In order to provide the highest level of personalized care, we have chosen to be out of network with all insurance companies, including Medicare, as of September 18, 2020. We accept all major credit cards and provide estimates for costs of services up front. We strive to give you transparent data so that you can make well-informed health care decisions! Please read through the additional information below to fully understand your options.
Will commercial/private insurance pay for my office visit?
As a patient of our practice you receive individualized, concierge care. AIS is considered out of network for insurance. Options for payment and reimbursement for commercial/private insurance companies and health sharing plans are below:
- You simply pay AIS directly for your appointment. Upon request, we will provide you with a bill which you may submit to your insurance company for reimbursement. Any out of network conditions for your insurance plan will apply.
- You may use your HSA (healthcare savings account) to pay our fees anytime.
- Our fees can go toward out-of-pocket maximums under health sharing plans.
Will Medicare pay for my office visit?
As a patient of our practice you receive individualized, concierge care. No, Medicare will not pay for your visit. You will have the opportunity to review and sign a private contract with Dr. Marcella. This contract, required by Medicare, allows you to pay AIS directly and confirms that you will not submit your bills to Medicare.
Will commercial/private insurance pay for my surgical procedure?
Yes, your plan will often pay for a substantial portion (and sometimes for all) of your surgery.
- Hospital Fees: If you are undergoing a surgery deemed medically necessary by your insurance company, that company will likely pay for the hospital fees.
- Dr. Marcella’s Fees: Your insurance plan’s out of network policies and deductible requirements for Dr. Marcella’s professional fees will apply. Our billing department will verify what your plan covers and will give you up-front pricing for surgery before you are scheduled for your procedure.
Will Medicare pay for my surgical procedure?
Medicare will pay for a portion of your surgical procedure.
- Hospital Fees: If you are undergoing a surgery deemed medically necessary, Medicare will pay for the hospital fees associated with surgery.
- Dr. Marcella’s Fees: These fees are not covered by Medicare. AIS will provide an estimate for any additional costs. You will have the opportunity to review and sign a private contract with Dr. Marcella. This contract, required by Medicare, allows you to pay AIS directly for Dr. Marcella’s professional fees and confirms that you will not submit your bills to Medicare.
for more information on services.
Will insurance or a health sharing plan pay for my biologic/cell procedure?
Often health sharing plans or plans that are associated with self-insured employers do cover or reimburse for these procedures. Because biologic/cell procedures are considered experimental, conventional insurance typically does not yet cover them. In Texas, with the passage of House Bill 810 (effective 9/2017), biologic/cell medicine practitioners are optimistic that these procedures will become more widely accepted one day, and eventually paid for by insurance. Until then, Dr. Marcella keeps diligent records of clinical outcomes so as to be able to contribute to the collective knowledge on biologic/cell treatments for future lawmakers and insurers.