New Patient Information Q & A Sheet
Do We Take Insurance: Yes … however we MUST verify your coverage with your insurance company first in order to quote you the copay or coinsurance fees. If verification is not done ahead of time, you will be considered a “cash Patient” and will pay the cash fees (quoted below) at your initial appointment.
To verify your insurance, you MUST do the following prior to your appointment … or risk paying the full cash fees:
Dr. Allen will confirm via email what your total cost will be for your initial New Patient Appointment. (If you are an existing patient, we MUST have your 2016 Insurance verified prior to your appointment as well. The same instructions apply. Please do so immediately so we can book your appointment asap! We do have Same-Day Appointments!!)
What If I Have a Deductible On My Insurance Plan: We still have to check to see if it applies. Sometimes when a doctor is “In-Network” the deductible is waived. So ANY person with Insurance should follow the instructions in #1 above. (A deductible means that insurance will NOT pay any doctor UNTIL you/the patient have met that entire Deductible. Processing takes up to 30 days. So even if you just paid a hospital bill, it may still show you owe!)
What If I Don’t Have Insurance/Or Choose Not To Use It: That’s no problem. You are considered a “cash patient” and the same $150/$67 as stated in #2 above applies. (Of course this doesn’t mean you need to bring cash to your appointment. We take M/C, Visa, Discover, American Express, Debit cards, HSA & FSA cards … and cash if you prefer.)
For the record, we are NOT in network with Medi-Care, Medi-Cal, or Tri-Care. So you too would be considered a “cash Patient.” If Active Duty, bring your Military ID and it is $125/$60 instead of the fees above.
What Do Orthotics Cost & Will My Insurance Cover It: The cost for a single pair is $347. If you want 2 pairs made at the exact same time (perhaps for a running shoe and a hiking boot, or work shoe) the cost is $500. This 2nd pair discount does NOT apply if you purchase another pair at a later date.
Most insurance does NOT cover the cost of “CUSTOM” orthotics when made at our clinic. However, we can supply you with a Superbill (as stated above in #3 if you’d like to submit it on your own.
If I Only Want Orthotics, Do I Have To Pay for the Exam Too: Yes. Our expertise in diagnosing IF you need orthotics, WHY you need them, and HOW to best resolve your issue/injury is a separate service in addition to the cost of the product and it’s manufacturing time and expertise. So yes, plan on paying the $150 Exam fee in addition to the orthotic cost itself. (If however you DO have insurance coverage, or you are an existing patient, the cost of the Orthotic appointment is only the copay or cash fee you will be quoted later today.)
What If I am an Existing Patient & Was In Less Than a Year Ago: Then it will just be the copay we quote you after checking your 2016 insurance, or the flat $67 cash fee … if your insurance does not apply or a deductible.
How Can I Get an Appt Quickly: Just do the following immediately …
Go to our website/fill out the “Patient Intake Forms” COMPLETELY!
Do NOT skip sections. It’s CRITICAL that you fill out everything (except the insurance page … IF you have already emailed your insurance card to Dr. Allen)…. THEN CLICK the “SUBMIT” button to securely create your file. AFTER doing so just CALL (see below) to complete the process:
Can I Just CALL the Office to Schedule My Appt: Yes, of course …
858-268-8525 … however we request you make sure to do the following:
Here are our normal business hours of operation and a link with directions to our office in Kearney Mesa … just off of Aero Drive & Glen H. Curtis …near the Montgomery Field Airport: http://www.sdri.net/contact-us/
Mondays/Tuesdays/Thursdays: 12:00 noon until 7:00pm
Fridays: 8:00am until 2:00pm
CLOSED: Wed/Sat/Sun … Outside office hours can be arranged but are an additional $50/$100 regardless of insurance copays, and MUST be Pre-Paid and arranged in advance. Subject to owner’s approval.
If you have any questions about your injury or issue, please feel free to email them to me ahead of time so I can answer them or make sure to address them at your appointment. For various reason, I do not return phone calls unless you have booked and pre-paid for a Phone Consultation appointment. Thank you for respecting my time. I promise to do the same for you … and more.