There are several ways to check whether your doctor is in network:

• Go to your insurance company’s website to get an updated network list. 
• Call your insurance company. Reach out to your plan’s member services team to get help with any questions about your plan. You can usually find their phone number on your health insurance member ID card. 
• Ask your care provider. Your provider may be able to tell you if they take your insurance plan by looking at your health insurance card. 

 It's always best to touch base with your insurance company for questions regarding your specific coverage. Your insurance company will have the most accurate knowledge for your plan and coverage Save time, money and potential conflict by getting clarification on your coverage from the experts at your insurance company. 

 At your primary care visit your doctor may suggest specialized care  from another provider and provide a referral. A referral, however, doesn’t mean the specialist will be covered by your insurance plan. We always recommend to first check if the specialist your primary care provider recommends is in network. If it is, it will be covered under the appropriate benefit within your plan. If not, an insurance referral will be needed and your primary care physician will work with your health plan. If approved,  insurance will cover a portion or even all the cost even if the specialist is not in your network. This can happen in instances where a rare type of care is needed or if your in-network options are too far away. Insurance referrals aren’t always approved, so please confirm before you  get your visit.

Florida laws and statutes  prohibit a provider from prescribing more than a certain amount of controlled substances at one time.  Patients must be seen routinely for medication management of controlled medications. Some medications require an office visit every 90 days while others may only require an office visit every 6 months at a minimum. Random drug testing may be performed at any time to ensure that controlled medications are being taken as prescribed. Patients will be required to sign a "Controlled Substance Prescriber Agreement" form prior to initiating therapy on a controlled substance.

Congressional Research Service. (2023, January 19). The controlled substances act (CSA): A legal overview for the. https://crsreports.congress.gov/product/pdf/R/R45948 

There are many programs available to assist patients in receiving medications at an affordable cost. We understand that medications to treat respiratory and sleep conditions are expensive but we will help find a solution during a financial hardship.

Some medications require prior authorization through your insurance company and may take time to achieve.

Many specialty medications have programs to enroll in for the best possible outcome and to provide a support network to assist patients cope with a new diagnosis and/or treatment.