FORMS, FEES, FAQS

dr chen is currently accepting new patients   ||   dr chen looks forward to partnering with you on your health journey *

* dr chen specializes and limits her practice to skin surgery and reconstruction, skin cancer screening and treatment, and select skin conditions - see our list of SERVICES & SURGERIES  ||  for all other dermatologic issues, kindly reach out to a board-certified medical dermatologist  ||  all patients should review PATIENT RESOURCES section for updated office policies  ||  new patients with medicare require a referral from their primary dermatologist

CALL OR TEXT ~ (832) 356-3872

CONTACT ONLINE

FORMS TO PRINT & ​COMPLETE

***  NEW Patient formS  ***

Records Release form

​If patients would like Dr Chen and her staff to provide quality care, it is in the patient's best interest to complete all of the forms   

Pathology Reports   ||   Imaging Studies
Blood Work   ||   Photographs
Medication List   ||   Medical & Surgical History

Previous records should be forwarded or in-hand for Dr Chen and her staff to review

OUR PROMISE TO YOU

DR CHEN'S DERMATOLOGY "MICRO-PRACTICE" PROVIDES EXCEPTIONAL PATIENT CARE

​Enjoy the benefits of having a physician specialist who knows you, listens to you, and cares about you.  Dr Chen is an experienced board-certified dermatologist with specialty knowledge and fellowship training in surgical dermatology, Mohs micrographic surgery, aesthetic reconstruction, pathology, and skin cancer management.  Dr Chen looks forward to partnering with each of her patients on their health journey.  ​

​Together, Dr Chen and her staff have developed the following set of office policies to allow us to focus on you and your concerns.

THE DR CHEN DIFFERENCE

WE TAKE OUR TIME

​Instead of rushing through visits in 3 to 10 minutes, we can spend the time we need to get to the bottom of your medical problems. 

We make sure that there is enough time to hear your story, come up with a plan tailored to your situation, and thoroughly answer all your questions.

​We arrange our schedule to minimize any time spent in the waiting room. We limit the number of patients we see so that we never have to rush through your appointment.  

WE ARE CONVENIENT

​Dr Chen can almost always find a way to fit you in! 

It is easy to schedule your appointment by reaching out by text, by email, by online form, by fax, or by phone. 

Be sure to notify Dr Chen and her staff what appointment dates and times work best for your busy schedule. 

​Our office will do our best to work around traffic, childcare, as well as, your work and school obligations.  

WE ARE WELCOMING

It is our goal to provide a supportive and safe environment, free of judgment.

We will meet you where you are, and offer customized solutions to help you get to where you want to be. 

We understand that your time is valuable, and strive to make things as hassle-free as possible. 

​It is easy to speak with Dr Chen either online by text, by email, or by phone.  

YOUR PROMISE TO DR CHEN

NO JERKS RULE

​​"No Jerks Rule".  We have a rule in our practice.  It’s called the “No Jerks Rule”.  You might have a similar rule in your dealings (we hope so!).  Life is too short to work with people who treat you poorly.  We only serve patients who are polite, professional and respectful.  You can expect us to treat you with dignity and respect at all times. We expect the same, no exceptions.

GROUNDS FOR TERMINATION

​If patients do not follow practice policies and do not take their financial responsibility seriously, Dr Chen will not be able to continue to see patients and may have to close her practice.  ​Adherence to these guidelines will ensure that patients’ care is coordinated smoothly. 

A physician may terminate a patient-physician relationship with a patient at any time by giving 30 days' notice during which the physician is responsible only for responding to emergent medical matters.  We will reserve this action for patients who demonstrate a lack of respect for themselves and the practice by missing appointments repeatedly, disregarding the practice's stated policies, or acting in a way that is deceptive, disrespectful, or dishonest, or in cases where a therapeutic relationship cannot be formed. 

