Dr. Pitt proudly sees all patients, however, he is currently not contracted with any insurance plan, meaning he is out-of-network (OON) with all insurance plans, including Medicare. Dr. Pitt does see industrial/worker's comp patients and is able to bill those insurance carriers. Dr. Pitt's OON status does not mean that you will have large out of pocket expenses. Dr. Pitt provides substantial discounts for patients' out-of-pocket expenses if certain terms are met, such as payment in full at the time of service.
If you should need surgery, only Dr. Pitt’s surgical fee and assistant fee will not be covered. The larger expenses, such as the facility, anesthesia and any post-operative therapy charges will be covered by your insurance or Medicare, if these providers are contracted. We will discuss this with you before proceeding and you will know your responsibility before scheduling. Please contact our office for more fee information. We are not able to bill your insurance company, but we will provide you with a statement that you can submit for possible reimbursement.
Many patients find it very affordable to have care by Dr. Pitt and feel that they are getting excellent value given Dr. Pitt’s reputation and surgical skills. In some cases, out-of-pocket expenses are similar or less than the required deductible of a private healthcare plan, depending on your plan. Understanding the advantage of your benefits will help you get the most out of your insurance, limiting the carrier from blocking access to proper care. But not every plan has OON benefits, so be sure to obtain a clear "benefit summary" from your carrier.
In the future, Dr. Pitt will only contract with those insurance companies he feels provide value to their customers. As premiums and deductibles have sky-rocketed in recent years, Dr. Pitt feels that healthcare decisions need to be given back to the patient and physician. Transparency is very important so that you understand your rights and the benefits you deserve from your healthcare insurance.