Your MNG provider will decide which procedures, tests and other consultations you may need. Many health plans require pre-certification and sometimes predetermination of medical necessity prior to care being rendered. In addition, some services may not be a covered benefit for some plans.

Services that may require pre-certification include outpatient and inpatient hospital services, observation services, invasive procedures, CT, MRI and PET scans, Physical Therapy, Specialists treatments such as Immunologist, Orthopedist, etc.

Patients are responsible for knowing the pre-certification requirements of their health plans. We highly recommend that you contact your insurance company to determine benefits and coverage for our practice and any other facilities, and it is the patient’s responsibility to coordinate pre-approval requests through the facility or their PCP. In the state of Maryland, approvals need to be obtained by the facility rendering services, please remember this when booking your appointments in your own state. We do not have staff to obtain approvals other than surgical.

A pre-surgery deposit is required for all surgeries.