​By definition, this is a small practice, so it is important that those who are seen here are invested in the relationship with their physician and act in a manner that demonstrates the same.    ​​ ​

NON-ENGLISH SPEAKERS

At Chen Skin & Cancer Surgery, English is the primary and official language for all forms of communication (ie. spoken, written, website, etc).​​  ​Please be advised that any translation may be inaccurate.  It is the patient's responsibility to review the English version to ensure translation accuracy. 

Dr Chen is an American-born Chinese (ABC) and has limited proficiency in conversational Mandarin Chinese.  She is not able to read Chinese.  ​Dr Chen completed 4 years of Spanish (middle and high school) and has limited proficiency in conversational and medical Spanish.​  ​​

REQUEST AN appointment

APPOINTMENT & CANCELLATION

Your appointment time is scheduled specifically for you, and you will receive your provider’s full attention during that time.  Together, you and your provider will cover your concerns as well as review your care plan and any upcoming medications or lab orders.

APPOINTMENTS

All meetings are by appointment only.  ​​Our office does not take walk-in patients.  

We will let you know when you schedule how long and how much the appointment will be.  And yet we know we can’t always predict exactly how much time you will need and how much your visit will cost until your appointment (average listed below) *.  
​

• New Patient Appt  |  30 to 60 minutes
• Established Patient Appt  |  10 to 60 minutes **
• Surgery / Procedure Appt  |  1 to 5 hours

* Please see below for details on various appointment options,  estimated cost, and rescheduling and cancellation policies.

** In order to be considered an Established Patient, you MUST come for an annual skin examination.  Priority scheduling will be given to established patients.   

​​​​​​All refills, referrals, forms, letters, and review of laboratory studies and pathology reports will be taken care of at the time of an appointment and not in between visits.  ​

If you have an issue that cannot wait, there are a couple options. If you have a simple question, please relay a message our office.  If you have a more complex issue, the office staff can arrange a 10-minute phone consultation or in-office visit, for which the usual rates will apply.  This is the best way to ensure that you receive your provider’s full attention each time you communicate with us.  (See Out-of-Office Communications, below, for more specifics.)​

SURGERIES & PROCEDURES

SAME-DAY PROCEDURE & CONSULT AVAILABLE

We know your time is precious.  Although some patients prefer separate appointments with the consultation visit first and surgery on a separate day, our office understands how difficult it is to take time off from school and work.  

​At Chen Skin & Cancer Surgery, same day procedure and consultation may be available.  If you are interested in having the procedure performed on the same day as the consultation, please be sure to notify Dr Chen and her staff of your preference and send several photos of the area so that adequate time can be blocked for the procedure (exceptions include large size, multiple locations, complex surgery, time permitting, etc).  

GETTING READY FOR YOUR PROCEDURE

No need for driver (in most cases) and no need to fast before surgery since patients will not be put to sleep.  All procedures are with local numbing just like at the dentist.  Please continue all medications.  Do not stop the blood thinners.  Please remember that all bleeding stops, and consider wearing a dark color outfit just in case.  Dress comfortably to allow easy access to the areas that will be operated on.  Don't forget to bring something to pass the time, stay warm, and/or snacks if desired.  

Although you can go back to work the same day, many patients take it easy for a day or two (ie. no heavy lifting, use your common sense).  Follow-up for wound check/ suture removal is typically 1 week (face) and 2 to 3 weeks (off of the face).  Plan to be at the office between 1 to 5 hours (will depend on the complexity of the procedure; hopefully it won't take the whole time).  Exceptions may apply if multiple lesions, complexity, size, location, medical problems, etc.     

PATIENT AND STAFF ONLY IN THE SURGERY ROOM DURING PROCEDURES

Due to safety regulations, only patient and surgery staff can be in the surgery room during procedures.  Family and friends will be asked to wait in the reception area during procedures and surgeries.  Thank you for your cooperation with regard to our patient safety policies.    

PHONE AND VIDEO CONSULTATIONS

When appropriate, phone and video consultations are available for established patients upon request and are billed at the standard rates using standard insurance phone visit codes.  While in-person consultation and examination is the gold standard for quality and exceptional care, some medical issues may not require an in-person exam and could be handled with an Evisit/ Telehealth appointment, such as:  wound check, medication refill, medical questions, etc.  Other medical conditions are better suited for in-office appointment:  skin cancer screening,  rash/ eczema, and of course, if procedures and surgeries are indicated. 

