Call for a consultation: (504) 895 3376

Accepted Insurances

Dermatology is considered a specialty (not primary care) in the medical world and we frequently perform procedures in addition to speaking with you about skin concerns. Your insurance plan determines whether you are responsible for paying all or part of your visit, it is your responsibility to know what your plan pays for. Many insurance plans have different pricing for specialty visits.  Also, many of our patients have surgical procedures performed during their visit. Specialty office visits include verbal treatment plans, over the counter drug recommendations and prescription drug management. Surgical procedures include any procedure done in the office (surgery, biopsies, destructions/freezes, injections, PDT, and UPT’s). It is important for you to know if your plan has a deductible, surgical deductible, or has different prices for specialty visits.

Questions you may want to ask your insurance company before your visit to Audubon Dermatology.

  1. Do I require a referral or prior authorization to see a specialist doctor?
  2. Do I have a Surgical-Procedure copay and/or deductible?
  3. Will I be responsible for any laboratory or pathology fees?
  4. Am I covered for Outpatient services in a non-facility setting?
  5. Are there any exclusions for certain conditions? For example, some plans do not cover acne, hair loss, hyperhidrosis, corns and calluses, etc.

Below are the most common insurance codes for Dermatology visits:

  • New Patient Visits: 99202 or 99203
  • Established Patient Visits: 99212, 99213, or 99214
  • Biopsy/Destructions (Lesions of concern procedures): 11102, 17110, 17000
  • Injections (Acne, Scar, Hair Loss): 11900
  • Mole Mapping (TB Photography): 96904
  • Misc. information you may need when calling your insurance: Tax ID #: 20-4264241, place of service-11

If you have a deductible within your insurance plan, (medical, surgical, and/or laboratory) you are responsible for any charges until your deductible is met. Here is a little cheat sheet on the most common types of insurance plans.

  • Strictly Copay Plans:  You pay a fixed amount per visit.
  • Strictly Deductible Plans: You pay the amount charged by a medical office until you reach your deductible. After you have reached your deductible your insurance plan begins to pay.
  • Office Copay & Surgical Deductible Plans: A combination of the above two types of plans. It is your responsibility to know your plan.

ACCEPTED INSURANCES:

Aarp Healthcare Options/United Healthcare
AARP UHC Medicare Solutions Need a referral.
Advantra HMO Coventry Not a provider.
Aetna HMO/PPO
Aetna Manage Choice Need a referral unless with Open Access
Aetna Elect Choice Need a referral unless with Open Access
Aetna Select Need a referral unless with Open Access
Aetna Better Health Not a provider.
Aetna Continental Insurance Company
Allied Benefit Systems
Ama Insurance Agency
AmCare Not a provider.
American Continental Life (Genworth)
American Health Resources
American Public Life Insurance Company
AmeriGroup/Healthy Blue Not a provider.
Anthem Blue Cross
Apwu Health Plan
Banker’s Life
Bayou Health Not a provider.
Best Care Not a provider.
Blue Advantage HMO
Blue Cross Blue Shield Of Mississippi HMO Need a referral, out of state.
Blue Cross Blue Shield Magnolia Local Not a provider.
Blue Cross Large Groups with unique benefits (Ochsner Health Systems) Not a provider.
Blue Cross Blue Shield Signature Blue
Blue Cross Blue Shield Community Blue Not a provider.
Blue Cross of Louisiana Federal Plan
Blue Cross of Louisiana HMO/POS
Blue Cross Of Louisiana PPO
Blue Cross of Lousiana Office of Group Benefits (OGB)
Champva
Christian Brothers Employee Benefit
Cigna
Continental General Insurance Company
Coventry Healthcare Of La.
Coventry Advantra Not a provider.
Empire Blue Cross
Employer Plan Services, Inc
Equian
Freedom Life Insurance Company of America
Geha / United
Gilsbar 360
Gilsbar / Peoples Health Employees
Gilsbar (St. Tammany Parish PPO) Not a provider.
Gilsbar (EJ/WJ Hospitals) Out of Network, patient coinsurance 40%.
Golden Rule Insurance (United Health Care)
HealthSmart Benefit Solutions
Humana Gold
Humana Gold Plus Diabetes (HMS SNP) Not a provider.
Humana Gold Plus Diabetes and Heart (HMS SNP) Not a provider.
Humana Total Care Advantage Not a provider.
Humana Ochsner Need a referral.
Humana PPO / HMO
Humana Military Need a referral
LAHAP Not a provider.
Liberty Healthshare
Louisiana Medicaid Not a provider.
Mail Handlers Benefit Plan
Masters,Mates& Pilots Health
Medicare/Medicare Dual Program Not a provider.
Medicare
Medigap Claims Administrator/Transamerica
Meritian Health
Mutual Of Omaha
Nalc Health Benefit Plan
New Orleans Electrical Health Plan
Noe-ila Field Office
Oxford Health
PAI
Peoples Health Network/Choices 65
Physician’s Mutual
Pomco Group
Ppo Plus
Providence Health Plan
Retiree Medical Insurance Plan
Rr Medicare
Secure Health Louisiana Not a provider.
Signature Blue
Starmark
State of LA Dept of the Treasury
Stirling Benefits
The Hartford
Tricare For Life
TRICARE WPS VACAA Need a referral.
Tufts Health Plan Direct
UMR
United Healthcare – BUPA/SHELL
United Healthcare Choice Plus
United Healthcare Community Plan Check your Out of Network benefits. We are not In Network for these plans. You need a referral.
United Healthcare Compass Check your Out of Network benefits. We are not In Network for these plans. You need a referral.
United Healthcare GE Health Choice
United HealthCare Medicare Solutions
United Healthcare NTCA
United HealthCare One Plan
United HealthCare Student Resources
United Teachers Association
UnitedHealth Integrated Services (GEHA)
USAA Life Ins.
VA Healthcare Need a referral.
Vantage Health Plan
Washington National Ins. Co.
WebTPA/LSU First
Wellcare  Not a provider.