Dermatologist Accepting Insurance in Sherman, TX

Preferred Dermatology participates with most major insurance plan carriers. Please consult your insurance carrier or contact us at our office before your appointment to verify our participation status with your insurance plan. This list is subject to change and is not all-inclusive.
 
GEHA
• UMR

Golden Rule
• UHC

Group & Pension Administrators

Harvard Pilgrim
• UHC

Healthsmart PPO network

Healthspring Medicare Advantage
• HMO
• PPO

Humana Medicare Advantage
• HMO
• PPO

Imagine PPO network
IMS PPO network
Medicare
Medicare Supplement Plans
Meritain Health
Multiplan PPO Network
PHCS PPO Network
Provider Partners Health Plan Medicare Advantage
Railroad Medicare

Tricare West
• HMO
• Select
• Tricare for Life

Triwest VA CCN

United Healthcare
• HMO – Navigate/Charter/Exchange/Nexus
• PPO & ChoicePlus
• Medicare Advantage HMO-POS & Dual Complete
• Medicare Advantage PPO
• Shared Services – UHSS
• United Medical Resources – UMR

US Health Group
WEB-TPA
Wellmed
Wellcare by Allwell Medicare Advantage

Wellpoint Medicare
• Advantage Plan
• Supplement Plan
 
Please note: If your insurance uses a PPO network such as Aetna, Cigna, First Health, Healthsmart, Imagine, PHCS, Multiplan, or United Healthcare, then we do accept your insurance.

Yes, insurance can generally be used for a full-body skin exam at Preferred Dermatology when the visit is considered medically necessary. These exams are often covered because they help detect atypical moles, changing lesions, unusual rashes, and other skin health concerns. Coverage may also apply when a patient has a personal or family history of melanoma or when a physician recommends routine skin monitoring.

However, coverage depends on the details of your insurance plan. Patients may still be responsible for a specialist copay, deductible, or coinsurance. If an additional procedure is performed during the same visit, extra out-of-pocket costs may apply. To help avoid billing surprises, patients should provide their current insurance information when scheduling an appointment at Preferred Dermatology in Sherman, TX, so our team can help verify benefits before the exam.

Yes, insurance generally covers dermatology visits for chronic skin conditions when the appointment is medically necessary. Conditions such as acne, eczema, psoriasis, rosacea, chronic hives, and ongoing rashes are typically considered medical concerns that may require professional evaluation, monitoring, and treatment. At Preferred Dermatology, patients can use their insurance benefits for eligible dermatology visits based on their plan’s specialist care coverage.

Coverage may include the office visit, examination, diagnosis, and treatment planning, but out-of-pocket costs can still apply. Patients may be responsible for a copay, deductible, or coinsurance depending on their insurance plan. Some treatments, such as biologic medications, prescription creams, phototherapy, or in-office procedures, may be billed separately or processed through pharmacy benefits. To avoid unexpected costs, patients should provide their current insurance details when scheduling so the Preferred Dermatology team can help verify benefits before the visit.

The best way to know if your insurance requires prior authorization is to contact your insurance carrier directly using the member services number on your insurance card. Ask whether you need a referral from your primary care physician to see a dermatologist and whether any specific procedures or treatments require approval before your visit. HMO plans are more likely to require referrals, while PPO plans may offer more flexibility, but requirements vary by plan.

Our team can also help during the scheduling and insurance verification process. When you provide your insurance details, the team can often identify if a referral is needed or if a planned procedure may require prior authorization. For specialized treatments, prescriptions, biologic medications, or surgical procedures, the clinic may help submit the necessary clinical information to your insurance carrier so the approval process can move forward smoothly. For more information, please contact us or book an appointment online. We are conveniently located at 204 Medical Drive Suite 150 Sherman, TX 75092. We serve patients from Sherman TX, Howe TX, Denison TX, and surrounding areas.