APPOINTMENT REMINDERS

Chen Skin and Cancer Surgery, PA, does not guarantee appointment reminders; it is up to the patient to remember appointments made.​​​  As a courtesy, after the office staff upload patient details, the appointment system will text an appointment confirmation and patient instructions (ie. forms, directions, fees, etc) within 1 to 2 business days, as well as, approximately 1 week before the reserved consultation appointment.  

ON-TIME PERFORMANCE

This office is different from others in that there is usually no waiting.  Because your appointment time is reserved especially for you and never double-booked, plan to arrive early for your appointment time.  ​

Please call if you are running late to prevent unnecessary worry.  Repeat and/or excessively tardy patients may be at risk for termination.  A late arrival may result in a request for you to reschedule your appointment with Dr Chen.  The full allotment of time for your appointment is necessary for the doctor to adequately assess the personal and medical issues presented at that time.  Dr Chen unfortunately cannot extend the time allotted due to lateness as this would impact other patient’s appointment times.  This policy is in effect to assure the highest quality of care and comprehensive treatment for everyone scheduled.  

There will be times when patients are in crisis, and may need extra appointment time.  Please be understanding if the doctor runs late.  Please be assured when you need extra time during your appointment, you will receive it. 

RESCHEDULING & CANCELLATIONS

If your appointment is cancelled on short notice or if you fail to show for your appointment, we are not able to offer that time to another patient.  Thus, any cancellation or rescheduling request must be made no later than 48 hours before your appointment so as to allow another patient to take that open appointment time, as well as, avoid Forfeit of Deposit and/or a Missed Appointment Fee, which must be paid before another appointment can be reserved.  (Note that if your appointment falls on a Monday, then any rescheduling should happen by Friday of the previous week.)
​
By scheduling your appointment, you agree to allow us to charge your credit card two business days before your appointment.  If you are a new patient, 50% of the office visit fee will be charged, with the rest of the fee charged the day of your appointment.  For established patients, the full fee for the appointment will be charged.  Once the appointment has been charged, we will not be able to refund the fee.  No exceptions.  However, we also know that sometimes emergencies and other issues arise.  Thus, if you do need to change your appointment on short notice (or forget you have an appointment), we will offer you the opportunity to reschedule that appointment within 14 days with no additional charge as long as there is room in the schedule.  To do so, please let us know that you need to reschedule on short notice, and we will assist you in rescheduling within 14 days.  This can be done only once per appointment.

LAB RESULTS

LAB ORDERS

Chen Skin and Cancer Surgery, PA, makes every effort to send you to an in-network lab.   Please note, though, that ultimately you are responsible for ensuring that your insurance will pay for the labs at the testing center at which your labs are drawn.  There is no on-site lab draw available at this time.  

For select tests, Chen Skin and Cancer Surgery, PA, is able to offer laboratory testing at a special negotiated fee outside of the insurance system.  If you choose to use this service, payment for laboratory testing is due at the time the labs are ordered. Please notify our office to avail yourself of this option.  

​Should you choose a lab where Chen Skin and Cancer Surgery, PA, does not have an account, please make sure the lab results are sent directly to us via fax at (888) 381-4541.  Please also check with the lab in 1 to 2 weeks to confirm the results have been reported.

LAB RESULTS

Lab results are reviewed in appointments only. 

​If your lab results are available before your appointment, your provider will send them to you with a brief comment. All lab results will then be reviewed in detail at your appointment. Please do not ask for interpretation by phone or email. Should labs need to be reviewed urgently, an appointment will be set up within 48 hours. 

PRESCRIPTIONS, FORMS, LETTERS

​To ensure your safety, Chen Skin and Cancer Surgery, PA, has developed the following policies regarding prescriptions and forms. 

