Health Insurance Policy

Unfortunately, health insurance companies are not in the business of wellness. Your health insurance is there to cover you should some major health issues occur. This is much like car insurance – it will pay for an accident but not for your oil changes, tune-ups, or new tires.

From a provider, standpoint being in-network with Medicare and other insurance companies creates a large amount of extra work and comes with multiple billing regulations and other restrictions that impair our ability to provide high-quality care for you.

Dr. Dan LaPerriere has chosen to opt out of participation with Medicare and is not in-network with any private insurance companies.

What does this mean for you at COCFM if you have Medicare or a Medicare Advantage plan?

Clients who have Medicare or Medicare Advantage will not be allowed to submit any claims for services provided at COCFM to the Medicare program.

Each year Medicare requires we have you sign a contract (Opt-Out Statement) that stipulates/acknowledges:

That the patient is not in need of emergency care at the time the contract is signed
That neither the patient nor the doctor will submit a claim to Medicare for the services provided
That Medi-gap insurance (supplemental Medicare policies) will not pay for the care;
That the Medicare fee limitations do not apply
That the patient is always free to seek care from a physician who is in the Medicare program
That the patient agrees to be responsible for payment for the services.

At COCFM we do not run regular LabCorp labs through Medicare. However, we have negotiated greatly discounted lab pricing with LabCorp, and pass this discount along to our clients.

Your Medicare benefits may still be used cover certain other specialized labs, imaging, as well as referrals made from COCFM.

What does this mean for you at COCFM if you have a private insurance plan?

Dr Dan LaPerriere is not contracted with any private health insurance companies. This means that we will not bill insurance for any services provided at COCFM.

At your request, COCFM can provide you with an insurance superbill (for insurance covered services) and you may attempt to seek reimbursement for these on your own. There is no guarantee that insurance will reimburse any of these costs.

At COCFM we do not run regular LabCorp labs through insurance. However, we have negotiated greatly discounted lab pricing with LabCorp, and pass this discount along to our clients.

Your insurance may still be used to cover certain other specialized labs, imaging, as well as referrals made from COCFM.

Health Insurance Policy

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