What pricing options are available?arrow_forward
How does the direct care, direct payment model benefit patients?arrow_forward
What is a direct care / direct payment model?arrow_forward
What does it mean that you're "out-of-network" with my insurance?arrow_forward
Can I submit my bill to my insurance company for reimbursement?arrow_forward
If your insurance plan requires you to see in-network physicians/providers then you will not be able to submit our fees for reimbursement through your insurance plan.
Do I have to pay for my visit at Pazona MD?arrow_forward
Can I use my medical insurance to pay for medications, labs, and imaging etc?arrow_forward
Can I use my insurance to pay for surgical procedures?arrow_forward
- Pazona MD (professional surgical fee)
- Hospital/surgery center (facility fee)
- Anesthesia Department
You will be directly responsible for paying the professional surgical fee to Pazona MD. You may still use your insurance to pay for facility and anesthesia fees. Your out-of-pocket expense to the hospital/surgery center/anesthesia department will vary depending on your insurance plan. We can assist you in determining this amount.
Why are you out-of-network with my insurance plan?arrow_forward
Rising Costs + Declining Payments = Closed Business
Therefore, the only way medical practices can remain in-network with insurance and stay in business is to:
- See more patients in a shorter amount of time.
- Invest and promote ancillary medical services (e.g. surgery centers, CT/MRI).
- Sell to a large corporate entity (e.g. hospital system, private equity firm).
At Pazona MD we believe these factors compromise the patient experience. You should spend as much time with your doctor/provider as necessary. Doctors shouldn’t be incentivized to “do more stuff” to patients to remain profitable.
As an alternative, we have decided to opt out of insurance and directly serve you. We now can offer transparent pricing with multiple financing options, so you can receive an exceptional experience and medical care without any barriers.
But I already pay money for my medical insurance. Why should I have to pay Pazona MD as well?arrow_forward
Additionally, you are paying for convenience, expertise and an exceptional experience at Pazona MD. Unlike other medical practices we:
- Guarantee visits on the same day.
- Are the highest-rated medical practice in the Southeast with over 1000 five-star reviews.
- Led by board-certified urologists and practitioners with over 75 years of experience.
- Offer transparent pricing with no surprise bills.
I'm already a patient of Pazona MD and insurance was covering my costs. Do I now need to pay to see a provider?arrow_forward
What if I had surgery with one of your surgeons prior to January 1st, 2025 and I need post-operative care?arrow_forward
What about Medicare and Medicaid?arrow_forward
If you have Medicare, and are interested in our hormone optimization and wellness plans (non-coverable services), then we’d be happy to see you for a free consultation.
We are out-of-network with all Medicaid plans. All services require direct payment to Pazona MD.
You will not be able to submit or receive reimbursement from Medicare or Medicaid for services from Pazona MD.
What if I’m already a monthly member of the Pazona MD Weight Loss or Hormone Optimization plans?arrow_forward
Should I still keep my medical insurance?arrow_forward
- Less expensive than traditional insurance plans.
- Not attempting to profit off of your health at all costs.
- Help negotiate the best cash prices for your medical care.
Medical cost sharing plans like Sedera (https://sedera.com/) and Zion Healthshare (https://zionhealthshare.org/) have been around for over a decade. If you’re less than age 65 and are tired of paying high premiums and deductibles for health insurance, we recommend you check them out.