PRESCRIPTIONS

To ensure your safety, Dr Chen's standard of practice requires evaluation before a medication is prescribed and/or refilled.  Prescriptions are written at appointment times only.  This includes lost and/or expired prescriptions.  If a prescription is lost, a new prescription will be written only at the next refill allowable time.  

Dr Chen's office does not e-prescribe, call-in, fax, or mail prescriptions on your behalf.  ​Our office does not complete prior authorization for medications.     
Any request for a change in dosage or type of medication not provided for in your care plan requires an in-office or phone appointment.

CONTROLLED SUBSTANCES

An appointment is required for prescription medications that are considered “Controlled Substances” (ie. select pain medications).  These medications cannot be called in and/or sent electronically to a pharmacy.  A written prescription from Dr Chen is required.  Prescriptions cannot be altered, crossed out or changed.  It is a Felony to do so, and as a result, the prescription becomes void.  

REFILLS

​When a new drug is prescribed, the prescription will be written with no refills.  At the follow-up appointment, Dr Chen will determine if changes are necessary before writing for another medication or refill.  Once therapeutic success has been demonstrated, at your subsequent follow-up appointment, Dr Chen may authorize refills for extended time period (ie. 3 month or 1 year supply), condition and medication dependent.

FORMS & LETTERS

Any letters and forms will be completed upon request and will be billed at the usual rate for our time.  In some cases, an appointment will be necessary to complete the forms and letters.  Dr Chen and her staff will notify you whether the appointment can be either an in-person visit or evisit/telehealth visit  

To better meet your needs and to ensure a timely response as well for continuity of care for you, please allow at least 1 week notice to complete any required forms, consents or letters.  Failure to give proper notice for completion of the form may result in a delay in meeting your request.  If immediate service is required and your request can be accommodated, you will be billed at one-and-a-half times the usual standard rate.

​Complete all sections of any forms that have demographic information on them i.e. name, address, phone number, etc.  Dr Chen will complete the medication and clinical portion only.  Ensure we have the correct name, address and/or fax numbers of whom the fax is to go to so we can forward the required paperwork to the necessary party in a timely fashion.  

EMERGENCIES, URGENT CONCERNS, HOSPITALIZATION

At the present time, Chen Skin & Cancer Surgery, PA, does not provide inpatient care.  Should the need for hospitalization arise, the hospital will assign a physician to care for you during your hospitalization.  Your provider will assist the hospital physician with coordination of care. 

This facility is not designed to respond to emergency situations.  If you have an emergency, please call 911 or go to your nearest emergency room.

If you need urgent or emergent medical advice outside of usual business hours, please contact office specifically stating that your medical issue is "an urgent or emergent matter".  Note that these out-of-office communications will be billed at one-and-a-half times the usual office visit fees.  If you do not receive a response within 2 hours, kindly reach out to the office again as the correspondence may not have transmitted properly due to either technical difficulties or poor internet signal.  If the correspondence is deemed non-urgent and non-emergent, ​​the message will be responded to by the end of the next business day.  Please reach out to us again if you do not hear from us by the end of the next business day.  ​There are several convenient ways to reach Dr Chen and her staff (see below).   ​

call or text ~ (832) 356-3878

OUT-OF-THE OFFICE COMMUNICATIONS

​By design, we limit availability for out-of-office communications.  This allows you to receive undivided attention during your appointments.  It is also the fairest way we have found to make sure that all patients have equal access to our provider's expertise.  
 
Yet we know that there may be times when you will have questions about your health care between appointments.  As a general rule, most logistical (i.e., non-medical) questions can be found on this website.  If you do have a question, please contact us.  A staff member will get back to you within 1 business day during the workweek, and most likely sooner.  A response over weekend or holiday hours may take a little longer.  

For reference, non-medical questions include those about scheduling and rescheduling, pharmacies, prescription issues, lab problems, office hours, directions, medical costs, forms, and other similar topics.  

