Insurance Coverage

INSURANCE COVERAGE AND PRE-APPROVAL

We accept most PPO, Medi-Cal and Medicare insurances for medically necessary procedures. Please contact us to verify.

Health insurance companies usually cover what they deem “medically necessary”. The presence of signs and symptoms of venous insufficiency, ultrasound results, and 3 to 6 months of conservative measures is often enough to qualify a patient to be covered by insurance in the diagnostic stages.

However, it ultimately depends on the insurance company, and though we accept most PPOs, Medi-Cal, and Medicare, coverage cannot be guaranteed without checking with your specific insurance plan. To speed this process along, we ask that you have your insurance card readily available while scheduling your appointment so that we can collect the necessary information in order to see if you will be covered for your visit.

Many insurance companies require that a “prior authorization” request be sent in and approved before they will cover your treatment. Approval for treatment coverage depends largely on the ultrasound results, but also on the insurance company’s definition of what is medically necessary. Once your insurance company has determined that you qualify, we will call to set up treatment.

NOTE: Getting approved for treatment coverage does not always mean you aren’t required to pay anything. You may still have monetary responsibility for certain procedures. Prior authorizations typically have an expiration date so it is important that you are able to receive the treatments while they are still approved.

Services that are not covered by insurance are treatment of spider veins and other cosmetic procedures such as Botox, fat transfer, and liposuction. Please CONTACT US for information about our pricing options for uninsured patients! For more information about insurance coverage, or if you have specific questions related to your financial responsibility ask for Tracy – our insurance specialist!
Please Review our Frequently Asked Questions and Answers.
What types of insurance plans do you accept?
Aetna PPO
Anthem Blue Cross PPO
Blue Shield PPO
Cigna PPO
HealthNet PPO
Humana PPO
Medicare
Multiplan PPO
United Healthcare PPO
This is not an exhaustive list. Please call our office and we can check eligibility for your specific plan.




What should I bring with me to my appointment?
We request that you bring your insurance card, photo identification, any relevant medical records from other health facilities and a method of payment for your portion of financial responsibility.
Are there forms I can fill out in advance of my appointment?
For new patients, we have placed our registration forms here.

Does the office accept credit cards for payment?
Yes. We accept Visa, Mastercard or American Express, in addition to cash, checks, Care Credit or money orders. Checks should be made payable to Ramtin Massoudi, MD. Returned checks will be assessed a $25 fee.
Do I have to pay at the time of my appointment?
Yes. Any deductibles, copayments or co-insurance are due at the time of service. The specific amount of your financial responsibility is determined by your health plan as either a fixed dollar amount or a fixed percentage of the contract allowable amount. Please refer to your health plan for more specific information on financial responsibility.

What if I will be late for my appointment?
If you will be late, please call our office as soon as you know. We will do our best to accommodate you but we may have to reschedule you to another convenient time.

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