Rheumatologist Accepting Insurance in Edgewater MD

Yes, Nasseri Clinic in Edgewater, MD, works with both Medicare and Medicaid to provide care for patients, especially for those seeking rheumatology services. These are vital programs that help ensure the clinic’s services are accessible to a wide range of patients.

• Medicare: The clinic accepts Medicare and most Medicare Advantage plans, except for specific ones like Kaiser Medicare. This coverage includes services such as joint injections, infusion therapies, and other essential rheumatology treatments.

• Medicaid: The clinic also accepts Medicaid, but there are some limitations. While the clinic works with a wide range of Medicaid plans, certain plans such as Aetna Better Health and Kaiser Medicaid are not accepted. To verify if your specific Medicaid plan is covered, it is advisable to contact the clinic ahead of time or check with your Medicaid provider.

If you’re unsure if your Medicaid or Medicare plan is accepted, it’s always a good idea to call the clinic directly to confirm and clarify any questions about specific coverage for treatments.

Yes, Nasseri Clinic accepts secondary insurance in addition to primary insurance. If you have both a primary and secondary insurance plan, the clinic follows a clear, multi-step process to ensure proper billing:

• Primary Insurance: When you receive treatment, the clinic first submits your claim to your primary insurance provider. This insurance will cover the agreed-upon portion of the treatment, based on your plan’s benefits, such as co-pays, deductibles, and the overall coverage limits.

• Secondary Insurance: After the primary insurance has processed the claim and paid its portion, the remaining balance (if any) will be forwarded to your secondary insurance provider. The secondary insurance then covers whatever is left, assuming that the service is covered under your secondary plan.

It’s important to note that not all secondary insurance plans cover the full balance, and some may only cover a specific percentage of the remaining amount. Therefore, it is critical to verify your secondary insurance benefits with your insurance provider to understand how much of the remaining cost will be covered.

If you have both primary and secondary insurance, the Nasseri Clinic’s billing team will assist in submitting claims appropriately, ensuring that both providers are billed correctly and minimizing your out-of-pocket costs.

For specialized services such as joint injections or infusion therapies, the clinic follows a detailed billing process:

• Pre-Authorization: Certain services may require pre-authorization from your insurance provider. It’s advisable to check with your insurance company before scheduling these services to ensure coverage.

• Claim Submission: The clinic will submit claims to your insurance provider for the services rendered.

• Patient Responsibility: After the insurance has processed the claim, any remaining balance, such as co-pays, deductibles, or non-covered services, will be billed to you.

To avoid unexpected charges, it’s recommended to verify with your insurance provider whether these specific services are covered under your plan and if any pre-authorization is required.

Yes, Nasseri Clinic accepts both PPO (Preferred Provider Organization) and HMO (Health Maintenance Organization) insurance plans for rheumatology care. However, the way these plans work with the clinic differs:

• PPO Plans: PPO plans offer more flexibility in choosing healthcare providers. With PPO insurance, you do not need a referral to see a rheumatologist, and you can visit out-of-network providers (though at a higher cost). If you have a PPO plan, you can directly schedule an appointment with a rheumatologist at Nasseri Clinic without requiring approval from a primary care physician.

• HMO Plans: HMO plans tend to be more restrictive, as they require referrals from your primary care physician (PCP) before you can see a specialist. If you have an HMO plan, you must first obtain a referral from your PCP before scheduling an appointment with a rheumatologist at Nasseri Clinic. It’s important to ensure that your primary care physician provides the necessary referral to avoid delays in your care.

Whether you have a PPO or HMO plan, it’s always best to confirm the specific details of your coverage with both your insurance provider and the clinic to ensure your treatment is fully covered.

The Nasseri Clinic in Edgewater, MD, strives to make rheumatology care accessible to all patients by accepting a variety of insurance plans, including Medicare and Medicaid, and offering services to those with secondary insurance. For specialized services like joint injections and infusion therapies, the clinic follows a thorough billing process to ensure proper coverage. By verifying your insurance details and understanding the billing procedures, you can ensure a seamless experience when seeking care at the clinic. For more information, contact us or request an appointment online. We are located at 3168 Braverton St., Suite 330B, Edgewater, MD 21037. We serve patients from Edgewater MD, Riva MD, Davidsonville MD, Annapolis MD, and surrounding areas.