Insurance Information

July 8, 2011 by Dr. Marc Darrow, M.D.  
Filed under Insurance Info

Darrow Sports & Wellness
11645 Wilshire Blvd
Los Angeles, CA
(310) 231-7000

Payment Information
As a new patient with Dr. Darrow, all consultations will be billed under Darrow Sports & Wellness Institute (DSWI).

DWSI is contracted and considered “in network” with

Anthem Blue Cross
Blue Shield
United Healthcare
Cigna
Aetna
• Medicare

Your benefits must be verified prior to your consultation to confirm that we are in fact “in network” with your plan.

All other insurances, except Medicare, are considered “out of network”.

For out of network patients, we will be happy to send a superbill to your insurance company for you and any reimbursement that is allowed will be mailed directly to the primary subscriber on the insurance.

****We also accept Care Credit as an option for payment. This is like having a credit card that we may pay the interest for you. Please speak to a member of the staff for details****

Darrow Sports & Wellness Institute
Pain Management

In some cases you may be treated with services that are considered “investigational” or “medically unnecessary” by your insurance company; treatments such as Prolotherapy, PRP, and any treatments related to Prolotherapy or PRP such as Ultrasound Guided Injections.

Charges for these services will not be submitted to your insurance company since they will not cover them. Diagnostic Ultrasound may be billed to your insurance, as well as Ultrasound guided trigger point or local anesthetic with steroid injections.

Pain Management charges
$295 initial consultation (cash price if insurance doesn’t cover your visit)

Prolotherapy charges
$295 per visit for 1 injection area

$150 per visit for each additional injection area

$50 Guided Ultrasound Injection per area each visit

PRP charges
$800 for first body part

$645 for each additional body part on the same day

Billing can be confusing, especially with all the different plans of the different insurance companies, so be prepared to ask our staff questions about your insurance.

Patients occasionally tell us that they would rather have their insurance pay for surgery rather than the patient pay for Prolotherapy or PRP. The truth is that in most cases a “free surgery” is much more expensive than our treatment. Expenses from surgery can be monetary or non-monetary and include but are not limited to time off work, losing one’s job, side effects such as infection, joint destruction and arthritis over time, permanent disability, physical therapy, and in rare cases, death. I rarely prescribe surgery, since I don’t believe in most cases that it is effective. There are too many studies that show this. If you are having an emergency, please see your surgeon immediately.

Prolotherapy, PRP, AGE MANAGEMENT MEDICINE, and other modalities mentioned are medical techniques that may not be considered mainstream. As with any medical treatment, results will vary among individuals, and there is no implication that you will heal or receive the same outcome as patients herein. There could be pain or substantial risks involved. These concerns should be discussed with your health care provider prior to any treatment so that you have proper informed consent and understand that there are no guarantees to healing.
THE INFORMATION IN THIS WEBSITE IS OFFERED FOR EDUCATIONAL PURPOSED ONLY AND DOES NOT IMPLY OR GIVE MEDICAL ADVICE. THE PHOTOS USED MAY BE MODELS AND NOT PATIENTS.
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