Our staff is not able to dispense medical advice, so questions about medication doses, labs to order, why you are not feeling well, advice about referrals, advice about supplements, new medical topics, and feeling acutely ill should be addressed by your provider in your appointment. ​
 
Note that phone or in-person consultations are almost always available within 24 hours if you need answers to your questions.  The usual rates apply to these consultations, and our staff will offer this option when needed. 

There are several convenient ways to reach Dr Chen and her staff:  ​

• TEXT  |  most patient preferred at (832) 356-3872
• ​ONLINE  |  submit the "SAY HELLO / CONTACT US" form below
• EMAIL  |  the office at info@drminsuechen.com
• VOICEMAIL  |  message at (832) 356-3872

Why don't we answer the phone?  Because we are a small practice and either caring for a patient in the office or on the phone with another patient, we do not answer the phone. 

​​All messages should be responded to by the end of the next business day.  Please reach out to us again if you do not hear from us by the end of the next business day as the correspondence may not have transmitted properly due to either technical difficulties or poor internet signal.  

THE COST OF SAFETY & QUALITY

Being cheap is not always smart, especially when it comes to something as important as your health.  While choosing the lowest cost can be easier on your wallet up front, it can cost you more over the long haul.  You may be setting yourself up for a major health problem.  

Ask yourself... how much is your health and safety worth?  

The quality and safety of services a physician office or hospital provides, therefore, are just as important.  Other factors to consider are efficiency and timeliness.  
​

• OVERHEAD  |  Hospital  |  Office
• REPUTATION  |  Top-tier  |  Bottom-tier
• TRAINING  |  Physician  |  Mid-level  
• MEDICAL ISSUES  |  Multiple  |  Single
• COMPLEXITY  |  Complex  |  Straightforward
• APPOINTMENT  |  Multiple Visits  |  Same-day
• TIMELINESS  |  Efficient  |  Ineffectual ​

​
Level of training, reputation, expertise, and safety are used to determine our rates, which are within the usual and customary charges for our specialty and area.  ​

about dr chen

INSURANCE

MEDICARE

New patients with Medicare require a referral from their primary dermatologist.

Dr Chen is a provider for Medicare.  ​On the day of your Specialist Consultation, your insurance company requires that our office collect co-pays, deductible, and/or coinsurance.  Your insurance company  determines the exact amount you will be responsible for based on negotiated rates for specialist consultation visit fee and procedure costs.   

​It is likely that our office will have underestimated the exact amount you are responsible.  In this instance, you will receive notification from our billing department.  Thank you in advance for your patience as the process of dealing with insurance companies can take weeks to months to resolve a single insurance claim.  If you choose to delay payment, your account will accrue additional fees and interest, as well as, sent to collections with negative consequences on your credit rating.  

 ALL OTHER COMMERCIAL INSURANCE PLANS

​Dr Chen is able to participate in the care patients with any insurance except Medicaid.  Except for Medicare, this office has elected to discontinue contracts with all commercial medical insurances and will no longer be considered an in-network physician effective July 1, 2019.  After your visit, our office can prepare documents for patients to submit to the insurance to apply to deductible, out-of-pocket max, and for reimbursement if eligible for out-of-network services.  ​

Many of our patients should receive a reimbursement for their visit (ie. for instance, $120 of a $150 out of pocket expense), but this can depend on a multitude of factors including remaining deductibles, coinsurance, and out-of-pocket maximums.  In order to generate these reimbursement documents, patients should bring their insurance card and photo ID to the appointment and request the reimbursement forms.    ​

Many of commercial medical insurance plans allow patients to see out of network doctors (such as PPOs from Aetna, Blue Cross Blue Shield, Cigna, Humana, United Health, etc, as well as, Medicare Advantage plans).  After their appointment, patients can submit the coded medical receipt for reimbursement of out of pocket expenses.  For patients with high deductible plans, the out of pocket expenses maybe applied partially or in full towards their deductible.  Reimbursement will be sent directly to the patient if they qualify.   (See Helpful Tips to File a Claim with Insurance, below, for more specifics.) 

