Dearborn Allergy & Asthma Clinic, P.C.

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313-565-3565
19855 Outer Drive
Suite 204
Garrison Place East
Dearborn, MI 48124
Ans. Service 313-396-0629

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Effective Asthma and Allergy Treatment

Medical Insurance Plans

We participate in several insurance plans at Dearborn Allergy & Asthma Clinic, P.C. in Dearborn, Michigan, and we also accept self-pay. Call us if you have questions, but be aware that the patient is responsible for verifying coverage. We will provide the necessary documents for filing claims and, in many cases, do the billing for the patient. But since the insurance is a contract between the insurance company and the patient, the ultimate responsibility for service fees resides with the patient. Payment and co-payments must be paid at the time of service. We accept credit card payments.

Referrals

We participate with Medicare and all Blue Cross/Blue Shield plans. We also participate with many other insurance programs. Blue Care Network DOES require a referral document from your primary care physican and must be presented prior to or at the time of appointment.


Forms

Patients should bring referral approval forms with them to the appointment. These include not only approval for the office visit, but also approval for necessary tests, including allergy skin testing and breathing tests. If a health plan refuses to pay for services that have been performed, responsibility for the bill reverts to the patient, so it’s best to have the referral before the visit. We can no longer bill the copay amounts at a later date.

 

Pen Signing - Insurance Plans

New Patient Forms:                                                                        

Welcome
Demographic Sheet
Privacy Policy
Privacy Acknowledgement
Patient Correspondence
Patient Questionnaire
Financial Policy

Insurance Disclaimer

Med List

Regarding Your Health Insurance
Permission to Treat
Medications to Avoid

 

Miscellaneous Forms:

Release of Information
Permission to Treat

Permission to Speak
Beta-Blocker Information

Contact us at 313-565-3565, to learn more about insurance plans.