UNDERSTANDING YOUR VISIT OPTIONS

At Boutik Dermatology by ObiohaMD, we are committed to the delivery and optimization of individualized healthcare. After years of practicing within the confines of the insurance constraints, Dr. Obioha decided it was time to shift to a model rooted in transparency and increased access to niche care for all of her patients.

If you want to visit the boutik without the red tape and constraints imposed by insurance, we encourage a direct care medical visit. Direct care eliminates hidden fees, copays, and surprise bills. It is quite simple — you pay one price for a new patient consult and a lower price for a follow up visit. Procedures may be added a la carte. We are more than happy to provide you with a claim form to submit to your commercial insurance for reimbursement.

For an insurance medical visit, Dr. Obioha is an in network provider for Cigna, Aetna, Anthem Blue Cross, BCBS of CA PPO plans only.

INSURANCE VISIT

  • Aetna PPO, Cigna PPO, Anthem Blue Cross, Multiplan/PHCS PPO

    Dr. Obioha is not contracted with any additional insurance plans.

  • Determined by your insurance plan*

    Charges that are not paid by your insurance company are your responsibility and due at check out including copay and unpaid deductible.

    Copay - Set fee due at the time of the visit.

    Deductible - How much your insurance needs you to pay out of pocket for services rendered before they kick in to help.

  • All fees not paid by your insurance are your responsibility.

  • Available to those with PPO contracted with one of the following plans:

    Anthem Blue Cross

    BCBS of CA

    Aetna

    Cigna

DIRECT CARE VISIT

  • You do not have an insurance contracted with our office (Cigna, Aetna, Anthem Blue Cross, Multiplan/PHCS) but you want to see Dr. Obioha without the red tape and insurance restrictions.

  • Predetermined transparent fees*

    No copay, no deductible, no waiting for your insurance to decide how much they pay + how much you owe.

  • Payment due at the time of the visit.

    Can use your FSA + HSA for payment.

    Credit card on file required to book appt + pay fees.

  • Those with non-government commercial insurance may submit a claim to their insurance for reimbursement.

COSMETIC VISIT

  • This is an elective procedure which is not medically necessary.

  • See pricing.

  • Payment due at the time of the visit.

    Can not use your FSA + HSA for payment.

    Credit card on file required to book appt + pay fees.

  • Never covered under any insurance plan.

    Can not submit for insurance reimbursement.

Dr. Obioha is an in network provider with Cigna, Aetna, Anthem Blue Cross, BCBS of CA PPO plans.

Insurance Visits

If you are using insurance, we will ask for your insurance policy details when you schedule your appointment. With it, we are able to verify your plan is active, that we’re a contracted provider, as well as your co-pay amount. This allows us to bill your insurance. Due to the variety of network options, we are unable to confirm whether or not we are in your specific preferred provider network. In order to verify that Dr. Obioha is in your specific network, you must call the number on the back of your insurance card and provide Dr. Obioha’s *new practice address (8484 Wilshire Blvd, Ste 620 Beverly Hills 90211).

*insurance websites may not be up to date with her new address thus we recommend calling your insurance carrier.

Key Components

  • Co-pay: The amount your insurance companies require you to pay upfront at the time of your visit.

    This is a set fee based on your plan.

  • Co-insurance: What proportion you pay for your services after your deductible has been met.

  • Deductible: This number dictates how much your insurance needs you to pay out of pocket before they kick in to help. The higher the deductible, the more you have to spend before they fully activate (for covered procedures). It’s also confusing because sometimes not only your procedure is applied to your deductible, but also your visit. This will vary plan by plan. We do not have access to the details of your plan thus you must confirm with your specific plan by calling the number on the back of your insurance card.

  • Out of Pocket Maximum: This is how much you are expected to maximally pay in one year. After you hit this number, even your copay does not need to be paid.

  • Coverage: Again, coverage does NOT equal nothing out of pocket. A covered procedure is applied to your deductible, while a non-covered procedure (cosmetic or otherwise) does not go toward bringing down your deductible.

We understand insurance is confusing and costs are not transparent:

A contracted plan and a covered procedure does not mean that insurance will pay for your visit in full. Additionally, the prices for all insurance-billed services nationwide are set by the insurance companies, and up to what dollar amount they will pay varies among individuals. Apart from your co-pay, your physician is not aware of what amount your insurance will contribute until after your claim is processed.

Billing For Insurance Visits

Billing Department

(323) 999-5115

Like almost all other medical practices, we utilize an outside, independent billing company for insurance visits.  You may direct any billing/statement questions you have directly with them

Direct Care (Self Pay) Visits

The direct care model is simple: straightforward medical care with the provider of your choice. It is no more complicated than service at your hairstylist and/or restaurant of choice. You make an appointment, receive service and pay for the service rendered. No restricted physician panels, no hidden fees, no surprise bills, no co-pays, deductibles, or insurance cards. Direct care restores the choice back to the patient and the doctor — not a third party. For direct care visits, choose self pay when booking online.

direct Care visit (Self-Pay) fees

Intentionally priced lower than the national average cost of a comparable dermatology visit for access to expert care for all.

