Dearborn Allergy & Asthma Clinic, P.C.

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(866) 849-0034
19855 Outer Drive
Suite 204
Garrison Place East
Dearborn, MI 48124
Ans. Service 313-396-0629

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 and are participants in a number of insurance plans that usually require a referral. These plans include Blue Care Network, Omnicare, Midwest Benefits, and Molina. These plans require that a referral document 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
Medications to Avoid

Insurance Disclaimer 

Med List

Regarding Your Health Insurance

 

Miscellaneous Forms:

Release of Information
Permission to Treat

Permission to Speak
Beta-Blocker Information

Contact us in Dearborn, Michigan, to learn more about insurance plans.