Fees & Financing
Each patient requires a different set of services based on his or her goals and objectives. Therefore, it is very difficult to provide our New Jersey plastic surgery patients an exact price for their procedure before we discuss their options at the initial consultation. Dr. Sorokin will explain his recommendations and detail the costs involved. Call (856) 872-4158 to schedule an appointment, or request a consultationrequest a consultation online for more information.
Fees Based on Your Unique Needs
Exact prices for plastic surgery in our New Jersey practice are very difficult to give on the internet or on the telephone as the price is based on multiple factors.
These factors include:
- Complexity of the procedure (for example, not every breast augmentation is as straight forward as the next and not every breast lift is the same type of lift)
- Amount of time in the operating room (typically charged in 15-minute increments)
- Amount of time under anesthesia (typically charged in 15-minute increments)
- Location of the procedure (office operating room suite versus hospital)
- Varied prices of implants used during the procedure (for example saline versus silicone breast implants, pain pumps, etc...)
- Various garments that will be needed for postoperative recovery (for example liposuction compression garments)
Thus, we would much rather see you in consultation and discuss an appropriate quote based on your needs.
A $500 non-refundable deposit is required to schedule surgery, and as required by New Jersey law, an additional tax is charged on all cosmetic surgery procedures performed in the state (see below).
Financing Your Surgery
As payment for cosmetic procedures, we accept cash, check, money order, most major credit cards, and health care financing via CareCredit®.
Q: Will my health/medical insurance cover my cosmetic surgery?
A: Insurance providers generally cover costs for reconstructive surgery but not for cosmetic surgery. For example, insurance providers will sometimes pay for breast implants to reconstruct a breast following a mastectomy or breast reduction to remedy back pain caused by heavy breasts. These procedures require precertification with medical documentation and photographs.
Cosmetic procedures are not covered by medical insurance. Submitting cosmetic procedures to insurance for payment is insurance fraud and will not be done in any circumstance by Dr. Sorokin.
Q: Why is there an additional tax on my cosmetic procedure?
A: In 2005, New Jersey passed a law requiring all cosmetic procedures to be taxed at the sales tax rate of 6%. Fortunately, legislation went into effect in 2012 to gradually eliminate this tax (only imposed in the state of New Jersey). The tax will be completely eliminated in July 2014. Dr. Sorokin has always opposed this tax because it is unfair and discriminatory to cosmetic patients. In the mean time, our office has a legal responsibility to collect the tax and forward it to the State of New Jersey. All plastic surgeons in New Jersey must collect this tax.
Q: I was seen in the emergency room and my insurance company has not paid. What should I do?
A: Nearly all insurance companies cover their members for services in an emergency situation. Whether or not the provider is in or out-of-network, we believe the insurance company should be responsible to pay the bill. While this is not a problem for most insurance carriers, certain insurance companies (notably Blue Shield as the biggest offender) systematically do not pay the claim as it should be paid. The insurance company knows that they are responsible to pay the bill but often banks upon the notion that physicians will simply accept whatever is paid and at whatever rate they arbitrarily pay. Due to the low reimbursement rates by many insurance companies it is not possible for Dr. Sorokin to participate in most commercial insurance plans. It is the patient's responsibility to contact their insurance company and to appeal as necessary. Blue Shield and several other major carriers will often not accept appeals directly from our office as we are out of network. We are happy to assist in any way possible, but ultimately it is the patient's responsibility to get the bill paid. Call (856) 872-4158 ext #3 to ask the billing department for more assistance.
Q: Does Dr. Sorokin participate in my insurance plan?
A: Dr. Sorokin is non-participating with all commercial insurance plans. Emergency room and inpatient hospital care is provided on an emergency basis. Elective outpatient care is the choice of the patient, who may choose any physician in the elective settings. Please check with your insurance plan administrator to check about co-pays and deductibles for your particular plan. Dr. Sorokin charges the same to all plans and expects payment in full for services rendered to patients covered by commercial insurance. It is the responsibility of the patient to discuss with their insurance plan their financial responsibilities as individual plans will vary. Most plans will cover all costs in the emergency and inpatient setting if the patient submits an appeal stating that it was an emergency or inpatient setting. Dr. Sorokin's staff is available to assist in this process. Please check with your insurance company for in-network physicians for elective referrals.
Q: I received a check from my insurance company for services by Dr. Sorokin. What should I do?
A: Several insurance companies (notably Blue Shield, Amerihealh, and Tricare) mail payments to their members instead of to our office for services that we have provided. These checks are sent with Explanation of Benefit Forms that clearly state they are for services provided by Dr. Sorokin, Delaware Valley Plastic Surgery PA. On receipt these checks should be endorsed "Payable to Dr. Sorokin" and mailed or delivered to the office with a copy of the Explanation of Benefits. Please call (856) 872-4158 ext #3 with any questions or for assistance.