Billing / Insurance

Payment is due at time of service. Patients are fully responsible for all charges.  Cash, check, Visa, or Mastercard accepted.

• New patient: Multiple problems/establishment of care*	$220
• New Patient Acute: Single problem/establishment of care*	$135
• Established patient: Multiple problems / follow up	$110
• Established patient acute: Single problem / follow up	$75
• Preventative care: Established patient annual /well woman exams	$185
• Telephone / email  consultations (24/7most days for established patients) Common communications such as clarification of medications or current treatment plans are no charge.  Communications dealing with new problems or reevaluation of current issues as consultations are charged prorated on an hourly basis.	$125/hr

* Established patients have email and 24/7 emergency telephone contact information for the Doctor. As an established patient, medication refills, clarification of treatment issues, normal lab results and follow ups for acute issues can usually be handled by phone or email with no charge. New health issues may preliminarily be dealt with by email or phone but most require an office visit.

Cancellations with less then 24 hour notice and no shows will be charged $50.00.

Health insurance

We are currently accepting HMSA PPO, HMAA, HMA, UHA, HMSA Quest and Aloha Quest health insurance. If your health insurance is not listed we will file a claim on your behalf with your insurance company who may provide some reimbursement for your visit fee. If you have concerns about the reimbursement policies of your insurance company please contact them prior to your visit.

general excise tax

Hawaii is one of the few states in the nation which charges patients general excise tax for medical services. The amount of the tax is based upon the amount of your health insurance company's compensation plan and is collected at each visit in addition to the co-pay.

MEDICARE

We care about our senior citizens. However the current reimbursement schedule established by Medicare for primary care providers is financially untenable. We do provide a 30% discount to our seniors for their primary care. It is also important to note that although we do not participate with Medicare directly, in most cases your labs, medications, radiological imaging, hospital care and referrals to most specialties will still be reimbursed by Medicare. Please call our office for more information.

Some insurance plans prohibit specialist referrals from any physician other than the primary care doctor assigned to them. This effectively prohibits you from seeing any physician outside of the plan's network. Although I can address your acute issues, referrals to appropriate specialists may be difficult. Please contact your insurance company if you are unclear as to your insurance plan's policy with regards to non-participating physicians and referrals within your network.

 

Please note: If you have extenuating circumstances I am willing to discuss my fees to meet your needs.