Out-of-Network Patients

Don't limit yourself to in-network providers if an out-of-network surgeon like Dr. Aydin can offer you superior care.

Expert Care Outside Your Network

Although Dr. Aydin is an out-of-network provider, he accepts PPO insurance, and patients with PPO plans may still receive partial coverage for their procedures. Choosing Dr. Aydin means you won’t be limited to the selections available within your insurance network, giving you access to his specialized skills in plastic and reconstructive surgery. Dr. Aydin is committed to providing high-quality care to a broader patient base, ensuring that more individuals benefit from his expertise and personalized approach to patient care.

Understanding Out-of-Network Coverage

Out-of-network insurance coverage for plastic surgery varies widely and typically depends on the nature of the procedure. Cosmetic surgeries, primarily for aesthetic enhancement, are generally not covered. Reconstructive surgeries—deemed medically necessary—are more likely to receive coverage. This includes procedures like breast reconstructions post-mastectomy or surgeries to correct congenital abnormalities or repair damaged tissues after a traumatic event. While out-of-network services can be partially covered, they often involve higher deductibles and out-of-pocket costs. Pre-authorization is usually required to establish medical necessity and secure coverage. Patients should verify specific policy details and potential coverage with their insurer and surgeon’s office beforehand.

Navigating Your Insurance

In-Network Providers

When a healthcare provider is in-network, it means they have a contract with your insurance company. This agreement allows patients to receive services at discounted rates established in the contract. As a result, patients usually pay less when they visit an in-network doctor. Dr. Aydin is not considered an in-network provider.

Out-of-Network Providers

Dr. Aydin is considered an out-of-network provider for medical procedures, meaning he has not agreed to a contract with your insurance provider. While he still accepts PPO insurance, coverage and costs may vary because no contract is in place. While you may pay higher costs, choosing an out-of-network provider like Dr. Aydin can offer benefits not available with in-network options.

Why Consider an Out-of-Network Provider?

Due to their complexity, certain cosmetic and reconstructive procedures warrant considering an out-of-network provider. These include breast reconstruction post-mastectomy, rhinoplasty for functional improvements, intricate hand surgeries, lipoma removal, and facial reconstructions after trauma or disease. In each of these cases, expertise matters because it can reduce scarring and improve aesthetic and functional outcomes. Out-of-network options allow patients to prioritize the surgeon's expertise over cost, ensuring access to top specialists whose outcomes do more than just correct the issue. They create beautiful results that also improve your overall quality of life.

Choosing a Surgeon You Trust

No matter what insurance you have, we recommend choosing a surgeon you trust to give you the highest quality of care. Rather than focusing solely on whether your surgeon is in-network or out-of-network, some things to consider when choosing a medical provider include the following.

Relationship

If you've previously seen a surgeon and built a rapport, it might make you feel more secure or comfortable. If they're in-network, that's a bonus. If not, opting for them as an out-of-network provider lets you maintain this important relationship, which can be a strong reason to go out-of-network if necessary.

Services

Consider whether a physician offers the specific treatments or procedures you need now or might need in the future. This is crucial for both immediate and long-term healthcare planning and should be considered when choosing between in-network and out-of-network providers.

Quality

Seek the highest quality care available. Having more options among providers might lead to accessing a better facility or a more seasoned surgeon. These aspects are significant when contemplating any surgical procedures, regardless of the network status.

Location

Choose a surgeon whose location and office hours accommodate your lifestyle. Consider the facility's proximity to your home or work and its size and condition. These factors are important whether you are considering in-network or out-of-network options.

Schedule a Consultation With Dr. Aydin Today

Don't let insurance uncertainties hold you back from receiving top-tier care. Dr. Aydin's expertise in plastic and reconstructive surgery ensures you have access to a compassionate, skilled team and the best possible outcomes. Our office is here to help you navigate your insurance options and maximize your benefits. Contact the Aydin Center for Plastic Surgery, Skincare, & Lasers today to discuss how Dr. Aydin can meet your surgical needs and help you recover with confidence.