Insurance, out-of-network, and what things cost.
Straight answers about how payment works with Dr. Lee's practice: in-network and out-of-network visits, superbills and reimbursement, second opinions, telemedicine, and self-pay treatments. No surprises.
Seeing the right surgeon matters more than staying inside a network directory, and for many patients the difference in out-of-pocket cost is smaller than they expect. Dr. Lee’s office is set up to make either path straightforward: in-network patients are billed as usual, and out-of-network patients receive complete paperwork for reimbursement.
The office verifies your benefits before your visit, tells you what to expect, and answers cost questions directly at (212) 737-3301. Nothing on this page is a quote; your plan and your case determine the numbers, and the staff walks you through both.
How reimbursement works.
Verify your benefits
Call the office with your insurance card. The staff confirms whether your plan is in-network and, if not, what your out-of-network benefits look like.
Know before your visit
You get a clear picture of what your visit involves before you come in, including which costs your plan is expected to cover and which are yours.
Receive your superbill
After an out-of-network visit, the office provides an itemized superbill with every code your insurer needs for reimbursement.
Submit and get reimbursed
Submit the superbill through your insurer's member portal or by mail. Reimbursement goes directly to you, per your plan's out-of-network schedule.
No insurance? Also simple.
International patients and patients paying directly are quoted the consultation fee when they book, and receive a clear picture of costs before agreeing to any procedure. Many begin with a telemedicine second opinion to decide whether traveling for treatment makes sense.
The office coordinates records, imaging, and scheduling for out-of-area patients so in-person time in New York is used efficiently.
Insurance and cost questions, answered.
Does Dr. Lee take my insurance?
Dr. Lee sees both in-network and out-of-network patients. Because participation varies by plan and can change, the most reliable way to confirm your coverage is to call the office at (212) 737-3301 with your insurance card. The staff will verify your benefits before your visit.
What does out-of-network mean, and can I still see Dr. Lee?
Out-of-network means Dr. Lee does not have a direct contract with your insurance plan. You can still see him: you pay the office directly and receive a superbill, an itemized receipt with the codes your insurer needs, to submit for reimbursement. Many PPO plans reimburse a portion of out-of-network care once the deductible is met.
What is a superbill and how do I use it?
A superbill is an itemized statement listing the diagnosis and procedure codes from your visit. You submit it to your insurance company, usually through the member portal or by mail, and the insurer reimburses you directly according to your out-of-network benefits. Dr. Lee's office provides a superbill for every out-of-network visit.
How do I find out what my plan reimburses?
Call the member-services number on your insurance card and ask three things: whether your plan includes out-of-network benefits, what your out-of-network deductible is, and what percentage the plan pays for out-of-network specialist visits and surgery. The office can supply the procedure codes so your insurer can quote you specific numbers.
Are second opinions and telemedicine visits covered?
Second opinions are a routine, widely covered service: most plans cover them like any specialist visit, in-network or out-of-network. Telemedicine consultations follow your plan's telehealth rules. International and self-pay patients can simply pay directly, and the office quotes the consultation fee when you book.
Why are PRP and other biologic treatments self-pay?
Most insurers classify PRP and other regenerative injections as elective, so they are typically not covered and are paid directly. Dr. Lee's office tells you the expected cost and the likely number of sessions before you commit, so there are no surprises.
Does surgery cost more at a hospital or a surgery center?
The facility fee, anesthesia fee, and surgeon's fee are billed separately, and facility fees are generally lower at outpatient surgery centers than at hospitals. Where your procedure happens depends first on what is medically appropriate. The office and your insurer can walk through the components in advance so you know what to expect.
Get your coverage questions answered.
Call the office at (212) 737-3301 with your insurance card, or book a visit and the staff will verify your benefits before you come in.