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Cost of Care

Dr. Margaret Perez, D.C., Q.M.E.

In the interest of complete disclosure I am going to give you our best estimate of your costs. Insurance companies have different contracted rates so the copayments amounts differ. If we bill your insurance you will be responsible for the contracted rates. I know there is a small difference for each company. I think this is why offices do not usually have this transparency, because differences always feel unfair to someone. However, I honor my contracts and if your insurance rate is slightly higher than another company, I understand your frustration. I am frequently frustrated by weird restrictions that are placed on me by insurance companies. It is not a great system, but it is what we have. I try to be fair and reasonable and I hope this is useful to any new or returning patients.


Sincerely,
Margaret Perez, D.C., Q.M.E.  

ANTHEM GOLD OR SILVER OR BRONZE PPO
If you have met your deductible: You will either pay a standard copayment written on your card, or if based on a usual 20%, first visit is usually about $15.00, returning visit is about $10.00

If you have not met your deductible First visit is $75.00 returning visit is $50.00

ANTHEM GROUP PPO

If you have met your deductible: You will either pay a standard copayment written on your card, or if based on a usual 20%, first visit is usually about $20.00 returning visit is about $11.19

If you have not met your deductible First visit is $85.00 returning visit is $55.00

ANTHEM/ BLUE CROSS HMO

See HMO section alphabetized below

AUTO ACCIDENT

We will be happy to work with your attorney or bill your auto insurance, whichever you prefer

BLUE SHIELD GOLD OR SILVER OR BRONZE PPO

If you have met your deductible: You will either pay a standard copayment written on your card, or if based on a usual 20%, first visit is usually about $35.00 returning visit is about $35.00


If you have not met your deductible First visit is $75.00 returning visit is $50.00


BLUE SHIELD GROUP PPO

If you have met your deductible: You will either pay a standard copayment written on your card, or if based on a usual 20%, first visit is usually about $20.00 returning visit is about $15.00

If you have not met your deductible First visit is $85.00 returning visit is $55.00

CASH PATIENTS

Initial visit including treatment $75.00 (cpt 99202)

Returning visit $50.00 (cpt 98940)

CIGNA PPO (based on 20%)

If you have met your deductible: You will either pay a standard copayment written on your card, or if based on a usual 20%, first visit is usually about $15.00 returning visit is $10.00

If you have not met your deductible First visit is $75.00 returning visit is $50.00

CIGNA HMO

See HMO section alphabetized below

DGA PPO

If you have met your deductible: You will either pay a standard copayment written on your card, or if based on a usual 20%, first visit is usually about $20.00 returning visit is about $15.00

If you have not met your deductible First visit is $85.00 returning visit is $55.00

HMO PLANS INCLUDING KAISER, ANTHEM LANDMARK AND OTHERS


Pay the copayment written on your card. However, please note that not all HMOs offer chiropractic care without a primary care referral. Just call us with your name and birthdate and we will check your coverage. Also HMO plans do not pay the office for services like massage, ultrasound, electric muscle stimulation, massage or exercise therapy. We will give as much of these services as we can at no charge.

HEALTH NET PPO (based on 20%)

If you have met your deductible: You will either pay a standard copayment written on your card, or if based on a usual 20%, first visit is usually about $15.00 returning visit is about $10.00

If you have not met your deductible First visit is $75.00 returning visit is $50.00

HEALTH NET HMO

See HMO section alphabetized above


LANDMARK HMO

$15.00 Copay, 30 visits a year

MEDICARE WITH SUPPLEMENTAL

Medicare and your supplement only pay for manipulation of the spine. Every patient also receives services that are not paid by Medicare. These may include massage, physical therapy machine like ultrasound or laser, kinesiotape, exercise instructions and of course an examination. We charge a flat $25.00 per visit for these services since they are not covered by Medicare or your supplement. .

MEDICARE WITH SECONDARY (GROUP PLAN)


Medicare only pays for manipulation of the spine. Your secondary should cover services that are not paid by Medicare. These may include massage, physical therapy machine like ultrasound or laser, kinesiotape, exercise instructions and of course an examination. You may be responsible for a $15.00 copay or a deductible based on your group plan.

MOTION PICTURE PPO

NO DEDUCTIBLE NO COPAYMENT FOR CHIRO SERVICES. 20 VISITS ALLOWED PER YEAR

PROVIDENCE GROUP PPO

If you have met your deductible: You will either pay a standard copayment written on your card, or if based on a usual 20%, first visit is usually about $20.00 returning visit is about $11.19

If you have not met your deductible First visit is $85.00 returning visit is $55.00

PROVIDENCE HMO

We are one of the two chiropractors on the Providence IPA. Your physician will need to write a referral through the IPA to be seen in this office.

SAG AFTRA (based on 20%)

If you have met your deductible: First visit is usually about $15.00 returning visit is about $10.00

If you have not met your deductible First visit is $75.00 returning visit is $50.00

WORKERS COMP

Workers Compensation patients require a referral from their insurance carrier.

WRITERS GUILD PPO

If you have met your deductible: First visit is usually about $20.00 returning visit is about $15.00

If you have not met your deductible First visit is $85.00 returning visit is $55.00


UHC PPO (based on 20%)

If you have met your deductible: First visit is usually about $15.00 returning visit is about $10.00

If you have not met your deductible First visit is $75.00 returning visit is $50.00