Lake Howell Internal Medicine



Financial Information 


Our office requires a practice fee of $100 per person or $250 per nuclear family (spouses with children in school) that will be due at the time of the first visit and annually each January 1st of subsequent years.

The fee schedule ranges from $250 - $350 for new patient appointments and from $100 - $200 per visit for established patients, regardless of insurance provider or status. Payments for office visits are due at the time services are rendered.

Our office is considered “Out of Network” with commercial insurance plans. Patients are able to submit billing claims to their insurance. For more information on submitting claims for reimbursement, please contact your insurance provider.

Our office has “Opted Out” of Medicare, which means that neither Medicare plans nor secondary insurance plans for Medicare will cover or reimburse visits to our office. Furthermore, we are unable to submit bills to Medicare, and patients are not able to submit bills to Medicare.

We have a status of “Ordering and Prescribing” with Medicare and all insurance plans, with the exception of most HMO policies. This means that any radiology services, referrals, labs, and hospitalizations will be directed to approved providers on your insurance plan and thus are covered by your insurance in the traditional way.




If you are experiencing a medical emergency, please call 9-1-1 immediately.