our office to be familiar with the details of each and every patient’s insurance coverage. We encourage you to contact your insurance company before each office visit to determine whether Dr. Gumpertz is a participating provider for your individual plan.
Some insurance plans need a
referral to see a specialist. Before you set up an appointment to see us,
determine whether a referral is needed from your primary care doctor. If a
referral is needed, contact your designated primary care physician to get the
referral. Make sure the referral has been made before you come to our office for
your visit. Some plans will pay a higher benefit amount to the
patient if a referral is done. For example, the insurance may
cover 100% of the allowed amount for some plans, as
opposed to the usual 80%. Some plans will not cover any services
without the referral, leaving the patient fully responsible for the cost of
treatment!
Even though your insurance
company may have agreed to our fee, it probably still requires you to pay a
co-pay, co-insurance and/or deductible amounts. These usually
include part of the billed services (co-insurance), and amounts that must be
paid out-of-pocket before your insurance is required to pay any amount to us
(co-pay and deductibles). Under your health insurance plan you may be required
to pay a co-pay at the time you come to see Dr. Gumpertz. Before coming to your
appointment, determine whether you have a co-payment due at the time of
services. Some insurance plans require different co-pay amounts to
be paid to different types of doctor. To avoid incurring extra billing fees,
remember to pay your co-pay at time you see Dr. Gumpertz.
Insurance companies and the
benefits they offer frequently change. They may merge with other
insurance companies, or they may add or drop various providers from their plans
without notifying their
members. Regular
communication with your insurance company is strongly recommended.
Above all, keep us informed of your current insurance carrier! While we
will file insurance claims on your behalf, if the insurance company we have on
file for you denies coverage, you are ultimately responsible for the
charges!
If you need to see a dermatologist, whether for an initial consultation or for a specific procedure, contact us at: (440) 646-1600 for an appointment. We'd love to meet you!