Insurance Benefits
We participate with most local and many national insurance plans. Before your first visit, we advise you to call your insurance company to confirm that we are within your specific insurance network, determine your copay/coinsurance liabilities and determine whether a referral from your primary physician is required. You usually can find the number to call on your insurance card. You need to know your coverage, and it is your responsibility to understand whether your insurance has limits on the doctors you can see, the services you can receive and your copay/coinsurance liabilities.
Diagnostic Procedures
Please be aware that when a patient requires a specialist visit, diagnostic procedures may be needed to make a diagnosis and determine treatment that a primary care provider cannot perform. These procedures may be done during the normal course of the exam by the specialist. Depending on your insurance policy provisions, these procedures and others may fall under a separate benefit, such as a deductible or coinsurance, rather than your office copay.
Managed Care Referrals
Most patients to North Georgia ENT do not require referral by your primary care physician.
However, if you have an HMO or similar plan, you will need a referral from your primary care physician to see a specialist. If we have not received this referral before your arrival at our office, your appointment will be rescheduled. It is your responsibility to know if a referral is required and to obtain one. If one is not obtained, you will unfortunately be responsible for the entire bill.