At The Nathan Clinic, we accept most PPO insurance plans for procedures that meet medical necessity requirements such as breast reduction due to chronic pain or functional limitations.
Please note: HMO plans are not accepted at this time. Fill out the form below and upload your insurance card. Our team will verify your benefits and contact you with next steps.
Your information is kept confidential and used only to determine insurance eligibility for procedures offered at The Nathan Clinic.
Yes. Dr. Nathan accepts a limited number of PPO insurance plans for medically necessary procedures. These may include breast reduction, cyst removal, mole removal, or eyelid surgery that interferes with vision. All plans are reviewed on a case-by-case basis.
No. We do not accept HMO insurance plans at this time, even with out-of-network benefits or referrals.
Some examples of procedures that may be considered medically necessary (and potentially eligible for insurance coverage) include:
Once you upload your insurance card and form, our staff will verify your benefits and contact you regarding eligibility, out-of-pocket costs, and next steps. Pre-authorization may be required for certain procedures.
Yes. All information is kept confidential and used only to determine insurance eligibility for services offered at The Nathan Clinic.
Not always. Coverage depends on whether the procedure is deemed medically necessary. Cosmetic breast surgery is not covered, but medically indicated reductions often are.
Yes. Breast reconstruction is often covered under the Women’s Health and Cancer Rights Act (WHCRA). This federal law requires most group health plans to cover reconstruction after mastectomy.
After you submit your insurance card and contact info through the form, our office will review your policy and let you know if you qualify before your consultation.
Insurance approval for breast procedures often depends on supporting documentation. Depending on your insurer, you may be asked to provide:
Don’t worry once you submit your insurance info, our team will walk you through exactly what’s needed for your specific case.
If you’re ready, complete the form above and our staff will follow up with your insurance verification results.
Your privacy is important to us.
All information submitted through our insurance verification form including your insurance card, contact details, and any personal health information is treated with the utmost confidentiality. This data is used exclusively to determine insurance eligibility for medically necessary procedures performed at The Nathan Clinic, such as breast reduction or reconstruction.
Our team follows secure handling protocols and never shares your information with third parties outside of the insurance verification process.
If you have concerns or questions about how your information is handled, feel free to contact us directly at 305-530-8880
