Downtown

888 S. Figueroa St #1050, Los Angeles CA 90017

213-319-3339

Brentwood | LA

Pasadena

Costa Mesa | OC

San jose

Announcements and Specials

Metropolis Dermatology Logo

Understading Your Insurance

CONVENIENTLY LOCATED TO SERVE DTLA, BRENTWOOD, PASADENA, COSTA MESA, AND SAN JOSE.
We want to be absolutely transparent about billing and financials. In the US, healthcare is a complicated system involving your insurance plan, the medical office, and your preferred pharmacy. As such, we want to help give you the tools to understand how the process works. If you are a self-pay patient, the process is simple. An initial consultation is $170, and follow-up visits are $150. The pricing of any procedures that will need to be performed will be discussed with you prior to the procedure and payment is due at the time of service. No bill will be generated.

We are contracted with most major PPO insurance carriers. If you are using insurance, we will ask for your insurance policy details when you schedule your appointment. With it, we are able to verify your plan is active, that we’re a contracted provider, as well as your co-pay amount. This allows us to BILL your insurance. Due to the variety of network options, we are unable to confirm whether or not we are in your specific preferred provider network. You may confirm that information by performing a simple search on your insurance provider’s website.

Please note, a contracted plan and a covered procedure does not mean that insurance will pay for your visit in full. Additionally, the prices for all insurance-billed services nationwide are set by the insurance companies, and up to what dollar amount they will pay varies among individuals. We do not see the details of your contract with your insurance (there are thousands of plans), so we recommend that you understand your plan thoroughly before seeking any type of medical care. We are happy to provide you with any information possible to inquire further with your plan.

Understanding Your Financial Responsibility

  • Copay: The amount your insurance companies require you to pay upfront at the time of your visit (think of this as a deposit).
  • Co-Insurance: What proportion your insurance pays for your services after your deductible has been met.
  • Deductible: This number dictates how much your insurance needs you to pay out of pocket before they kick in to help. The higher the deductible, the more you have to spend before they fully activate (for covered procedures). It’s also confusing because sometimes not only your procedure is applied to your deductible, but also your visit. This will vary plan by plan. If you have a deductible that you have not met, you may receive a bill from your insurance.
  • Out of Pocket Maximum: This is how much you are expected to maximally pay in one year. After you hit this number, even your copay does not need to be paid.
  • Coverage: Also a confusing term for patients. Coverage does NOT equal nothing out of pocket. A covered procedure is applied to your deductible, while a non-covered procedure (cosmetic or otherwise) does not go toward bringing down your deductible.

Insurances We Accept

  • Medicare
  • Medi-Medi
  • Optum IPA (DTLA, Brentwood, and Pasadena only)
  • Most major PPO Plans:
    • Aetna
    • Anthem Blue Cross of California
    • Blue Shield of California
    • Cigna
    • Healthnet
    • Multiplan
    • UMR
    • United Healthcare

Why are we not able to give you the exact price of the procedure through insurance?

We get this question all the time. Because there are thousands of plans, each with their own reimbursement rates, co-insurance, and deductible rules, there is no way to give an accurate price on procedures or even a visit until it has been billed and insurance has processed the claim. We know this is inconvenient and annoying, so if there is a specific procedure you need to have done and you’d like to know the exact cost, we can give you the appropriate codes for you to contact your insurance company and they can provide your exact cost and responsible amount.

Billing and Payment

When should I expect my bill?

Insurance company claim processing can take from as little as a few weeks to as long as 3 months. This is why you may not get a statement for 3-4 months after your visit. If you have not received a bill and were expecting a balance, please give us a call and we can send you a statement. Sometimes, if we have an incorrect address or phone number, we may not be able to reach you, so please make sure the information is correct. If your contact information has changed since being in the office, please let us know so mail does not get lost.

We are in the process of converting to digital statements and delivering them via email for enhanced privacy and ease of payment for our patients. We use a third-party billing company for statements. Please take care of statements in a timely manner.

How can I pay my bill?

We offer multiple convenient ways to pay your statement. We have recently developed an auto-payment system where you receive your e-statement and if no changes are needed, your credit card on file can be billed the balance four days later. If any adjustments need to be made, it can be made prior to payment. Other options for payment include mailing a check, calling us, or through our website payment portal.

Questions about my statement

If you have any questions about your statement, please contact us directly and we will work with you to get your questions answered. We are not billing experts and hire an outside billing company, so we will try to help as much as we can on the phone. But if we are not sure about something, we will send the billing company an internal message with your concern and they will be able to get back to you within 24-48 hours.

Contact us:

  • DTLA: 213-319-3339 and select Option 1
  • Brentwood: 424-243-7668 and select Option 1
  • Pasadena: 626-514-1472 and select Option 1
  • Costa Mesa: 949-317-2558 and select Option 1
  • San Jose: Coming Soon!
  • Klara Texting: 213-474-3139

What if I don’t have Insurance?

For our out-of-pocket or self-pay patients, see below:

  • Medical Initial Consultation Fee: $170
  • Medical Follow-up Fee: $150
  • Cosmetic Initial Consultation Fee: $170

We accept cash, all major credit cards, as well as Apple Pay and Google Pay. FSA and HSA benefits are also welcomed for applicable services and products.

Unfortunately, we cannot accept regular Care Credit at this time, but we do accept Care Credit credit cards with the VISA logo.