Insurance

Dr Heithaus will no longer be contracted with insurances in 2021. Click HERE to learn more.

Patients are responsible for providing our office with their current insurance to keep in their chart. Photos of your insurance card front and back can be uploaded to “DOCUMENTS” in the PATIENT PORTAL. Pleases include Drug Benefit card photos if applicable.

Patients are responsible for copays, coinsurance or for maximum billable amount for unmet deductibles. Call your insurance to inquire about details of your coverage and estimated out-of-pocket expenses.

Beginning February 2021 Dr. Heithaus will no longer accept any insurance. All services will be billed to the Patient. Click here to read details.

Insurance, Medication and Prior Authorizations

At times you may be prescribed a medication that is not on your insurance’s Formulary (approved drug list). In these cases insurance requires a Prior Authorization (PA) for the prescription to be filled. The PA is initiated at the Pharmacy then sent to our office where it is completed and submitted to your insurance. Depending on the medication and insurance, the response to the PA can take less than 24 hours or up to five days.

Our office will email you once your insurance has approved or denied the Prior Authorization (PA). If PA is denied Dr Heithaus will prescribed a different medication, sending the new prescription(s) to the pharmacy. If PA approved you can contact your pharmacy to have the prescription filled.

There is 15 minutes allotted to complete and submit Prior Authorizations (PA). However, for patients whose PA that take longer than 15 minutes an additional $50 Service Fee will be charged.