Insurance
Many plans include out-of-network benefits, and depending on your individual coverage, your insurer may reimburse a portion — or in some cases all — of your visit expenses.
Unfortunately, insurance companies often do not recognize the time, expertise, and complexity required for comprehensive sports cardiology and second-opinion subspecialty care. Hour-long consultations are frequently reimbursed at rates similar to brief fifteen-minute visits, while the extensive review of prior records, imaging, testing, wearable data, and performance history is inadequately valued or compensated.
Payment is required at the time of service. Following your visit, we provide a detailed superbill and receipt that may be submitted directly to your insurance company for potential reimbursement. This approach allows patients to engage directly with their insurer, reduces confusion regarding coverage, and ensures that any reimbursement is paid directly to you rather than to the practice.
We have formally opted out of Medicare. As a result, patients with Medicare are required to pay at the time of service and neither the patient nor the practice may submit claims to Medicare for reimbursement. Patients with Medicare will be asked to sign a private contract acknowledging that services provided are outside of the Medicare system and will not be reimbursed by Medicare.
At Sports & Performance Cardiology, we believe patients deserve thoughtful, personalized, and highly specialized cardiovascular care without compromise. Remaining out-of-network allows us to dedicate the necessary time and attention to each patient while maintaining the independence to advocate for what we believe is best for their health, performance, and long-term goals.