Billing and insurance
No surprises about what your visit costs.
One fee per visit, no membership and no facility fees. Ask the office about the fee for your visit and your payment options before you send a request; nothing is charged until it has been confirmed with you. Payment is collected securely online before your visit.
How it works
Your visit fee and your insurance
What your visit fee covers
Your time with Dr. Ntranos: your history, a neurological examination, a review of your records and test results, prescriptions, test orders and referrals, coordination with your other doctors, messages between visits, and a superbill for your insurer. There is no facility fee. The tests and medications themselves are billed separately, usually through your insurance.
A superbill for reimbursement
We are outside insurance networks. After each visit you receive a superbill, an itemized receipt your insurer needs, to claim money back. Most PPO plans reimburse 50–80%, depending on out-of-network benefits and deductible.
Your insurance still does its job
Medications, MRIs, and labs continue to run through your insurance as usual, and we handle prior authorizations. HSA and FSA funds can typically be used for the visit itself.
Step by step
Using your PPO with an out-of-network neurologist
Check your benefits
Ask your plan about out-of-network benefits for a specialist visit and how much of your deductible is left.
Fee confirmed first
The office confirms your visit fee before you are charged, and payment is collected online.
Get your superbill
After the visit you receive a superbill, the itemized receipt your insurer needs.
Submit your claim
You submit it, and most PPO plans reimburse 50–80%, depending on out-of-network benefits and deductible.
HMO plans generally do not reimburse out-of-network visits.
Questions
Payment and plan questions
Find payment options, Medicare information, and what your plan may cover.
Why out-of-network
Why we stay outside insurance networks
Insurance-based neurology runs on rushed visits and months-long waitlists. Staying outside those networks is what gives you a full hour, an appointment within days and a doctor who answers your messages himself. Here is how that compares.
| Achilles Neurology Clinic | A typical neurology clinic | |
|---|---|---|
| Wait for a new-patient visit | Usually same or next day | Often 3–6 months |
| Time with your neurologist | 60 minutes for a first visit | Often 15–30 minutes |
| Who you see | Dr. Ntranos, every visit | Often rotating providers, PAs, residents |
| Reaching us afterward | Direct messaging with your doctor | Often phone trees and portals |
| Referral required | No | Usually yes |
Ready when you are.
Request a visit with Dr. Ntranos, usually the same or next day.