Insurance & billing

No surprises is a clinical value too

Money stress is bad for hearts. Coverage is verified before every new visit, estimates come in writing, and the fee schedule below isn't hidden behind a phone tree.

Coverage we work with

Medicare

We participate with original Medicare. Part B typically covers cardiology consultations and the diagnostic tests we perform, subject to your deductible and coinsurance.
Medicare Advantage

Most regional Advantage plans include us in network; many require a referral from your primary-care physician: we'll confirm your plan's rule when we verify benefits.
Commercial plans (PPO / HMO)

We participate with the major regional commercial networks. HMO plans usually need a referral on file before the visit; PPO plans usually don't.
Self-pay

No insurance, or prefer not to use it? We keep a simple flat-fee schedule (below) and provide a written good-faith estimate before any visit or test.

How verification works here

When you book, June checks your benefits: network status, referral requirements, deductible position, and calls you before the visit if anything needs attention. If a test requires prior authorization, we obtain it before scheduling the test, not after performing it. Plan networks change; if you're unsure about yours, call (555) 014-7821 and we'll check together.

Self-pay

Flat fees, published on purpose

For patients without insurance, or who prefer not to use it: visits and tests are flat-fee, due on the day, with a written good-faith estimate beforehand. Sample figures for this fictional demonstration practice.

Self-pay fee schedule
Visit or test	Fee
New consultation (60 min, includes ECG)	$340
Follow-up visit (30 min)	$185
Telehealth follow-up (20 min)	$140
Echocardiogram	$420
Exercise stress test	$390
Stress echocardiogram	$540
Holter monitor (24–48 h)	$210
Extended patch monitor (7–14 days)	$320
24-hour blood-pressure monitor	$145

Billing questions

Straight answers about money

Will you check my coverage before my visit?

Yes: June verifies benefits for every new patient before the appointment and calls you if anything needs attention, such as a missing referral or a test that needs prior authorization. You should never learn about a coverage problem from the bill.

What will my visit cost with insurance?

It depends on your plan's deductible, copay, and coinsurance, which is exactly what the benefits check is for. Ask us for the expected amount when we confirm your booking; if a test needs prior authorization, we obtain it before scheduling, not after.

Do you bill facility fees?

No. We are an independent office practice, not hospital-owned, so visits and in-office tests are billed at office rates without a separate facility charge.

Can I get an itemized estimate in writing?

Always: self-pay patients receive a good-faith estimate automatically, and insured patients can request one for any planned visit or test.

What if I receive a bill I don't understand?

Call the office and ask for June before you pay or panic. Most billing puzzles resolve in one phone call, and payment plans are available for larger balances: we'd rather arrange one than send anything to collections.

Lakeshore Cardiology

Coverage question standing between you and a visit?

Don't let it. Call the office and June will check your plan before you commit to anything, or start with the heart check and worry about logistics after.

Take the 2-minute heart check Request an appointment

Or call (555) 014-7821