Before you visit, it is important you know your insurance benefits.
The information we receive from your insurance is not always as accurate and updated as you can receive in
regards to your benefit coverage.
We strongly suggest that our patients contact their insurance provider’s member services
department before coming to the office for their first appointment. Be clear on what your individual plan covers
before you visit.
When you are ready to call your insurance, be sure to have:
- 1. Your insurance card.
- 2. The contact phone number on the front or back of your card.
- 3. Policy holder’s name and date of birth.
- 4. Prospective patient's name and date of birth.
- 5. Our identifiers: Roberto Di Nicolo, M.D./The Asthma, Allegy and Sinus Clinic.
- 6. Our office address.
When You speak with the insurance representative:
Explain that you are planning to visit an Allergy specialist and.....
- Confirm that we are "in network" with your insurance plan.
- Ask about specific coverage for:
- 1. Office visit with an Allergy Specialist; (CPT codes: 99202 or 99203 or 99204 or 99205)
- 2. Pulmonary function test; (CPT code: 94375)
- 3. Allergy testing performed in the office; (CPT codes: 95004 and 95024)
- 4. Allergy Vaccine; (CPT code: 95165)
- 5. Allergy injections;(CPT code: 95117)
- Check if you have co-pays, co-insurance, deductibles
- Check what is your maximum out-of-pocket per year
- Check what services are subject to your deductible and what services are not subject to your deductible.
- Confirm how much of your deductible you have already met and not met for the current year.
- If services are subject to your deductible you may want to request prices for such services.