Insurance Benefits
We participate with most local and many national insurance plans. Prior to your first visit we advise you to call your insurance company to confirm that we are within your specific insurance network, to determine your copay / coinsurance liabilities and to determine if a referral from your primary physician is required. You usually can find the number to call on your insurance card. It is extremely important for you to know your coverage and it is your responsibility to understand whether your insurance has limits on the doctors you can see, the services you can receive, and your copay / coinsurance liabilities.
Diagnostic Procedures
Please be aware that when a patient requires a visit to a specialist, there are sometimes diagnostic procedures required to diagnosis and evaluate for treatment that cannot be done by a primary care provider. These procedures may be done during the normal course of the exam by the specialist. Depending on your insurance policy provisions, these procedures and others may fall under a separate benefit other than your office copay, such as a deductible or co-insurance.
Managed Care Referrals
Most patients to Spartanburg and Greer ENT & Allergy do not require referral by your primary care physician.
However, if you have an HMO or similar plan, you will need a referral from your primary care physician to see a specialist. If we have not received this referral prior to your arrival at our office, your appointment will be rescheduled. It is your responsibility to know if a referral is required and to obtain one. If one is not obtained, you will unfortunately be responsible for the entire bill
