Medical Dermatology

Medical Dermatology

Quality Care For Medical Dermatology

Magnolia Medical & Aesthetics has extensive experience in dermatological care with providers that bring many years of hands-on care. Our skilled medical team can evaluate, diagnose, and treat people with diseases and injuries affecting the skin, hair and nails. We treat patients of all ages and are here to help with all of your dermatological needs. Some of the conditions that we treat include acne, cysts, rashes, eczema, psoriasis, hair loss, nail disorders, hyperhidrosis. We also conduct full body skin exams, detect and evaluate suspicious areas, and advise patients on taking proper care of their skin.

Payment Policy

As of January 24, 2022, Magnolia Medical & Aesthetics will no longer be contracted with medical insurance companies. Therefore, we will not bill insurance companies or Medicare for medical visits. Instead, patients will pay in full for services rendered at the time of their appointment.

This transition allows us to fully focus on patient care rather than jumping through administrative hurdles. And it offers patients price transparency which is often lacking with insurance.

See below for detailed pricing information. Please note that prices are subject to change without notice.

Insurance Reimbursement

Magnolia Medical & Aesthetics will not submit claims on patients’ behalf after January 24, 2022. In most cases, patients with private insurance may choose to submit their own medical claims to their health insurance company. But understand that we will be considered ‘OUT OF NETWORK’. And that any reimbursement is at the sole discretion of their insurance provider.

Read below and visit our FAQs for additional information related to insurance and payment for services.

Pricing and How To Schedule The Appropriate Visit

Medical dermatology services typically will start with an ‘Office Visit’. This is any appointment that requires an exam/assessment. The visit scheduled will be based on the expected complexity the patient is coming in for. In-office and virtual visits are priced the same.

In the case that you require a ‘Simple Service Add On’ that can be performed during the course of your original in-office visit, a charge of $50/procedure will be assessed. You will be informed of these charges before the procedures are performed.

If during the course of your original office visit, it’s determined that a surgical dermatology procedure is required, you will be scheduled for a future-date Surgical Procedure to address that need.

Details of what falls into each level of Office Visit and each category of Surgical Procedure are provided below, as are examples of common Simple Service Add Ons.

Office Visits

These are the ‘base’ visits that medical dermatology services typically will start with as noted above.

OFFICE VISITS
Simple Office Visit $75
Moderate Office Visit $135
Complex Office Visit $175
Highly Complex Office Visit $255

Office Visits

These are the ‘base’ visits that medical dermatology services typically will start with as noted above.

OFFICE VISITS
Simple Office Visit $75
Moderate Office Visit $135
Complex Office Visit $175
Highly Complex Office Visit $255

Simple Office Visit – $75 (in-office and virtual)

  • Evaluation of a one mole/skin growth (established patients)
  • Acne follow up (stable or requires adjustment to plan)
  • Accutane follow up (stable or requires adjustment to plan)
  • Evaluation of rash (established and new patients)
  • Rosacea follow up (stable or requires adjustment to plan)
  • Follow up for any other dermatologic condition that is well controlled and requires a check in and/or refills only
  • Prescription visit for patients who haven’t been seen in over a year and require a refill (excludes prescriptions for biologics)

Moderate Office Visit – $135 (in-office and virtual)

  • Moderate Office Visit – $135 (in-office and virtual)
  • Initial examination for treatment of acne (for more information on visits for acne, see the FAQs below)
  • Initiation of Isotretinoin therapy (Accutane)
  • Full body skin exam
  • Evaluation of up to 3 moles/skin growths
  • Continued management of ongoing conditions requiring significant changes in treatment plans
    • Excludes acne, Accutane and rosacea follow ups as those can be scheduled for a Simple Office Visit

Complex Office Visit – $175 (in-office and virtual)

  • Evaluation of up to 3 concerns/problems (new patients)
  • Evaluation of up to 4 concerns/problems (established patients)

Highly Complex Office Visit – $255 (in-office and virtual)

  • Very few patients will require this type of visit, but it is available if needed

Doctor Office Visit

  • Visits requiring our doctor’s specialized services are priced on a case-by-case basis. Deposits apply.

Simple Service Add On - $50/Procedure

These are simple procedures that can often be performed during the course of your original Office Visit time slot. Total cost will be the price of the Office Visit plus the price of the Simple Service Add On(s). Applicable pathology fees are not included. If time does not permit, then you will be scheduled for a Simple Service Follow Up Appointment.

  • Shave biopsy – Procedure in which a tool similar to a razor is used to scrape the surface of the skin.
  • Punch biopsy – Procedure in which a small round piece of tissue, about the size of a pencil eraser, is removed using a sharp, hollow, circular instrument.
  • Cryosurgery of skin tags (less than 5) – A treatment that uses extreme cold produced by liquid nitrogen to destroy abnormal cells/tissue extending out from a tiny stem.
  • Cryosurgery of seborrheic keratoses (less than 5) – A treatment that uses extreme cold produced by liquid nitrogen to destroy abnormal cells/tissue.
  • Cryosurgery of Actinic Keratosis (less than 5) – Treatment of a rough, scaly patch on the skin using extreme cold produced by liquid nitrogen to destroy abnormal cells/tissue.
  • Kenalog Injection
  • Keloid Injection for treatment of raised scar(s)
  • Suture Removal
  • Wart Treatment

Surgical Procedure

These are simple procedures that can often be performed during the course of your original Office Visit time slot. Total cost will be the price of the Office These are surgical dermatology procedures that will be scheduled outside of a standard Office Visit. If you need more than one surgical procedure, those visits will be scheduled back-to-back according to the procedures below. Applicable pathology fees are not included.

