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Bellaire Neurology is accepting new patients with or without referral. Please call 713-715-6360 to schedule or submit your request online.
The “New Patient Demographic” forms will help to make your registration process faster and eliminate some of the paperwork you would normally fill out in the office before seeing the doctor. Patients are requested to download these patient forms and email or fax them to 713-715-6367 at least 24 hours prior to their appointment. We can also fax or mail them to you or you can come one hour before your scheduled appointment and fill them out at our office.
Insurance
Insurance has made life much more complicated than it used to be. Ultimately, the patient is responsible for knowing the rules of their insurance but our office can certainly offer some help. When a patient sees a physician, the physician can either be in network or out of network. Depending on whether we are in or out of network will affect your benefits. Some insurance plans have office copays for visits and some have deductibles with a coinsurance portion. Once we have your insurance information and can verify your benefits, we will be able to tell you what your financial responsibility will be.
Charges that we do not expect insurance to cover are to be paid at the time of the visit. Cash, Check, Visa, Mastercard, American Express and Discover are accepted.
Bellaire Neurology offers out-of-network patients and patients who are cash pay a 10% discount on charges paid the same day as their appointment.
- Patients who are out of network or cash pay can expect an initial visit to cost approximately $250.
- Follow-up visits for out of network or cash pay patients are typically $150.
Dr. Loftus is in-network with the following insurance companies.
- Beech Street PPO
- Best Doctors, Inc. PPO
- Blue Cross Blue Shield of Texas, PPO and Par Plan (*but not Blue Choice Solutions)
- DirectCare America of Texas, Inc. PPO
- Employers Health Network (EHN)
- Evolutions Healthcare Systems, Inc. PPO
- HAS Premier (has changed name to Texas True Choice)
- HealthSmart Preferred Care PPO
- Medicus International
- National Healthcare Alliance POS /National Healthcare Alliance PPO
- Texas True Choice
- The Methodist Hospital Custom Network for Employees (CPO) POS
- USA Managed Care Organization (USA MCO)
Dr. Loftus is not in-network with:
- Aetna
- *Blue Choice Solutions (This is different from regular Blue Cross Blue Shield)
- Cigna
- Great West Healthcare
- Humana
- Medicaid
- Multiplan
- Private Healthcare Systems (PHCS)
- Tricare
- United Healthcare
Not in Network?
Just because Dr. Loftus is out of network doesn’t mean he can’t be your doctor. You may have out of network benefits that will cover a portion of your visit. Also, to ease the financial burden of being an out of network patient, we give a 10% same day payment discount for the portion of your anticipated bill.
Only Dr. Loftus’ physician visit is out of network. The following is typically referred to an in-network provider:
- Imaging such as MRI or CT
- EEG
- Labs and Bloodwork *
We cannot determine your exact financial obligation because it is commonly not possible to know the precise amount your insurance is going to pay. When we receive remittance from your insurance you may still owe a small portion. We will extend the 10% same day payment discount to any remaining balances if we have a valid credit card on file. If you wish to take advantage of this savings please fill out the "out of network form" and return it to the front desk.
*As a convenience we can draw your bloodwork in our office and send it to your in-network laboratory for a fee or you may go to an in-network draw station.
Why isn’t Dr. Loftus in my insurance network?
Patients ask all the time why Dr. Loftus doesn’t join their particular insurance network. The reason is simple. Dr. Loftus spends a minimum of 40 minutes with a new patient and 20 minutes with a patient for a follow-up appointment. Plans that are currently out of network reimburse physicians very low (sometimes even less than Medicare). If Dr. Loftus were contracted with them, he would not be able to devote as much time to individual patients.
Dr. Loftus answers emails from patients during the day, at night and on the weekend and he returns all pages personally. He believes medicine is a “team sport” and both the patient and physician must work together to create the treatment plan.
Medicare
We do not accept assignment for Medicare claims. This means the patient pays the office at the time of the visit and then Medicare will send a check directly to them for reimbursement. They will also receive a second check directly from their secondary plan (if they have one). Patients who have Medicare as their primary insurance pay a reduced rate which is lower than our standard fee schedule. The fees are set by the limiting physician fee schedule mandated by Medicare. Our office files the claims for the patient to both Medicare and the secondary insurance. The patients do not have to file claims to Medicare or their secondary insurance themselves. Download our Medicare Policy for more information.
HMOs, Worker’s Comp and Medicaid
Dr. Loftus does not participate with worker's comp, HMOs, or Medicaid even when Medicaid is a secondary. Download our Medicaid Policy for more information.
Page last updated 12/29/08

