What insurance do you accept?

We accept the plans listed in the Insurance section above, including Traditional Medicare, Traditional Medicaid, most Blue Cross Blue Shield plans, Aetna, Humana, Tricare, WellMed, and more. Eligibility and authorization should be checked prior to visits and infusions.

Do I need a referral?

Most HMO plans require a written referral for any care outside of your primary physician. Other insurance plans may or may not require pre-authorization. Please call the office to find out if self-referral is appropriate, or ask your primary doctor's office or your insurance company. Our policy is that if you come for an appointment without a referral and your insurance requires one, you may pay in full for your visit or be rescheduled. Acquiring the proper referral is ultimately the patient's responsibility.

What should I bring to my appointment?

Please bring your insurance card(s), any pertinent medical records or x-rays, a list of medicines you are taking, and a method of payment for your health services. Also, make sure you have the proper referral for your insurance, if one is required. Please arrive about 30 minutes before your appointment time to complete paperwork — or complete the forms in advance, as described below. See the new patient guide for details.

Can I fill out forms in advance?

Yes — for faster service, forms are available for printout online. Download the new patient packet (English) or the Spanish packet, print it, and bring the completed forms to your first visit to decrease your wait time. If you need assistance completing any forms, please call our office during business hours.

What if I'm running late?

You may be asked to reschedule. Speak with the front desk staff if you arrive late, and they will determine whether the doctor can see you.

Do I pay at the time of my visit?

Yes. If we participate with your insurance and the proper referral(s) are in place, you are only responsible for any deductibles, co-insurance, or co-pays your insurance requires. All funds are payable in full at the time of your visit. If we do not accept your insurance, or the proper referral is not in place, you will be required to pay in full for your visit. Any services not paid for in full on the same day will require payment of the full charge, including checks presented at the time of service that are later returned for insufficient funds. If during any visit there is a balance on your account, our staff has been directed to collect the balance, in addition to any deductibles, co-insurance, or co-pays, before your appointment. We accept debit cards, VISA, MasterCard, and American Express, and offer payment plans through CareCredit.

Getting Diagnosed

5 Signs You May Need to See a Rheumatologist

Persistent joint pain or other unexplained symptoms could be signs of an underlying condition that requires specialized care. Here are five key signs it's time to schedule an appointment.

Are you experiencing persistent joint pain or other unexplained symptoms? These could be signs of an underlying condition that requires specialized care. Rheumatologists are experts in diagnosing and treating diseases affecting the joints, muscles, and bones. Here are five key signs that it might be time to schedule an appointment with a rheumatologist.

1. Persistent joint pain and swelling. Joint pain that lasts more than a few weeks, especially if accompanied by swelling, redness, or warmth, can signal a serious issue. Conditions like rheumatoid arthritis or lupus often start with persistent joint discomfort. If over-the-counter remedies aren't providing relief, a rheumatologist can help identify the cause and recommend targeted treatment.

2. Morning stiffness that lasts over an hour. Occasional stiffness is common, but if it takes more than an hour to loosen up in the morning, it could indicate a condition like inflammatory arthritis. Unlike stiffness caused by overuse or injury, this type is persistent and often worsens over time. Early intervention is key to managing symptoms and preventing joint damage.

3. Unexplained fatigue or fever. Fatigue and low-grade fever without a clear cause may point to autoimmune conditions such as lupus, rheumatoid arthritis, or vasculitis. These conditions occur when the immune system mistakenly attacks the body's own tissues. A rheumatologist can perform specialized tests to determine if an autoimmune disorder is the root of your symptoms.

4. Joint pain paired with skin rashes. Certain rheumatic diseases, like psoriatic arthritis or lupus, present with both joint pain and skin issues. For example, psoriatic arthritis often causes scaly patches on the skin, while lupus may lead to a butterfly-shaped rash across the cheeks. If you notice these symptoms together, it's essential to consult a rheumatologist for a proper diagnosis.

5. Family history of rheumatic diseases. If you have a family history of autoimmune or rheumatic diseases, you may be at higher risk for developing similar conditions. Even if you're not currently experiencing symptoms, it's wise to consult a rheumatologist for preventive care and to understand potential warning signs to watch for in the future.

Why early diagnosis matters: Many rheumatic conditions are progressive, meaning they worsen over time if left untreated. Early diagnosis and treatment can prevent joint damage, improve mobility, and enhance your overall quality of life. Rheumatologists use advanced diagnostic tools and treatments tailored to each individual's needs, ensuring the best possible outcomes.

When to take action: If you recognize any of these signs, don't wait. Schedule an appointment with a rheumatologist to get the answers and care you need. Conditions like rheumatoid arthritis, lupus, and other autoimmune diseases are manageable with timely intervention. Pay attention to the signals your body sends you — by addressing symptoms early, you can take control of your health and prevent potential complications. Start with our symptom checklist, then request an appointment.

From our blog (December 31, 2024): read the original post.

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