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*Unfortunately, we no longer accept Healthpartner, Preferred One, Cigna, Ucare, and Medicare in the Edina office, Minnesota. You will be able to see Dr. Shu if you are willing to pay for out of network expense, otherwise, you will be able to use Health Saving Account (HSA). we also offer the self-pay patients another 10% discount in addition to the already low cost of our office procedures.
Health insurance often covers vasectomy. Within the same company, some plans may cover and others may not. If you have health insurance, call your insurance company (the phone number should be on the back of your card). Here are the important questions:
• Is vasectomy covered under my plan? (If they need it, the procedure code is 55250; the diagnosis code is Z30.2.) Be sure that you make it clear that this is an OFFICE procedure and NOT an OUTPATIENT procedure (to insurance companies, “outpatient” means done in an outpatient operating room facility).
If vasectomy is covered …
• Do I have a deductible and how much of that have I already met this year?
If I don’t have a deductible or if I have already met it …
• Does my plan require that I use only “network” doctors contracted with the plan?
• Is Dr. Shu one of the contracted providers under my plan?
If not …
• Is there any “out-of-network coverage” for procedures by doctors who are not in the plan’s network?
Get the name of the person with whom you speak. If you are told that you have coverage under your plan, and the company denies our claim, we will bill you directly, the same amount that we bill insurance companies. It’s important that you have the name of the company representative, so that he or she can be held accountable. Only your insurance company (not even someone in our office) can verify if Dr. Shu is a provider under your specific plan because provider lists change frequently as insurance companies merge and split. (Dr. Shu is a contracted provider under many plans offered by, among others, the following companies: Aetna, Blue Cross Blue Shield, Cigna, Medica, Select Care/Laborcare, United Healthcare.)
We accept the following insurances.
- America’s PPO
- Blue Cross Blue Shield
- BCBS Aware product
- Blue Plus (the selected group)
- Vantage Blue network
- Medicare through BCBSMN
- Minnesota Care
- Blue Precision Achieve
- Medica
- MEDICA CHOICE
- MEDICA PREMIER
- Select Care/Laborcare
- United Healthcare
- Aetna
- Medicare/Medicaid through Medica
- Medica Elect/Essential
- Medica Direct and Definity by Medica
- Select Care/Laborcare
- United Healthcare
- Aetna
We are contracted with all products of the major insurance companies as listed on their web site. Based on the product and member’s benefit levels the requirements to see those members will differ. Please call the numbers on the back of your card to confirm coverage and requirements, or check their websites.
*Unfortunately, we no longer accept Healthpartner, Ucare, Medicare. You will be able to see Dr. Shu if you are willing to pay for out of network expense, otherwise, you will be able to use Health Saving Account (HSA). we also offer the self-pay patients another 10% discount in addition to the already low cost of our office procedures.
Insurance FAQ
How do I find out about my insurance benefits?
Based on the product and member’s benefit levels the requirements to see those members will differ. Please call the member services # on the back of your insurance card to confirm coverage and requirements, or check their websites. Ask about to what type of visits deductibles apply and about co-payment amounts.
Why is the office asking ME to call my insurance company to investigate a claim that has not been paid?
Many patients don’t realize that billing is a courtesy and not a requirement of medical offices. Ultimately, the patient is responsible for the fees and this is stated in a form which you sign at registration. If there is a problem getting the claim paid after several attempts on our end, we allow patients to investigate the claim further before forwarding the bill to them. Patients can learn about the quality of customer service provided by their insurance company regarding these matters. This is helpful in making decisions about which plan to choose in the future. Hold times can be over 20 minutes, and we have neither the staff time nor financial resources to do this for multiple patients. One hint is that when you finish giving all your information to the automated system, simply say, “customer service” or “operator.” The automated claims info never gives you the level of detailed explanation we need.
What if I don’t have insurance?
We offer 10% discount to self payers, the self-pay patients also get low lab fees through Fairview lab. Please be aware that you will be required to pay for your initial office visit at that time.
