Insurance and Fees
At Advanced Endocrinology, we accept a wide range of health insurance plans to ensure our patients have access to high-quality care.
Currently, we are in network with: Maryland Medicaid (accepted as secondary insurance only), Medicare (CMS), Aetna Commercial Insurances, Aetna Medicare Advantage plans, Anthem Blue Cross Blue Shield, Care First Blue Cross Blue Shield, Cigna, GEHA, Humana, Humana Military/Tricare, Johns Hopkins Health Plans, Multiplan and United Healthcare. Please note that from February 1, 2025, we will be in-network with United Medicare plans. We are not in-network with Aetna Better Health of MD. Patients insured with TriCare East Medicare Plans will have to use their Out of Network Benefits.
Given that there are so many options within insurance plans, it is best to send us a copy of your card as soon as you make an appointment or have any change in coverage to confirm that we are in-network with your carrier.
Fee Schedule | (in US$s) |
|---|---|
Self Pay New Patients | Total Charge or Minimum $300 |
Out of Network - New Patients | Total Charge or Minimum $300 |
Self Pay Established Patients | Total Charge or Minimum $200 |
Out of Network Established Patients | Total Charge or Minimum $200 |
Missed/Late Cancellation (within 48 hrs) New Patient Appointment | $150 |
Missed Follow Up Appointment | $100 |
Late Cancellation of Follow Up Appointment - within 48 hours | $75 |
Payment Options:
We accept Visa, Mastercard, Discover, American Express, and personal checks. We accept Cash as well. although it is our least preferred way of being paid for our medical services.
Credit Card-on-File
We encourage patients to keep a credit card on file to make the checkout process easier, faster, and more efficient. For small amounts, you may not receive statements from us, but you will continue to receive your Explanation of Benefits (EOB) from your insurance carrier once your claim has been processed, detailing the charges and payments made on your behalf.
At check-in, we will: scan the credit card of your choice, including your Flexible Spending Account (FSA) or Health Savings Account (HSA) card. After your insurance has paid their portion, we will charge the balance owed to your card on file. If requested, and at the earliest possible, we will email a receipt for the charge. Your credit card information will always be fully protected by our off-site, card-processing partners, and not on our computers, as required by industry standards (Payment Card Industry Data Security Standard – PCI-DSS).
Financial Sustainability
Patients or their legal representative are ultimately responsible for all charges for services provided. We expect your payment at the time of your visit for all charges owed for that visit as well as any prior balance. When the insurance plan provides immediate information regarding patient responsibility, we may request payment for your share when you schedule and/or when you present for your appointment.
After your visit, we will send you a statement for any outstanding balances. We send out e-statements/paper statements when the balance becomes the patient’s responsibility.
All outstanding balances are due on receipt. If you come for another visit and have an outstanding balance, we will request payment for both the new visit and your outstanding balance. Your outstanding balances can be paid conveniently via our patient portal.
We may add a finance charge of 2% of your outstanding account balance every month if you do not pay your account in full.
If you have an outstanding balance for more than ninety (90) days, you may be referred to an outside collection agency and charged a collection fee of 25% of the balance owed, or whatever amount is permitted by applicable state law, in addition to the balance owed. In addition,
if you have unpaid delinquent accounts, we may discharge you as a patient and/or you may not be allowed to schedule any additional services unlessspecial arrangements have been made.
Patient Resources - Avoiding Surprises in your Medical Bills, A Guide For Consumers
Avoiding Surprises in Your Medical Bills