Accessibility View Close toolbar
Menu

Location

Insurance, In-Network, Out of Network, Medicare

There is alot of confusion regarding insurance coverage, In-Network benefits, Out Of Network benefits and what you, the patient, are required to pay for treatment.

The chart below lists the major differences between In-Network and Out of Network benefits.

 In- Network    (I-N)

 Out of Network   (O.O.N)

 Difference

 Deductible

 Yes

 Yes

 OON usually higher

 Co-pay ( pt pays)

 Yes

 No

 No co-pay out of network

 Percentage pay (pt pays)

 No

 Yes

 Less than Co-pay/visit

 # Visits limit/yr

 Possible

 Possible

 Insurance payout limit

 Yes

 Yes

 Choice of Doctor

Only within network plan

Unlimited

Your choice of Doctor

In summary:

  • Each category of benefits typically has a deductible.  This is the amount you must first pay before the insurance company will even consider contributing to the cost of your care
  • Co-pay(s) are associated with In Network benefits.  The amount of co-pay ranges from $15-75 per office visit.
  • Percentage pay is generally limited to Out of Network benefits.  The insurance will pay a percentage of your visit.  The most common seen in this office are 50/50, 60/40 and 70/30.  The patient is responsible for the smaller percentage.   This can be more cost effective than In Network co-pay, especially if the co-pay is close to the cost of the office visit.
  • Limitations of visits and insurance contribution is seen with both In and Out of Network benefits.
  • Dr. Kanzic accepts all plans and is an OUT of NETWORK provider.
  • Dr. Kanzic accepts assignment on MEDICARE.

Please feel free to contact the office at 713-683-6800 to discuss your insurance benefits  - ask for Jessica.  We hope to hear from you soon !

Location

Find us on the map

Office Hours

Our Regular Schedule

Monday:

9:30 am-5:00 pm

Tuesday:

9:30 am-5:00 pm

Wednesday:

9:30 am-5:00 pm

Thursday:

9:30 am-5:00 pm

Friday:

Closed

Saturday:

Closed

Sunday:

Closed

Testimonial

Review By Our Satisfied Patient

  • "My back first went out when I was 21 years old. I came to see Dr. Kanzic when I was 44 due to a reinjury. I could NOT stand upright without pain. I could not sit or drive without pain. . Also, I could not pick up my child or anything more than 10 pounds without PAIN.."
    SP - Houston, TX