Immunologist Accepting Insurance in Gaithersburg, MD
Dr. Oral Alpan, MD is accepting insurance at Amerimmune Clinic, ensuring you can receive professional care for immune conditions with ease. We focus on personalized treatment to meet your needs. For more information, contact us or request an appointment online. We are located at 806 West Diamond Avenue, Suite 310, Gaithersburg, MD 20878.


Table of Contents:
How can I check if my specific insurance plan is in-network at Amerimmune Clinic in Gaithersburg, MD?
Are there any insurance limitations for diagnostic testing?
What steps should I take if my insurance denies a claim from Amerimmune Clinic in Gaithersburg?
Is there a financial assistance option for uninsured patients at the Gaithersburg location?
To determine if your specific insurance plan is in-network at Amerimmune Clinic in Gaithersburg, MD, follow these steps:
• Contact Your Insurance Provider: Reach out to your insurance company to inquire if Amerimmune Clinic is included in their network.
• Ask if your plan covers immunology consultations and diagnostic tests at this location.
• Verify Specific Services: Inquire about coverage for specific services you plan to receive, such as immunology consultations, allergy testing, or biologic drug administration. Ask about any requirements for referrals, pre-authorizations, or limitations on the number of visits or tests.
• Consult with Amerimmune Clinic: Contact the clinic directly to discuss your insurance coverage. The billing department can assist in verifying your benefits, understanding any potential out-of-pocket costs, and addressing any questions you may have about your plan’s coverage.
By proactively verifying your insurance coverage, you can ensure a smoother and more cost-effective healthcare experience.
Yes, insurance coverage for diagnostic testing at Amerimmune Clinic in Gaithersburg can vary based on your specific insurance plan. Some common limitations include:
• Prior Authorization Requirements: Certain diagnostic tests, such as flow cytometry or comprehensive immune workups, may require prior authorization from your insurance provider before they can be performed. It’s essential to obtain this approval to ensure coverage.
• Coverage Variations Between Plans: While Preferred Provider Organization (PPO) plans often cover specialized tests, Health Maintenance Organization (HMO) plans may have more restrictive coverage. Some tests may not be covered under certain plans, or you may need to obtain a referral from your primary care physician.
• Out-of-Pocket Costs: Even with insurance coverage, you may be responsible for a portion of the cost, such as co-pays, co-insurance, or deductibles. The total cost will depend on your specific plan’s structure and the type of testing performed.
To navigate these limitations:
• Verify with Your Insurance Provider: Confirm that the diagnostic tests you require are covered under your plan and inquire about any specific requirements or limitations.
• Consult with Amerimmune Clinic: Discuss any necessary referrals, authorizations, or documentation required for coverage. The clinic’s billing department can assist in understanding your financial responsibility for testing.
By proactively addressing these details, you can ensure a smoother and more cost-effective healthcare experience.
If your insurance denies a claim from Amerimmune Clinic in Gaithersburg, consider the following steps:
• Contact Your Insurance Provider
• Consult with Amerimmune Clinic
• File an Appeal
• Seek External Assistance
By following these steps, you can effectively address insurance claims and work towards obtaining coverage for necessary services.
Yes, Amerimmune Clinic in Gaithersburg offers financial assistance options for uninsured patients to help make healthcare services more accessible. These options include:
• Payment Plans: The clinic may offer flexible payment plans to allow patients to pay for services over time, reducing the financial burden.
• Sliding Scale Fees: Based on income and financial need, the clinic may provide services at reduced rates to eligible patients.
• Self-Pay Discounts: Uninsured patients may receive discounts on services when paying out-of-pocket, making healthcare more affordable.
To explore these options:
• Contact the Clinic’s Billing Department: Reach out to Amerimmune Clinic’s billing department to discuss your financial situation. They can provide information on available assistance programs and help determine your eligibility.
• Provide Necessary Documentation: Be prepared to provide documentation of your income and financial status to qualify for assistance programs.
• Discuss Payment Options: Work with the billing department to establish a payment plan or determine if you qualify for sliding scale fees or self-pay discounts.
By utilizing these financial assistance options, uninsured patients can receive the necessary immunology and allergy services at Amerimmune Clinic in Gaithersburg without undue financial strain.
By proactively addressing insurance verification, understanding potential limitations, and exploring financial assistance options, you can ensure a smoother and more cost-effective healthcare experience at Amerimmune Clinic in Gaithersburg. For more information, contact us or request an appointment online. We are located at 806 West Diamond Avenue, Suite 310, Gaithersburg, MD 20878. We serve patients from Gaithersburg MD, Montgomery Village MD, Redland MD, Germantown MD, Rockville MD, and surrounding areas.
HMO Patient Referral Information: Your insurance plan mandates a referral from your primary care physician (PCP) for specialist visits. Please reach out to your PCP and provide them with the necessary information to submit a referral request to your insurance company. Potential necessary information is in bold below.
• O&O Alpan, LLC group NPI – 1194870311
• Tax ID – 04-3829427
For New Patients:
• 99203 – New patient consult
For Existing Patients Renewing Referral:
• 99213 – Established patient consult
The following codes could potentially be used for diagnostic testing at the time of the appointment:
• 95004 – Skin prick test
• 88184 – Flow cytometry 1 marker
• 88185 – Flow cytometry add-on
• 88189 – Flow cytometry reading
The provider may also request bloodwork, which would be drawn during your appointment. Typically, these labs are sent to LabCorp; however, please note that we do not control the cost associated with this potential bill.
Additionally, the provider may recommend a comprehensive immune workup, which is processed by Amerimmune lab. The necessity of this test can be discussed further with the provider during your appointment. Please be aware that based on our experience, HMOs generally do not cover this type of blood test. If you decide to proceed with this testing, we will require you to sign an ABN form and arrange payment with our billing department.
Insurances accepted by Amerimmune
- Medicare
- Medicare advantage products
- Blue Cross Blue Shield products PPO
- Blue Cross Blue Shield Federal Plan PPO
- CareFirst Blue Choice Products
- CareFirst Administrator
- Anthem Virginia
- Anthem Health Keeper
- Anthem Health Keeper Plus (Medicaid)
- Aetna products
- Aetna Medicare
- Cigna
- United Healthcare products
- United Community Plan (Medicaid)
- United Oxford
- GEHA
- UMR Compass Rose
- Sentara
- Medicaid Virginia
- Tricare
- Trust Mark
- Meritain
- PHCS
- First Health Network
















