When you make an appointment, if you have any of the following insurances, you’ll give us the insurance information.
We are in network with:
You will pay the “allowable amount,” which is $740-$800 (depending on the insurance company) at the time of your appointment. We then submit your information to insurance. When we are notified that you are eligible or that insurance will pay us, we will refund anything due to you.
Other insurances for which we are out of network (including Anthem Blue Cross, Cigna, etc.): If you have other insurance, we’ll give you the paperwork you need to submit it the payment to insurance. Chances are, you have a deductible, and here’s how it works:
You will pay the full amount at the time of the appointment ($885). We will give you paperwork to submit to your insurance so that the insurance company”allowed charge” is applied to your deductible. This is usually $450 for vasectomy. So, you’ll pay a total of $885 and $450 will be applied to your out-of-network deductible. If you have already spent your deductible (or your deductible is less than $450), then you can submit the paperwork to insurance to request reimbursement.
If you HAVE met your deductible, then you will send the paperwork to your insurance company. They should reimburse you the amount that they allow for the procedure, usually $450-$550.
Sorry, we can’t be sure your insurance will work this way. Please speak to your insurance company in advance to verify their policy. Advise them the procedure code is 55250 and that this is being done in an office (not a hospital). The diagnosis code is Z98.52. Tell them our Tax ID number is 87-1513347 and the procedure will be done by Dr Christopher Tonozzi at Go Vasectomy.
Insurance pre-authorization is not needed for vasectomy done in the office.
Medicaid (Health First Colorado, Rocky Mountain Health Plans PRIME or RAE): Not accepted at this time.