SURGICAL PROCEDURES
Simple Surgical Process $150
Moderate Surgical Procedure $255
Complex Surgical Procedure $355
SURGICAL PRODEDURES
Simple Surgical Procedure $150
Moderate Surgical Procedure $255
Complex Surgical Procedure $335

Simple Surgical Procedure - $150 (Applicable Pathology Fees Not Included)

  • Shave biopsy – Electrodesiccation and Curettage – Scraping or burning-off skin growths
  • Cryosurgery of skin tags (5-10) – A treatment that uses extreme cold produced by liquid nitrogen to destroy abnormal cells/tissue extending out from a tiny stem.
  • Sterile snipping of skin tags (5-10)- A treatment that snips skin tissue that extend out from a tiny stem.
  • Cryosurgery of seborrheic keratoses (5-10) – A treatment that uses extreme cold produced by liquid nitrogen to destroy abnormal cells/tissue.
  • Electrocautery of sebaceous hyperplasia (5-10) – A procedure that uses heat from an electric current to destroy abnormal tissue in sebaceous glands.
  • Electrocautery of cherry angiomas (5-10) – A procedure that uses heat from an electric current to destroy abnormal tissue of red moles.
  • Long pulse Nd yağ treatment of cherry angiomas (5-10) – Laser treatment for red moles.
  • Electrocautery of dermatosis papulosa nigra (10-15) – A procedure that uses heat from an electric current to destroy abnormal tissue for small, dark bumps on the face.
  • Cyst Incision and Drainage – A cyst is a sac-like pocket of membranous tissue that contains fluid, air, or other substances.

Moderate Surgical Procedure - $255 (Applicable Pathology Fees Not Included)

  • Shave biopsy – Cryosurgery of skin tags (11-15) – A treatment that uses extreme cold produced by liquid nitrogen to destroy abnormal cells/tissue extending out from a tiny stem.
  • Sterile snipping of skin tags (11-15) – A treatment that snips skin tissue extending out from a tiny stem.
  • Cryosurgery of seborrheic keratoses (11-15) – A treatment that uses extreme cold produced by liquid nitrogen to destroy abnormal cells/tissue.
  • Electrocautery of sebaceous hyperplasia (11-15) – A procedure that uses heat from an electric current to destroy abnormal tissue in sebaceous glands.
  • Electrocautery of cherry angiomas (11-15) – A procedure that uses heat from an electric current to destroy abnormal tissue of red moles.
  • Long pulse Nd yağ treatment of cherry angiomas (11-15) – Laser treatment for red moles.
  • Electrocautery of dermatosis papulosa nigra (16-20) – A procedure that uses heat from an electric current to destroy abnormal tissue for
    small, dark bumps on the face.

Complex Surgical Procedure - $335 (Applicable Pathology Fees Not Included)

  • Small skin cancer excision (less than 1.0 cm) with mid-level provider – Removing tissue from the body where skin cancer is likely.
  • Cyst removal – Removing a sac-like pocket of membranous tissue that contains fluid, air, or other substances.

Pathology and Lab Fees

Pathology, lab, and outside prescriptions fees are not included in pricing. You may elect to use your insurance for these services.

FAQs


What is a Cash-Pay Model for Medical Services and Procedures and why did Magnolia Medical & Aesthetics transition to this?

A Cash-Pay Model is a model in which patients pay the clinic directly for their medical care. Magnolia Medical & Aesthetics will no longer be contracted with medical insurance companies. Therefore, the clinic will not bill insurance companies or Medicare. This model allows for no hidden fees, no surprise bills, no denial of coverage, no co-pays or insurance cards. We can still see patients for the same medical needs as before. But we will no longer accept health insurance for those visits. Instead, patients will pay for services rendered (in full) at the time of their appointment.

This decision has not been an easy one, but it comes as a result of our desire to provide the best possible service and medical care to our patients. Unfortunately, the complexity, uncertainty, administrative burden, increasing copays/deductibles, and dwindling reimbursements associated with insurance have continued to compound over the years and are challenging that goal. In transitioning to a Cash-pay model, we can maintain an uncompromisingly high standard of care without being restricted by insurance company rules. With this transition, we can better focus on each patient’s overall experience rather than spending resources jumping through administrative hurtles and we feel that this will inspire a stronger doctor-patient relationship. Healthcare providers at Cash-pay clinics can see fewer patients and make all decisions based on medical need, enabling them to provide the best patient experience possible.

