Financial Policy – Cosmetic ‘Self-Pay’ Procedures

Cosmetic Consult – $100

This deposit is to ensure that the appointment time is reserved for you. This time is both valuable to you as well as Dr. Tansavatdi. This deposit may be applied to any of the available services or products offered at our office. We appreciate any rescheduling to be done at least 24 hours or more before your scheduled appointment.

This consultation is a medical appointment that lasts about 45minutes to one hour. During that first visit, you and Dr. Tansavatdi will discuss your medical history, explore options, establish expectations, and develop a treatment plan. You will be given a cost-estimate for the anticipated procedures/treatments on the day of your initial consult.


Office-Based Procedures

Treatment fees for injectables and in-office procedures are due on the day of service.


Laser Services

Fees for all laser services are due on the day of booking.


Surgical Procedures

A 10% deposit is required at the time of scheduling to hold any surgery date. It is customary and appropriate for surgical fees to be paid in advance of elective cosmetic surgery. All surgical facility fees are due 2 weeks in advance.

If you are unable to keep a surgical date reservation, please let us know at least 3 weeks in advance and we will be happy to reschedule your surgery at no cost to you.

If you reschedule your surgical procedure less than 3 weeks before the actual date, again, we will gladly reschedule your surgery. However, in this case, we would require that 50% of the surgical fee be paid at the time of re- booking to reserve the new date. This partial payment will be non-refundable without exception.

Surgeries performed at a hospital facility have other associated costs including hospital fees, anesthesia fees, and implant fees if applicable. Our office will contact you directly to arrange payment.


Payment Methods

We accept all major credit cards, pre-paid medical account cards, CareCredit, cashier’s checks*, and cash for payment of your fees. We do not accept personal checks* except for cosmetic procedures and only if they are written at least 3 weeks prior to the scheduled procedure day. We are not able to “hold” checks or delay credit card processing.

*Please make checks payable to Tansavatdi Cosmetic & Reconstructive Surgery.



Dr. Tansavatdi accepts Medicare Part B, but is not a provider for any HMO or PPO plans. She takes pride in providing a high level of service and expertise in facial plastic and reconstructive surgery and serves as an out-of-network provider for all major PPO plans. She will work with you to develop the best care plan at the most reasonable cost to you.

The expenses connected with cosmetic surgery (surgeon’s fees, operating room expenses and supplies, anesthetist’s fees, laboratory tests including EKGs, etc) most likely will not be covered by medical insurance. Occasionally cosmetic surgery is done in conjunction with a procedure which is designed to improve function or is reconstructive in nature. Examples would include correcting nasal obstruction at the same time as cosmetic nose surgery, improving one’s peripheral field of vision in conjunction with upper eyelid or brow surgery or removing an unsightly scar from a motor vehicle accident. In these cases, your health insurance may cover part or all of the incurred expenses.

Although our staff will be happy to assist you with your application for any reasonable insurance coverage, we cannot ethically, and will not, fill out any forms in such a way as to disguise the true purpose of any cosmetic procedures that you wish to have done. Furthermore, even in cases that are clearly functional or reconstructive in Dr. Tansavatdi’s opinion, she cannot guarantee that your particular insurance company will agree with her findings and cover your procedure. How a health insurance plan defines what is “cosmetic” and what is “medically necessary” is very subjective, and there is wide variability from plan to plan.

You must realize that health insurance is a contract between you and your insurance company. Tansavatdi Cosmetic and Reconstructive Surgery is not a party to this contract. If your insurance company declines any of the fees associated with our services to you, even those billed as medically necessary but which were declined by your insurer as being cosmetic, medically unnecessary or an uncovered preexisting condition, you, the patient, are ultimately responsible for all charges incurred.

Where insurance coverage is being contemplated for any portion of a patient’s procedure, we encourage patients to review their insurance policy and to discuss their case directly with their insurance company. In this manner, the patient can ensure all necessary requirements for coverage, such as satisfaction of any preexisting condition waiting periods, precertification letters, photo documentation, second opinions and the like are known and met.


Financial Policy- Medically-Necessary ‘Insurance-Pay’ Procedures

When planning any elective procedure, our office will contact your insurance carrier to obtain prior authorization. Prior authorization is not a promise of payment, but an acknowledgment that your diagnosis is of medical concern. Often procedures such as functional rhinoplasty or otoplasty (pinning back the ears) are not covered even if the diagnosis is medically valid. An example of this is a patient with scarring after a laceration repair from an accident undergoing secondary corrections to the reconstruction where surgical revision has been recommended to improve contour deformities.


Insurance Appeals

If a claim is rejected after we have obtained prior authorization, we will exhaust all appeal options prior to billing you, the patient. If you receive a bill from MedCon, Inc. please contact them upon receipt to arrange payment.



When you have a large unmet deductible, or a procedure is recommended such as liposuction or fat injection that has historically not been covered despite the diagnosis, you may be asked to pre-pay for this portion of your procedure. If the insurance company ultimately covers the specific cost, you will receive a refund. A written estimate will be given to you at the time of your consultation should this be applicable to your case. This pre-payment will be due 3 weeks prior to your date of surgery.

Additionally, as an out-of-network provider, on most occasions insurance companies will send checks directly to the patient for the service rather than the provider. Dr. Tansavatdi will request a personal check for a written estimate to ensure payment is properly received. When you receive payment from your insurance company, you will be required to turn over payments to Dr. Tansavatdi. Your personal check will not be cashed unless payments are not properly turned over to Dr. Tansavatdi.