Insurance Plan Information & Insurance FAQs
Accepted insurance plans vary by office.*
Palm Beach Gardens, Florida
Medicare, Aetna and Cigna accepted. Have another plan or prefer to pay directly? Contact our team at (561) 567-6775 to discuss your options. Self-pay medical visits are $250 for new patients and $150 for returning patients.
Participation varies by specific plan and provider. Our team can help confirm your coverage and discuss any available out-of-network options before your visit. Medicare Advantage plans are not currently in network at this office.
*Please confirm with your intended visit location that your specific plan is accepted by emailing a photo of your card to wecare@mandelderm.com.
Insurance Q&A
What insurance plans do you accept?
Accepted plans vary by office. In Palm Beach Gardens, we accept Medicare, Aetna and Cigna. We always suggest emailing us at wecare@mandelderm.com to confirm we accept your specific plan.
I want to be seen but you don't accept my plan. What is the self-pay rate?
Accepted plans vary by office. In Palm Beach Gardens, we accept Medicare, Aetna and Cigna. If we are not in network with your plan, at any of our offices: For first time medical patients, the office visit fee is $250. For returning medical patients, the office visit fee is $150. If you are coming in for a cosmetic visit (e.g. Botox, Filler, HydraFacials, etc.) you will only be charged the treatment price. There is no additional office visit fee. If you have a treatment the same day as your consultation, there is no consultation fee. If you don't, a $100 consultation fee is charged, usually on the day of your visit and sometimes when you book. It stays on your account as a credit toward any future treatment or product at Mandel Dermatology, and it never expires. When a free consultation is offered, it will be clearly noted.
Do I need a referral?
To determine if you need a referral, please check the front and back of your card for text stating "referral" or "authorization" requirements to see a "specialist." Dermatologists are considered a specialists, so if a referral or authorization is needed it may list it on your card. Please keep in mind that sometimes this information is not listed on your card and you must call your insurance company to confirm if you need a referral. If you show up for an appointment without a referral or authorization and your plan requires one, you may not be able to be seen.
Which plans might need a referral or authorizations?
Here you go! These are some plans that often require referral or authorization. Please keep in mind this is not an exhaustive list, and we suggest calling your insurance plan ahead of time to confirm if you are unsure of your plan's requirement(s).
- Emblem HIP - always requires a referral to be seen unless the card specifically states otherwise
- Healthcare Partners - all procedures require authorization before they are preformed
- Oxford / United Healthcare - check the back of the card for "referral required or no referral required"
- Aetna - check the back of the card and call your plan information line to see if your plan requires one (many student plans require authorization)
- HealthFirst (Accepted in NYC ONLY) - must call to find out if visit/codes require authorization
What is my copay?
Copays are determined by your specific plan. Please check your card for copay information, or call the number on the back of your card. You'll want to check for "specialist" copay to see what it would cost to see the dermatologist. Keep in mind, you may also be subject to co-insurance, or a deductible.
Will I pay more than my copay?
Sometimes! If your plan has a deductible that has not yet been met, or a coinsurance, you may be required to pay more out of pocket once your insurance company processes your visit. To be sure of the potential costs to a visit, please contact your insurance company.