Frequently Asked Questions

We are only a Medicare Part B provider. For remaining insurance plans  we are an "out-of-network" medical group meaning we are not contracted with commercial insurance plans. This allows our physicians to have greater autonomy in meeting the needs of their patients.

Being "out-of-network" refers to healthcare providers, such as doctors or hospitals, that do not have a contract or agreement with a particular health insurance plan. In the context of health insurance, when a provider is out-of-network, it means they haven't negotiated specific payment rates or terms with the insurance company. As a result, if a patient seeks care from an out-of-network provider, they may have to pay a larger portion of the medical expenses out of their own pocket. 

Being an out-of-network healthcare provider can offer several benefits, both for practitioners and their patients. One significant advantage is the potential for greater financial independence. Out-of-network providers have the flexibility to set their own fees for services, allowing them to establish a fair compensation structure that reflects their expertise and the value they provide. This autonomy can lead to increased job satisfaction and a stronger sense of control over one's practice. Additionally, being out-of-network often allows providers to offer a more personalized and patient-centric approach to care, focusing on individual needs rather than being constrained by insurance restrictions. Patients who choose out-of-network providers may also benefit from access to a broader range of healthcare options, personalized attention, and potentially shorter wait times. Overall, being an out-of-network provider can foster a more patient-centered and financially rewarding practice for healthcare professionals 

 Submitting claims to out-of-network health insurance involves a process where healthcare providers or policyholders request reimbursement for medical services rendered by providers who do not have a pre-established contract with the insurance company. In such cases, patients typically pay for the services upfront and then submit a claim to their insurance company to seek reimbursement for a portion of the expenses. The claim submission process may involve providing detailed information about the services, including invoices, receipts, and any other relevant documentation. It's crucial for policyholders to be aware of their insurance plan's specific out-of-network reimbursement policies, including deductible and coinsurance details. Timely and accurate submission of claims is essential to ensure a smooth reimbursement process and minimize out-of-pocket expenses for patients seeking care from out-of-network providers. 

 At Modern Medical Group, we understand the concerns of our patients. That is why we created our streamline process to allow patients flexible payment options, including our own financing and our assistance with billing and collecting your out-of-network benefits for your reimbursement. Our patients find our services allows them to receive the care they need for less than the cost of their deductible with other providers. Our process allows you to receive the care you need and have the time with your doctor that you deserve.