Except for Medicaid, prescriptions and laboratory tests Dr Chen orders are generally covered by your commercial medical insurance, as they would be at any physician's office. ​

Because we do not submit claims to the insurance carriers, our patients are responsible for paying their full balance at the time of service.  We accept cash, check and credit card payments (no AMEX).  See below for additional details on payment.

​Chen Skin and Cancer Surgery, PA, makes no representation that your claim will be reimbursed partially or in its entirety.  ​​

HELPFUL TIPS TO FILE A CLAIM

​The fees for your visit to Chen Skin and Cancer Surgery, PA, may be covered by your insurance plan as an out-of-network benefit.  If our office does not contract with your commercial medical insurance companies, we will not file your claims.  After you pay for the services at the time of your visit, you will be provided with an itemized bill that has the required codes that you can file with your insurance for possible reimbursement or application to your deductible if you have a high deductible plan.  

If you have a huge deductible, keep your receipt.  Insurance companies have different policies regarding payments to out-of-network providers.  Some allow those payments to count toward the deductible, and some do not.  Submit only if you think you may reach your deductible.​  

If you want to file for reimbursement, contact your insurance company to see if they will reimburse, and if they have a special form to use when filing for reimbursement.  You can then pay $10 for a coded receipt from us that details applicable codes.  The coding charge is added to the office visit cost, so if the office visit is reimbursed, you may get your $10 back as well.  If you do not want to pay us to look up the codes, you can look them up online.  Send the receipt and the form (if there is one) to your insurer.  ​ ​

1. ​Contact your insurance carrier to request a medical claim form (if there is one) or they can often be downloaded from the company website.  Follow the instructions on the claim form. The instructions should be self-explanatory. If you have questions, contact the insurance company to clarify.
2. For these plans, Dr Chen is considered an out-of-network physician/provider.
3. Be sure to request any payment of benefits be sent directly to you, the patient, and not the physician or provider of service.
4. Attach the itemized receipt with the required procedure codes (CPT) and diagnoses codes (ICD) from your visit to Chen Skin and Cancer Surgery, PA. 
5. Check the form for accuracy.
6. Make a copy of the completed claim form and all attachments for your records.
7. Mail the completed claim form and attachments to the address indicated on the form for processing of the claim.
8. You should write down the date you mail the form, since they will ask this information if you call the insurance company to check on the status of your claim.​​

​Some patients have spoken with their insurance company about "network deficiencies".  They have specifically asked their insurance company if there is any physician in proximity of the patients’ residence, who is in network and who specializes in surgical dermatology and skin cancer management, including MOHS micrographic surgery and reconstruction for skin cancer.  If no physician can be identified, then some insurance companies may consider this a "network deficiency" and may choose to cover the consultations, procedures, and surgeries and may then reimburse you at in network rates.   

​Chen Skin and Cancer Surgery, PA, makes no representation that your claim will be reimbursed partially or in its entirety.  ​​

HOW CAN I FIND OUT MORE INFORMATION ABOUT MY INSURANCE PLAN?

Every insurance company and every insurance benefit plan are different.  Insurance filing procedure, therefore, varies as well.  ​

We have found the information on the insurance websites to be inaccurate and/or challenging to navigate.  To help you with the claims submission, we suggest that you speak with your employer’s benefit manager, as these matters are determined by him or her.  Also, consider contacting your insurance company customer service center and speak with an insurance agent for a better understanding of your medical insurance benefits so that you may get the most from your insurance policy. 

​Be sure to document the phone number, date and time of the call, insurance representative's name and identification number, as well as, the reference number for each call.  These details will be helpful if you need to contact your insurance company in the future regarding insurance filing procedure, reimbursement of out of pocket expenses, and application of payments toward the deductible. 

PAYMENT, PRICE LIST, FEES

PAYMENT

​This office follows a strict "No Negotiating" policy.   ​

​Payment is due in full at the time of service by cash, check, credit, or debit card, or HSA/ HRA/ FSA debit card (no AMEX).  By scheduling an appointment, you agree to allow Chen Skin and Cancer Surgery, PA, to keep your credit card on file in a secure system.  You will automatically be charged for any appointments two business days before your appointment.  Please see our Rescheduling and Cancellation Policy for details.