Payable with HSA/FSA

New Patient Fees

  • Begin your long term relationship with Dr. Obioha.

    $250

    -up to 2 concerns *

    or

    -a head to toe skin cancer screening

    *Hair loss consults are excluded and require a separate dedicated hair loss consult visit.

  • For new or existing patients who wish to discuss hair loss with Dr. Obioha for the first time. (In office)

    $300- Includes comprehensive scalp evaluation, education and in depth discussion and insight into diagnosis.

  • - Skin.vest.ment consult $250 may be added at the time of appt booking if you wish to discuss cosmetic concerns, anti-aging and/or receive a curated skincare consult, in addition to your medical visit or $150 for retinoid prescription + discussion only.

    -Medical procedures may be added a la carte to your new patient consult at the time of your service. See medical procedure fees.

    -2nd opinion outside record review $50 for patients seeking a 2nd opinion for a long term dermatologic condition and have undergone prior diagnostic testing and/or treatment that require review by Dr. Obioha (such as biopsies, lab work and/or clinical history packets) shared prior to or at the time of the visit.

Follow Up Fees

  • $200

    -Ongoing management of up to 2 previously addressed medical conditions, including hair loss if previously addressed (In office or virtual)

    -Ongoing management of 1 previously addressed condition + 1 new medical concern excluding hair loss as a new concern (In office or virtual)

    -Head to toe skin examination for existing patients (In office)

  • This visit is for quick procedures and/or refills on medications which require oversight by Dr. Obioha to continue. This visit does not include changes in current management. If you wish to discuss changes in your current management plan, book a follow up medical visit instead.

    $125

    -intralesional kenalog only (for acne or hair loss) In office

    or

    -cryotherapy only (for warts and/or molluscum) In office

    or

    -medication refill for a skin condition under control Virtual or in office

  • For new or existing patients who wish to discuss hair loss with Dr. Obioha for the first time.*

    *If you have already had a hair loss consult visit with Dr. Obioha, refer to Medical Follow Up Visit fees instead

    $300- Includes comprehensive scalp evaluation, education and in depth discussion and insight into diagnosis.

medical procedure fees

  • Used for inflamed pimples, inflamed cysts, inflammatory hair loss conditions

    Limited, up to 10 injections - $100

    Extensive, 10-20 injections - $150

  • Destruction of warts, inflamed tags and/or precancerous lesions using cryotherapy and/or electrodessication

    Small area-$150

    Medium area-$250

    Large area-$400

  • Punch biopsy- For diagnosing hair loss +/- mystery rash

    $150- 1 sample

    $50-each subsequent sample

    Shave removal or biopsy-For suspicious mole testing and/or diagnosis of skin cancer

    $100 Face $75 Nonfacial location

    $50-each subsequent shave biopsy thereafter

  • Incision & drainage of abscess/cyst - $250

FAQs

  • Direct care medicine eliminates the 3rd party: insurance.

    Health insurance costs, restrictions and rules have skyrocketed, resulting in a lack of transparency to those most affected: the patient and the provider.

    Direct care allows for patients to see their physician of choice without the mystery of coverage, fees and bills 90 days later.

    Patients will find that our direct care fees are significantly lower than what they are paying out of pocket for insurance premiums, high deductibles and co-pays.

  • No.

    Boutik Dermatology by ObiohaMD employs a hybrid model to increase transparency of medical pricing, eliminate limitations and restrictions imposed by insurance companies, while allowing me to spend the time with you that you deserve from your physician.

  • We do not participate in any government healthcare program. If you have Medicare, the government requires that you sign a one-page private contract before we can see you, indicating that you understand that medical services will not be covered. Medicare can still cover medications or testing by Dr. Obioha.

  • Under California law, Medicaid members cannot be billed for any service covered by Medicaid, even if the member agrees in advance to self-pay for care. Unfortunately, we can not render medical dermatology services. We can see Medicaid patients for cosmetic treatments that are not covered by Medicaid.

  • For ancillary services, such as pathology or blood work, you may choose to use your insurance or a self pay flat rate, whichever is more advantageous for you.

  • ABSOLUTELY.

    We happily provide a superbill for you to file a claim with your insurance company. Please note that there is no guarantee that your insurance company will reimburse you.

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

  • We accept all major credit cards.

    If self pay, Healthcare Savings Accounts (HSA) and Flexible Spending Account (FSA) may be used for medical dermatology services.

    We do not accept cash or checks.

  • You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost. Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services. Boutik Dermatology by ObiohaMD provides estimate pricing at the time of scheduling based on the information known at the time of booking. We also post our transparent pricing on our website.

    For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 877-696-6775.