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