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Billing & Insurance Policy
Billing & Insurance Policy
Our charges are standard fees relating to the type of procedure or examination performed. Our office participates with several insurance plans. We will bill these insurances directly. You will be responsible for any services that are not covered by your plan and also any amounts that are applied to your deductible or coinsurance.
If our office does not have a contract with your insurance company, as a courtesy we will submit your bill to your insurance company if you provide us with the necessary information to do so. However, the responsibility for the payment rests with you, regardless of your insurance coverage or status of your insurance claim. Payment in full is expected at the time of the service, unless other arrangements are made in advance.
Dermatology Associates accepts cash, check, Visa, Mastercard, Discover, American Express and Care Credit. Payments can also be made via the Medent Patient Portal or through the ‘Pay My Bill Online’ link on this website. Contact our billing department at 717-741-4666, option 5 for billing, with any questions or concerns.
12Dermatology Associates of York participates with the following insurance plans:
AETNA All products –
EXCLUDES: AETNA BETTER HEALTH and AETNA EPO
- Aetna Medicare
- Aetna Advantra
- Coventry of Delaware
- GEHA-Aetna
FIRST HEALTH NEWORK-refer to your plan to confirm they utilize the First health network and will process as in network
CAPITAL BLUE CROSS – PPO AND POS (TIER 2/ENHANCED IF TIERED CP)
EXCLUDES ALL HMO PLANS, Blue Journey HMO, Keystone HMO, Capital Blue Wellspan HMO (Inspire)
- Medicare Advantage – Blue Journey PPO
- Capital Blue Wellspan PPO
- Keystone PPO and POS Only
GEISINGER GOLD-HMO AND PPO MEDICARE ADVANTAGE ONLY
- Geisinger PPO ONLY commercial First Health Logo on the front of the card
HIGHMARK BLUE SHIELD PLANS – EXCLUDES SOME EPO PLANS-contact your insurance for benefits
- Medicare – PPO AND HMO
- Commercial
- Chip Highmark Healthy Kids eff 7/1/22
- My Direct EPO -eff 7/1/22
HIGHMARK WHOLECARE (GATEWAY) OPEN TO EXSISTING PTS ONLY
HIGHMARK WHOLECARE (GATEWAY) MEDICARE ASSURED OPEN TO NEW AND EXSISTING
MEDICARE
- Railroad Medicare
WELLSPAN CAPITAL BLUE CROSS, WELLSPAN HIGHMARK, SOUTH CENTRAL PREFERRED
- Tier 1
UPMC HEALTH PLAN (all commercial plans-HMO, PPO, POS, EPO)
Employer group health Premium network only
- UPMC FOR LIFE PPO AND HMO (Medicare advantage)
- UPMC FOR LIFE DUAL (Medicaid Medicare advantage)
- UPMC COMMUNITY HEALTH CHOICES (Medicaid)
- EXCLUDES UPMC FOR YOU AND UPMC FOR KIDS
Participation status is subject to change at any time. Please confirm participation status when calling to schedule an appointment.
Updated 12/22/2023
Use of Outside Laboratories
In addition to the services we perform in our office, it is sometimes necessary to send your specimen to an outside laboratory. Our office primarily uses the following outside labs:
- Institute for Dermatopathology Philadelphia, PA 1-800-474-3376
- Bethesda Dermatopathology Laboratory Silver Springs, MD 1-800-967-8965
- Milton S. Hershey Medical Center Hershey, PA 1-800-356-9580
Depending on your insurance coverage, you may receive a bill from one of these laboratories. Please contact the laboratory directly regarding any bills that you may receive.
