PAYMENT POLICY

Please note that Dr. Lerner has been out of network with all insurance plans since January 2024.

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Dr. Lerner is committed to providing quality, comprehensive, personalized care to her patients and their families.

This involves longer appointments with her than most other physicians, with two hours allotted for an initial consultation, and one hour for a follow-up visit.

 

A "Superbill" can be provided to families following every visit with Dr. Lerner, which can be submitted to insurance companies for reimbursement of out-of-network payments.

 

A physician’s out-of-network status historically has not impacted costs to families for prescription medication or blood tests. Please check with your insurance company for their current policies.

Dr. Lerner recommends you use in-network formularies and facilities, pharmacies, and laboratories for insurance to pay directly for these covered services.

 

-        Initial Consultation fee is $500.  

-        Follow-up appointment fee is $300.

 

Included in these visit fees are clarifications of Dr. Lerner’s recommendations, a report to the child’s physician, and emails informing families of outstanding normal/expected results.

 

Not included in visit fees are:

-        Discussions of the results of blood tests and imaging ordered at a visit, with Dr. Lerner’s detailed interpretation and                               recommendations. This care is prorated at $300/hour.

-        To review a new or confirmed diagnosis, and for comprehensive teaching and counseling to appropriately review                                     results, a visit/televisit will need to be scheduled, with a follow-up fee schedule.

-        If a prior authorization submission requires more than 30 minutes of coordination of insurance benefits, a letter of                                 medical necessity, or an appeal of a denial by insurance, there will be a $300 fee.

 

As a service to Dr. Lerner’s patients, reminders are sent one week and three days prior to the appointment, by email and by text. However, these are designed as a convenience to you, and their absence does not preclude your timely cancellation if you are unable to attend the visit.

-        There will be a $100 fee charged for cancellations within two business days of a scheduled visit.

-        Families will be charged the full fee of the scheduled appointment for any same-day cancellation, or failing to show                               for a scheduled appointment.

-        This fee must be paid prior to scheduling any further appointment.

 

Payment to Dr. Lerner is expected prior to each visit.

-        If it was not paid prior to the visit, Dr. Lerner will assist you in paying at the start of the appointment.

-        A credit card on file will be kept, with payment at the visit/time of service.

-        Cash, debit/HSA cards, Visa and Mastercard and AMEX are accepted.