• Direct pay simply means the practice does not participate with insurances and we provide a transparent fee schedule for services. • Payments are made at the time of service and a credit card is required to remain securely on file. • Direct pay is not the same as concierge medicine where patients pay a flat monthly rate in addition to services. You will schedule appointments and pay as you go. Like concierge practices, you will not have a long wait time to obtain an appointment.

• Neely Dermatology is predicated on mutual respect for the physician’s and the patient’s time. • We will estimate the time needed for your visit and procedures and will do our best to run on time. • Our providers understand you have questions and look forward to spending time with you to ensure you not only have a thorough exam but also time to ask questions and discuss your concerns. Because we allot for longer time with you, we must insist that you cancel at least 48 hours in advance or be charged a fee. Cancellations for Monday must be made the previous Thursday morning. • We understand that emergencies happen in your own life. If you are ill, for example, you will not be charged for missing your appointment. If emergencies keep coming up and several missed or late visits occur, then we will have to determine if the practice is the right fit for you.

• We do not contract with insurance companies, and that includes Medicaid and Medicare. • Many insurance plans allow for out-of-network benefits and will reimburse you for a significant portion of your visit. Understanding your plan is your responsibility, but it is easy to obtain the information. Simply call the phone number on the back of your insurance card and ask if your plan has out of network benefits. Let us know at your visit and we will provide you with a detailed bill that you can submit to your insurance carrier to obtain reimbursement for your visit. • While we welcome Medicare patients, please note that Medicare does not allow you to submit bills for out-of-network physicians. They will not reimburse you. • Medicaid will not let you be seen for medical services performed by out of network providers. We can see you for cosmetic services. • Pathology fees, laboratory fees and prescriptions may be covered by your insurance, depending on your benefits. • If you need Mohs surgery or an extensive surgery not performed at our practice, we can refer you to physicians who accept insurance. • If you need referrals to other specialties, such as rheumatology or allergy, we can refer you to providers who accept insurance.