Chen Skin and Cancer Surgery, PA, does not accept insurance. The office will provide you with a super bill following your appointment to submit to your insurance company for reimbursement unless you have Medicare or Medicaid, in which case you are not able to submit according to federal law.  Please contact your insurance company prior to your visit for any questions about reimbursement. ​

HSA, HRA, FSA

You may use these accounts at Chen Skin and Cancer Surgery, PA, for valid medical care.  HSAs, HRAs and FSAs are accounts used to save on taxes and pay for qualified medical, prescription, dental and vision expenses.  You may need a coded receipt to prove the service was valid medical care.  If you buy your own insurance, you do not need to worry about comparing all these accounts.  That is because you are only eligible for an HSA.  Employers can offer any of these accounts, and sometimes more than one at the same time.  Spelled out: ​   

• ​HSA  |  a health savings account is a bank account that lets people put money aside, tax-free, to save and pay for health care expenses. The Internal Revenue Service (IRS) limits who can open and put money into an HSA.  Due to legal restrictions, HSA balance information cannot be displayed.​  

• HRA  |  a health reimbursement account or arrangements are health care accounts that employers fund for covered workers or retired persons. The IRS does not tax this money and allows any money left in these accounts at the end of the year to roll over to be used the next year.

​

• FSA  |  a flexible spending account or arrangement is a health care account is a special account you put money into that you use to pay for certain out-of-pocket health care costs.  You don’t pay taxes on this money. This means you’ll save an amount equal to the taxes you would have paid on the money you set aside.  Employers may make contributions to your FSA, but aren’t required to.

CHEN SKIN AND CANCER SURGERY PRICE LIST & FEES

​Dr Chen is not a concierge practice, and therefore does not charge an upfront fee to be a member of her patient panel. 

We use time-based billing, just like most other professional services.  ​
​​
This office follows a strict "No Negotiating" policy.   ​

*We wish to be upfront about our prices and financial policies so you can make informed health care decisions.  You will be able to ask questions before any treatment or procedure is performed.  This list may be subject to change.*

​If we spend time with you and/or on your behalf to handle your issue, your account will be billed at the usual rates to compensate for our time and expertise.  This may include:  appointments, surgeries; lengthy phone, email, text correspondence; insurance eligibility and benefits verification; coordinating care on the patient's behalf; form completion; letters to insurance companies; prior authorization; medical record copying; medical record review; materials and services beyond typical evaluations; additional services not covered by insurance; etc. ​

​We do not contract with insurance companies so we can reduce our administrative burden and focus on providing exceptional medical care to our patients.  This allows our doctor and staff to provide individualized attention and service, as well as more quality time with easier access and shorter wait times.  Because we do not submit claims to the insurance carriers, our patients are responsible for paying their full balance at the time of service. We accept cash, check and credit card payments.

We are pleased to be able to provide surgical dermatology evaluations and treatments according to the following price list:

Rates for standard in-office appointments are listed below. 

• New Patient Appt (In-office)  |  30-minutes  |  $295  |  all conditions *
• Established Patient Appt (In-office)  |  10-minutes  |  $150  |  all conditions *
• Surgery / Procedure (In-office)  |  add-on fee determined at time of  new or established patient appt *
• Group Patient Appt (In-office)  |  90-minutes  |  $150  |  select conditions​

*  with additional fees for procedures and/or if additional time is necessary more than the reserved appointment time -- if necessary, each additional 5 min / $50 extra and average cost of the most common procedures that do not require sutures ranges from $150 to $300

Rates for standard evisit/telehealth appointments and correspondence are listed below. 

