Insurance & Patient Resources

Understanding your insurance coverage is an important part of your care. Please review the information below before your visit.

 

Insurances We Accept

We accept a wide range of insurance plans, including:

Major Insurance Plans

    • Aetna

    • Blue Cross Blue Shield (PPO, Blue Choice POS, Blue Advantage, Blue Choice Select)

    • Cigna

    • Humana (Choice Care, Commercial EPO/POS)

    • United Healthcare (including Medicare Advantage)

PPO & Provider Networks

    • Beech Street

    • Cofinity PPO

    • First Health

    • Multiplan

    • Private Healthcare Systems (PHCS)

    • Savility PPO

    • Preferred Plan

Additional Networks

    • Galaxy MCI

    • HFN

Important: Even if your insurance is listed, you must confirm that we are in-network for your specific plan.

Insurance Terms (Quick Guide)

EOB: Statement showing what insurance paid

Copay: Fixed amount due at visit

Deductible: Amount you pay before insurance begins

Coinsurance: Your portion after insurance pays

In-Network: Lower cost providers within your plan

 

 

Before Your Visit (Required)

Your insurance is a contract between you and your provider. Before your visit, you must confirm:

    • M D Aesthetics and Dermatology PLLC is in-network

    • Dr. Gabriel Martinez-Diaz is in-network

We are not responsible for incorrect information provided by your insurance.

Information for Insurance Verification

Please provide your insurance company with:

    • Tax ID: 81-4978438

Your Responsibility as a Patient

You are responsible for understanding your benefits, including:

    • Copays

    • Deductibles

    • Coinsurance

    • Lab restrictions

Please contact your insurance provider for coverage details.

Referrals & Prior Authorization

Some plans require:

    • A referral from your Primary Care Provider

    • Prior authorization before services

These must be received before your appointment is scheduled.

If Insurance Denies Coverage

You may be responsible for payment if services are denied due to:

    • No eligibility
    • Non-covered services
    • Missing authorization
Out-of-Network Patients
 If you are out-of-network: 
    • A self-pay rate will be provided when scheduling 
    • Please review our Financial Policy for details

 

 

 Cosmetic vs. Medical Services

 

Insurance only pays for services that are medically necessary. Cosmetic services are not covered by insurance


Cosmetic services may include (but are not limited to):

      • Lasers to address skin texture, sun damage, scars, and hyperpigmentation
            • Fraxel Dual

            • Clear and Brilliant

        • Lasers to address redness, rosacea, broken capillaries and red scars
              • Excel V

              • Laser Genesis

          • Skin tag removal (in some cases)

          • Mole removal (in some cases)

          • Seborrheic keratosis removal

          • Acne/milia extractions

          • Botox / neurotoxins

          • Fillers

          • Microneedling
          • Treatments done mainly to improve appearance

        Cosmetic visits require prepayment for a consultation. This fee covers Dr. Martinez-Diaz’s professional time to develop a personalized, comprehensive anti-aging plan. Please note that the cosmetic consultation fee applies only to the consultation and does not go toward the cost of treatments. During your consultation, you will receive a detailed cost estimate for all recommended treatments and products. Payment is required at the time of booking your treatment.

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