Patients with High Deductibles will often benefit from paying cash since, most of the time, the cash price is lower than what the cost would be towards their deductible.

How does a Cash-Pay Model work?

Moving forward, patients will pay Magnolia Medical & Aesthetics directly for their care. For those with private insurance, upon request, we may provide you with your visit note and receipt to submit to your insurance company for reimbursement. Not all insurance companies allow reimbursement for services. It is the responsibility of the patient to check with their insurance carrier regarding reimbursement and address any questions with them directly. Magnolia Medical & Aesthetics will not serve as liaison between patients and insurance companies.

For those patients with Medicaid or Medicare, you cannot be reimbursed by Medicaid, Medicare or any supplemental insurance for any services rendered at Magnolia Medical & Aesthetics and we will not bill Medicare for any of our services. You will be asked to sign a private contract with Magnolia Medical & Aesthetics acknowledging that Medicare, Tricare, Medicaid or other government insurance programs cannot and will not be billed for services provided.

Can I still use my insurance for pathology fees, bloodwork, and outside prescriptions?

Absolutely! Since these are not paid directly to the practice, you can choose to use your insurance for pathology, labs, and outside prescriptions. Similarly to our policy with office visits, Magnolia Medical & Aesthetics will not serve as liaison between patients and insurance companies.

Medication Prior Authorizations: Magnolia Medical & Aesthetics dispenses some medications in the office. If you require a prescription that we do not offer, or you choose to utilize your private insurance, we will provide you with a written prescription or send one directly to your Pharmacy. Please note that if your insurance requires a prior authorization (PA) we will NOT fill out any Medication PA Forms. We will make every effort to send your prescription to a Pharmacy that will obtain a PA on your behalf, but if you request your prescription to be sent to a Pharmacy that does not obtain them for you, then you will most likely pay the full rate of your prescription to your Pharmacy. Please contact your insurance company for more information.

Pathology: We will not submit your insurance information for any specimen that is sent out for additional testing to Sagis Diagnostics. You may contact Sagis Diagnostics at 877-697-2447 to either submit your insurance information or accept their self-pay rate. In many cases, their self-pay rate for the testing will be 1/3 of the cost of what is billed to insurance. They will be able to provide you with their pricing, so please contact them directly.

Labs: We will not submit your insurance information for any specimen that is sent out for additional testing to Labcorp. You may contact CPL Labs at 210-978-0374 to either submit your insurance information or accept their self-pay rate. In many cases, their self-pay rate for the testing will be a lower cost than what is billed to insurance. They will be able to provide you with their pricing, so please contact them directly.

Can I be reimbursed by my insurance company for services rendered during my visit?

Most patients can choose to submit their own medical claims to their health insurance company, but we will be considered “OUT OF NETWORK” so we will not bill insurance or act as a liaison with insurance companies on patients’ behalf. Magnolia Medical & Aesthetics makes no representation that you will be reimbursed for these claims. We recommend that you check with your insurance company before submitting any claims.

We can provide you a clinical procedure note and/or receipt so you can submit your out-of-network reimbursement/claims for the major insurance carriers but it will be your responsibility to check with your insurance carrier regarding reimbursement and address any questions with them directly. There is no charge for a receipt or procedure note if requested at the time of your visit. If requested after the visit, there is a $10 Charge Per Appointment. Please allow 3 business days for us to provide finalized procedure notes via your email address on file.

Those insured by Medicare, Medicaid, Tricare, or other government programs, cannot submit claims for reimbursement.

Can I use my HSA, FSA, or Care Credit?

You can still pay using your Health Savings Account cards (HSA), Flex Spending Account cards (FSA), or Care Credit for non-cosmetic services. If you require a receipt, you may ask for one at the time of service or retrieve it from your patient portal.

Can I get FMLA or Other Similar Forms upon request?

es, FMLA or other similar forms are available for a $20 fee per form. Please allow up to 5 business days for processing.

What is the cost for services provided at Magnolia Medical & Aesthetics?

With the Cash-pay model, we offer patients price transparency, which is often lacking with insurance. As detailed above, pricing is based off of an office visit and any add-on procedures or any surgical procedures scheduled as a follow up. Please note that prices are subject to change without notice.

My main concern is acne. Is that treated in an Office Visit or at a different appointment?

For most patients, the treatment of acne starts with an Office Visit so that a clinician can assess specific concerns and determine the best course of treatment. In many cases, a series of Deep Cleanse treatments (similar to our former “Acne Surg” treatments) and occasional Office Visits to monitor progress is recommended. Deep Cleanse treatments are scheduled separately with our experienced estheticians and do not include a visit with a mid-level provider. Deep Cleanse Treatments are considered a cosmetic service and cannot be submitted to insurance for reimbursement. These treatments are available for the face, back or chest and are priced at $75 each.

Some patients require medication for treatment of acne. In those cases, typically, you will see a clinician for a follow up Office Visit after 8 weeks of being on a Topical Medication and after 12 weeks if you are on Topical and Oral Medication combined. Please note, that this is an estimate and will depend on each individual.

Medical Dermatology 01.25.22