Insurances Accepted
- Aetna PPO
- Aetna HMO/POS (referral required through insurance) *
- Allways Health Partners PPO
- AARP Medicare Complete (referral required through insurance) *
- Blue Cross Blue Shield PPO
- Blue Cross Blue Shield HMO/POS (referral required through insurance) *
- Blue Chip for Medicare (referral required through insurance) *
- Cigna
- Commonwealth Care Alliance Medicare Advantage (RI & MA) (prior authorization needed for services) *
- Fallon Health PPO
- First Health Network
- Harvard Pilgrim PPO
- Harvard Pilgrim HMO/POS (referral required through insurance) *
- Health Plans Inc (referrals required for HMO plans thought insurance)
- Humana Choice (referral required through insurance) *
- Mass General Brigham PPO
- Medicare
- Multiplan/PHCS Network
- Senior Whole Health
- Tricare Prime (referral required through insurance) *
- Tricare for Life
- Tricare Standard
- Tufts PPO
- Tufts HMO/POS (referral required through insurance) *
- Tufts Medicare Preferred (referral required through insurance) *
- United Health Care Choice/Choice Plus
- United Health Care Navigate/Compass (referral required through insurance) *
- US Family Health Plans (referral required through insurance) *
- Wellcare
* Some insurances that we accept may have plans with limited networks that we may not participate with – please check with your insurance if you are unsure.
Insurances Not Accepted
- Neighborhood Health Plans of RI – all plans
- Blue Cross and Blue Shield of RI – Direct Advance
- United Healthcare Rhody Health Partners and Rite Care
- Tufts Health Public Plans out of Massachusetts – Networks typically restricted to Massachusetts
- Tufts RI Together
- Boston Medical Center (BMC)
- RI Medicaid (Anchor Card)
- MA Medicaid (Mass Health)
- Mass General Brigham
Financial Agreement:
RELEASE OF INFORMATION AND ASSIGNMENT OF BENEFITS: In the event that my insurance will pay all or part of the physician’s charges, the physician who renders service to me is authorized to submit a claim for payment to my insurance carrier. The physician’s office is not obligated to do so, unless under contract with the insurer or bound by a regulation of a State or Federal agenc y to process such claim, and if pertinent insurance coverage information is presented at, or prior to the time of the appointment. I hereby assign benefits to be paid on my behalf to Aspire Dermatology. The undersigned individual guarantees prompt payment of all charges incurred for services rendered or balance due after insurance payments in accordance with the policy for payment for such bills of Aspire Dermatology for charges not paid for within a reasonable period of time by insurance or third-party payer. I certify that the information given with regard to insurance coverage is correct. I authorize Aspire Dermatology to release all or part of my medical records where required by or permitted by law or government regulation, when required for submission of any insurance claim for payment of services or to any physician(s) responsible for continuing care.
Co-pays, deductible portions, and co-insurance: Aspire Dermatology will expect payment of co-pays, deductible portions, and co-insurance at the time of service. Patients with an outstanding balance older than 30 days will have a past due charge of
$25.00 applied, must make arrangements for payment prior to scheduling appointments, and in the absence of a payment plan, the account will be turned over to a collections agency. Aspire Dermatology will send statements via both paper mail and secure texted notifications. Aspire Dermatology accepts all major credit cards as a form of payment for your convenience. We realize
that patients have financial difficulty and our financial counselors will work with you to ensure you receive needed medical care. Please
note that Aspire Dermatology and its providers are considered “specialists” and co-pays are generally higher than the co-pays paid to Primary Care Physician.
Non-sufficient Funds Charge: Aspire Dermatology will charge a $30 NSF fee in the event of a returned or bad check for any and all reasons. The patient will have to make arrangements for all future visits to be paid for either by cash or credit card; a check will no longer be accepted. Please note that as the depositor of the check, Aspire Dermatology gets charged a fee by our financial institution in the event of a returned check.
Missed Visits: Missed appointments represent a cost to us, to you, and to other patients who could have been seen in the time set aside for you. A $25.00 missed appointment charge will be added to your account if you do not provide us with the requested 24-hour cancelation or rescheduling notice. A $75.00 missed appointment fee will be added to your account for missed or rescheduled Mohs surgery and Excision appointments under the 24-hour notice. A $50 missed cosmetic appointment fee will be added to your account if you do not provide us with the requested 24-hour cancellation or rescheduling notice.
HMO Insurance Plans: For purposes of claim processing, Aspire Dermatology needs referring information from the patient such as referring physician’s name, address and phone number, and the referral form. Without the information, the claim will not process and the bill will be the responsibility of the patient. If you have an HMO coverage, you are required to get a referral prior to your visit at Aspire Dermatology. If a referral is not obtained prior to the visit, any financial obligations will be billed to the patient.
Insurance Eligibility & Benefits Verification: Aspire Dermatology is dedicated to assisting our patients with precise benefits coverage, by making efforts to verify eligibility and benefits for each patient’s insurance policy for any financial obligation, if any, resulting from that date of service; however, we will not be liable for any inaccurate information provided to us wherever the information is available. Policies and coverage determinations may vary from payor to payor, plan to plan, and year to year, even if member ID’s and ID cards stay the same. Also, not all services are covered in all insurance plans. Please contact the member services department of your insurance company with additional questions regarding your policy and coverage.
SELF PAY PATIENTS: Please be advised if you have no insurance coverage, you are expected to pay for the “Office Visit” and treatment at the time of your visit. There could be additional fees for treatment performed the day of your visit. Those fees are expected to be paid the same day, or may be invoiced after charges for services rendered are determined. If there is any lab work or biopsies done during your visit, you will receive a bill from the processing Laboratory. This bill does not come from us. This is an outside bill.
COSMETIC PATIENTS: Aspire Dermatology will expect payment of consultation fees and treatment costs at the time of service. Consultation fees are due at the time of the consult and are not refundable, but will be credited toward treatment if completed within 180 days of consult. Consultation fees, product, and treatment costs are subject to change without notice. Filler consults are $150 and a $200 Filler Deposit will be required after consultation prior to initial scheduling; this $200 deposit will also be credited towards your future appointment. Filler deposits expire 180 days from payment date, and are non-refundable and non-transferable.