Your visit, insurance
& common questions.
A little preparation, a lot more clarity. Find the practical information you need before arranging care.
Your first steps
Start with the appropriate contact pathway. A visit can be arranged only after the practice confirms that the location, clinical needs, and scheduling requirements are a fit.
- Before a visitClinical needs, location, insurance, and any required referrals or authorizations are reviewed.
- During an evaluationThe physician assesses the wound, reviews relevant history, and discusses an individualized plan.
- After an evaluationFollow-up and care coordination depend on the findings and the agreed treatment plan.
Insurance & costs
Before scheduling, ask the practice and your insurer to clarify these three things. A visit request is not a guarantee of coverage.
- Your specific planIs Prime Heal participating in your plan, and does the plan cover the proposed visit and care setting? Have the exact plan name available when you call.
- Referrals and authorizationsDoes the visit or a proposed treatment need a referral or prior authorization, and who is responsible for arranging it?
- Your expected costsWhat deductible, copay, coinsurance, or other costs may apply? Ask whether dressings, supplies, devices, or outside services are billed separately.
Plan participation and payment options are confirmed directly with the practice. No list of accepted plans is published here until it has been verified.
Call with an insurance questionAlready receiving care?
For appointment changes or routine questions, use your established care-team contact. You do not need to start a new-patient request. Keep your dressing instructions, supply arrangements, and follow-up plan available.
Go to existing patient supportCommon questions
14 questions
Where do visits take place?
How do I know whether mobile care is appropriate?
Can I request care without a clinician’s referral?
Which insurance plans are accepted?
Will there be an out-of-pocket cost?
Can my caregiver speak with the practice?
Do I have to stop seeing my current care team?
Will every wound need the same treatment?
Can wound-vac therapy be managed at home?
Do all patients need advanced wound products?
Can I upload a wound photograph?
When will the practice respond?
I am an existing patient. What should I do?
Is a new request a confirmed appointment?
About this information & further reading
General education, not individual medical advice. Clinical content is awaiting Dr. Davtyan’s final review. Treatment suitability and availability are confirmed directly with the practice.
Let’s talk about your care.
For yourself, someone you love, or a patient you support.