Bruce P.Robinson, MD

Insurance

Traditional Medical Care Model

What is Traditional Medical Care Model @ The Practice of
Bruce P. Robinson, MD?

The Dermatology Practice of Bruce P. Robinson, MD, accepts “original” Medicare (Part B) and ALL Supplements, but is no longer contracted by any other insurance companies including: Oxford, United Healthcare, and United Healthcare Medicare Advantage. As an out-of-network provider, payment is now expected at the time of service. We will continue to submit your visit electronically on your behalf to expedite your out-of-network reimbursement benefits. Your insurance company will send the check directly to you. See Submitting Claims Below …

Dr. Robinson, has provided compassionate, attentive, and individualized relationship medicine on New York's Upper East Side for more that 30 years. It has been, and remains, a privilege to care for so many, including friends, neighbors, and colleagues. Over the years, we have watched the changes in healthcare, insurance collection and reimbursement. We have found that healthcare plans are increasingly overriding our treatment decisions we make on our patients behalf and denying care. We are returning to the Traditional Medical Care Model that puts the doctor-patient relationship first by eliminating the insurance networks. A fee will be paid at the time of service for each visit and/or procedure, rather than paying a co-pay or a deductible.

In addition, we have had to dedicate an ever-increasing number of staff and physician hours to managing insurance networks, increased paperwork, referrals, denials, prior authorizations and contractual requirements. The weight of this bureaucracy forces us to battle with insurance companies over how to provide the best medical care to our patients and to choose daily between spending time with patients or with insurance issues. After much deliberation, we have decided to choose befittingly to put patient care first. We are no longer willing to manage these insurance changes, shorten our patient visits, increase patient volume, compromise patient care, delay care with lengthy prior authorization requirements or risk physician and staff burnout.

Are we a concierge practice?

No, we are not. There is no yearly membership fee.

Why only accept “Regular/Original Medicare” and all supplements but no other insurance plans?

Because other insurance(s) are requiring an ever-increasing number of staff and physician hours to managing insurance networks, increased paperwork, referrals, denials, prior authorizations and contractual requirements. The weight of this bureaucracy forces us to battle with insurance companies over how to provide the best medical care to our patients and to choose daily between spending time with patients or with insurance issues. This translates to higher overhead costs, increasing number of appointments per day, longer wait times, shorten our patient visits, increase patient volume, compromise quality care, delay care with lengthy prior authorization requirements or risk physician and staff burnout.

Traditional Medical Care Model Pricing

What can I expect to pay for my visit?

We offer transparent pricing regardless of insurance type or lack thereof. We offer a range of appointments understanding that no one person, disease, or condition fits an exact mold.

If you are unsure of which appointment is right for you, please call us at 1.212.750.7121 so we can better assist you with scheduling. You have a right to receive a “Good Faith Estimate” explaining how much medical care will cost prior to receiving non-emergent care. Compassionate patient care is our highest priority and we make every effort to work with you.

Submitting Claims:

Payment in full will be required at the time of service. Our staff will continue as a courtesy to assist you in submitting your claim(s) electronically on your behalf to expedite your out-of-network benefits. The reimbursement for your visit will be paid directly to you from your insurance company, as Dr. Robinson will be an “out-of-network” provider. We encourage you to review your “out of network" coverage with your insurer prior to scheduling an appointment. At your request, if you would like to submit the visit to your insurance provider yourself please let us know and we will provide you with an itemized bill at the time of service.

Flexible Spending Account (FSA), Health Reimbursement Account (HRA) & Health Savings Account (HSA):

Yes, you can still apply medical visit costs towards your FSA, HRS & HSA. Medically necessary procedures along with Tele-medicine can usually be applied. Sun Care Protection may also be covered, as long as the product offers broad-spectrum coverage and an SPF of 15+. It’s best to always check with your benefits provider to learn if a service and/or product you are seeking is covered.

Ancillary/Referred Services:

Your lab work, pathology, medications and other referrals will continue to be covered as they have been previously for "in-network" facilities. It is only the Bruce Robinson, MD in-office fees that are "out of network".

Transparency:

The traditional insurance system is mired with a lack of transparency which often results in hidden and surprise fees, which leads to frustration and confusion. Our Traditional Medical Care Model provides patients the freedom of choice, clarity, and no hidden or surprise fees after your visit. Appointments are reasonably priced and fully transparent.

Pricing and Fee Schedule:

Payment in full is required at the time of service.

1, Preventative Complete Full Body Skin Exam (20-30 min): $375

2. Comprehensive and/or NEW Patient Visit (20-30 min.): $375

3. Follow-Up Visits (15 min): $295

4. Tele-Dermatology: $295 - We are proud to continue to offer tele-dermatology care for our established patients.

Additional Procedures:

Surgical, Laser, Aesthetic and/or Cosmetic Treatment fees are available upon your request. If you have any questions or concerns prior to your appointment please speak to Ann, our office manager. Prices for all services are available upon request and the patient can opt out of any treatment.

Our Cosmetic Consultation Reimbursement Policy:

Schedule an office visit to discuss your concerns and skincare goals with Dr. Robinson and the office visit cost will be applied to the future cost for the "consulted procedure". *The "consulted procedure" must be completed within 30 days of your consult visit. We will do our best to accommodate same day cosmetic procedure(s) requests.

If you have any other insurance or service pricing related questions please feel free to call our office and speak to Ann. We welcome the opportunity to continue to provide your dermatological care or if you are new to our practice to share with you what makes us unique.

Bruce Robinson: New York Super Doctor 2023Bruce Robinson: New York Top Doctor 2023Bruce Robinson: New York Super Doctor 2022Bruce Robinson: New York Top Doctor 2022
Copyright © 2024 Bruce Robinson, MD • All Rights Reserved
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