INSURANCE AND FEE SCHEDULE

At this time, Maui Skin Clinic is not yet contracted with any insurance companies. Please check back for updates.

WHAT IS DIRECT CARE?

Direct care/direct pay is a model of healthcare in which patients pay their physician directly for their medical care. The physician does not bill the insurance company. This model enables physicians to provide care without restrictions placed by insurance companies and re-establishes the patient-physician relationship. This model also allows physicians to set reasonable, predictable and transparent prices, while providing higher quality care.

Since we do not participate with health insurance, we are able to keep our overhead low and pass that savings directly to our patients. This model eliminates much of the administrative burden and allows your doctor to focus on you and your visit.

WHAT ARE THE BENEFITS OF DIRECT CARE?

There are no referrals needed, no surprise fees, no prior authorizations for procedures, no co-pays, no bills or collections sent to you after your visit.

Our appointments run on time and you will be seen without feeling rushed.

We offer same-day and same-week appointments.

This is NOT a concierge practice and there is NO membership fee to be seen.

All patients are welcome.

WHAT ABOUT INSURANCE?

Dr. Brewer is classified as an “out-of-network” physician with your insurance company. Most PPO insurance companies will reimburse you for a portion of your claim to an “out of network” physician. While we do require full payment at the time of service, we will provide a statement that you can mail directly to your insurance company for reimbursement upon request. Most insurance companies will send you a check within 2-3 weeks if your visit is covered. Maui Skin Clinic cannot guarantee that your visit or procedure will be covered.

Patients with Kaiser insurance or government sponsored insurance such as Medicare, Medicaid, or VA/Tricare are unable to be reimbursed. Some Medicare Advantage PPO plans allow reimbursement for out of network physicians.

You may choose to use your insurance for labs, pathology, prescriptions, or additional testing as allowable by your insurance.

FEE SCHEDULE

All time is spent directly with physician

LEVEL 1 VISIT (5 MIN): $75

Examples:
Spot check of single skin lesion (mole, cyst, growth, scar, wart, etc)
Or
Refill of medication for previously diagnosed stable condition (acne, eczema, psoriasis)
Or
Follow up visits at discretion of the physician

LEVEL 2 VISIT (10 MIN): $100

Examples:
Skin lesions of concern
Or
Follow up visits at discretion of the physician

LEVEL 3 VISIT (15 MIN): $150

Examples:
Multiple skin lesions of concern (without full body skin examination)
Or
Medical dermatology consultation, simple (acne, eczema, multiple warts, psoriasis, rash, dandruff, skin allergy)

LEVEL 4 VISIT (20 MIN) $175

Examples:
Full Body Skin Examination (FBSE) - Head to toe comprehensive skin cancer screening
Or
Complex medical dermatology consultation
Or
Hair Loss consultation (must be booked separately)

LEVEL 5 VISIT (30 MIN): $250

Examples:

FBSE + medical dermatology concerns

*Visits rarely exceed 30 minutes but additional time may be allotted if schedule permits ($50 per additional 5 minute interval)

MINOR PROCEDURES +$75 FLAT FEE*

*Minor procedures performed at time of visit. Medically indicated minor procedures only (liquid nitrogen/freezing, skin biopsy, injection). Multiple procedures may be performed in the same visit within the allotted time at the discretion of the physician.

Cosmetic procedures may incur additional cost (skin tags, cosmetic mole removals).

Outside pathology lab fees apply and may be billed to your insurance if allowed.

SURGERY

Surgical pricing is based on time, complexity, and materials. Surgery fee will be quoted at the time of visit and is valid for 90 days.

Pathology lab fee not included
Post surgical related follow ups included at no charge for 30 days following surgery.

$75

Medically indicated liquid nitrogen (freezing), not cosmetic

$200

Cosmetic removal of benign keratoses, skin tags up to 14 lesions

$150

Electrodessication and Curettage (scraping and cauterizing low risk skin cancers)

$150

Shave removal of skin lesion

$300-1000

Excision (lesion removed with sutures)

Mohs surgery referrals may be sent to our preferred providers on Maui or to the physician of your choice.