• New Patient Appt  (Synchronous, Evisit/ Telehealth)  |  30-minutes  |  $295  |  all conditions *
• Established Patient Appt  (Synchronous, Evisit/ Telehealth)  |  10-minutes  |  $150  |  all conditions *
• Correspondence by Text, Email, Fax, Etc  (Asynchronous, Evisit/ Telehealth)  |  5-minutes  |  $50 per issue  |  all conditions *
• Group Patient Appt  |  60-minutes  |  $100  |  select conditions​

*  with additional fees for procedures and/or if additional time is necessary more than the reserved appointment time -- if necessary, each additional 5 min / $50 extra and average cost of the most common procedures that do not require sutures ranges from $150 to $300

Additional rates and fees are listed below. 

• ​Dr Chen is not a concierge practice, and therefore does not charge an upfront fee to be a member of her patient panel. 

​

• We use time-based billing, just like most other professional services.  ​

 

• If we spend time with you and/or on your behalf to handle your issue, your account will be billed at the usual rates to compensate for our time and expertise.  This may include:  appointments, surgeries; lengthy phone, email, text correspondence; insurance eligibility and benefits verification; coordinating care on the patient's behalf; form completion; letters to insurance companies; prior authorization; medical record copying; medical record review; materials and services beyond typical evaluations; additional services not covered by insurance; etc. ​​

​

• Accounts must be zeroed or payment arrangement in place before the office will handle any matters on behalf of a patient:  appointments, correspondence, records release, etc​​​.

​​

• Checks returned for nonpayment will be charged $75 plus any bank charges incurred as a result.
• Late fee for each month with no payment arrangement on accounts with an outstanding balance will be $75 monthly.
• If services are not paid in full at the time services are rendered, a statement will be mailed at the beginning of the following month detailing account balance.
• Accounts will be sent to collections after failure to settle accounts after 90 days in arrears.

 

• ​Record copying fee is mandated by Texas Law and the Texas Medical Board.  Contact the office for instructions and fee schedule​​.

 

• Completion of forms will be billed at the usual standard rates.
• Letters to insurance companies will be billed at the usual standard rates​​​.

 

• Coded receipt for patients that wish to submit their claim to insurance for possible reimbursement is $10.

 

• In-office dispensed skin care products, supplies, and medications:  subject to availability.

 

• External services such as labs, dermatopathology, and pharmacy-filled prescriptions may be available at a special negotiated fee or patients can choose to use their insurance; fees for theses services can range from $150 to $300​​.

 

• Patients who no show or cancel/ reschedule within 48 hour of their reserved appointment time will be subject to a Missed Appointment Fee or Forfeit of Deposit.
• Missed Appointment Fee - Office  |  $150
• Missed Appointment Fee - Surgery  |  $500
• Missed Appointment Fee - Complex Surgery  |  $2500

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• ​​Usual standard rate is billed $50 for each 5 minute increment.
• Surgery and procedure add-on fee determined at time of new or established patient appointment.  Usual standard rate for procedures and surgeries is billed $75 to $150 for each 5 minute increment.  The estimate is based is various factors that can only be determined at time of new or established patient appointment (ie. lesion size, complexity, location, supplies required, anesthesia, procedure time, medications, etc.).  

 

• ​Physician availability outside-of-regular office hours for appointments, correspondence, and/or handling issues on your behalf will be accommodated upon request and will be billed at one-and-a-half times the usual standard rate​​.

UPDATES

Practice Polices and Fees (this page), Notice of Accessibility, Notice of Privacy Practices, and Notice of Services Agreement are posted and updated periodically on our website.  We reserve the right, at any time and at our discretion, to change any Practice Polices and Fees (this page), Notice of Accessibility, Notice of Privacy Practices, and Notice of Services Agreement.  These terms and conditions are modified periodically and we reserve the right to change, update, add or remove portions of these terms at our discretion with or without notice to you.  Continued use of medical care at our office will signify your acceptance of these Practice Polices and Fees (this page), Notice of Accessibility, Notice of Privacy Practices, and Notice of Services Agreement, as well as, your consent and your agreement to the conditions of the Practice Polices and Fees (this page), Notice of Accessibility, Notice of Privacy Practices, and Notice of Services Agreement.   Unless otherwise stated, all fees are in U.S. Dollars.   ​​​​​ ​