Premier Internal MedicineAlexandra Zelenka, MD

Insurance & Billing

Transparent pricing and billing information

Accepted Insurance Plans

Aetna
BlueCross BlueShield
Cigna
United Healthcare
Humana
Medicare
Anthem
Tricare

Please contact our office to verify your specific plan coverage and benefits.

How Billing Works

Verify Coverage

We verify your insurance benefits prior to your visit and inform you of any estimated out-of-pocket costs.

Service Provided

You receive comprehensive care. You may be responsible for co-pays or deductibles at the time of service.

Claim Submitted

We submit claims to your insurance company on your behalf and handle all necessary documentation.

You Pay Remainder

After insurance processes the claim, you receive an Explanation of Benefits (EOB) and are billed for any remaining balance.

Understanding Your Costs

Co-payment: A fixed amount you pay for covered services, usually due at the time of your visit.
Deductible: The amount you pay out-of-pocket before your insurance begins to pay for covered services.
Explanation of Benefits (EOB): A statement from your insurance company showing what costs were covered and what you may owe.
Co-insurance: Your share of costs after meeting your deductible, usually expressed as a percentage.

Insurance-Based and Consultation Services

The practice runs two separate tracks. Which one applies to you determines how your visit is billed.

Insurance-Based

We are currently not accepting new patients for our insurance-based primary care practice, except through personal request. Our practice is at this time full. However, our specialty services — including hormone balance, functional medicine, weight management, epigenetics and nutritional care — are available to new patients through the private-pay consultation option.

Consultation — Private Pay

We are accepting new private-pay consultations for our specialty services, including hormone optimization with bio-identical hormones and pellet therapy, complicated functional and internal medicine consultation, epigenetic evaluation, peptides and stem cell treatments, and weight management.

Initial consultation
$300
Subsequent visits
$150

Consultation charges depend on the service provided; these are the general fees. Distant and out-of-state consultations are accepted, virtually or in office.

Self-Pay Options

We welcome patients without insurance or those who prefer to pay directly for services. Self-pay options offer flexibility and can sometimes provide cost savings.

Payment Plans

We offer flexible payment plans to help make your care more affordable. Discuss options with our billing team during your consultation.

Good Faith Estimates

Under the No Surprises Act, you have the right to receive a "Good Faith Estimate" of expected charges before receiving services. We provide transparent pricing information upfront so you can make informed decisions about your care.

Specialized Services

Please note that many of our specialized services—including hormone optimization, peptide therapy, and regenerative treatments—may not be covered by insurance and are typically self-pay.

No Surprises Act: You have the right to receive a Good Faith Estimate explaining how much your medical care will cost. For questions or more information about your right to a Good Faith Estimate, contact our billing department.

Billing FAQs

Do you accept my insurance?

We accept most major insurance plans including Aetna, BlueCross BlueShield, Cigna, United Healthcare, Humana, Medicare, Anthem, and Tricare. However, coverage varies by specific plan. Please contact our office to verify your benefits before your appointment.

Are functional medicine and hormone therapy covered by insurance?

Many specialized services such as hormone optimization, peptide therapy, functional medicine testing, and regenerative treatments are not typically covered by traditional insurance plans and are self-pay. We provide transparent pricing and can discuss payment options during your consultation.

When is payment due?

Co-payments and deductibles are due at the time of service. For self-pay patients, payment is requested at the time of service unless prior payment arrangements have been made. We accept cash, checks, and all major credit cards.

What if I receive a bill after my insurance processes my claim?

After your insurance company processes your claim, they will send you an Explanation of Benefits (EOB) showing what they covered. Any remaining balance is your responsibility. We will send you a bill for this amount, which is typically due within 30 days. If you have questions about your bill or need to arrange a payment plan, please contact our billing department.

Do you offer financial assistance or payment plans?

Yes, we understand that healthcare costs can be challenging. We offer flexible payment plans for qualified patients. Please speak with our billing team to discuss your options and find a solution that works for your financial situation.

Questions About Billing or Insurance?

Our billing team is here to help answer your questions and verify your benefits.

Contact Our Billing Team