Patient Information

Insurance and Billing

Both Dr. Parnell and Dr. Zand participate with Medicare and accept Medicare fees.  If Medicare is your primary insurance, we will submit claims directly to them on your behalf.  Billing of any supplemental insurance claims is the responsibility of the patient, but Medicare will forward claims to your secondary if prior arrangements have been made.

IMPORTANT UPDATE:    We are excited to announce that we are officially in-network providers for the following PPO insurance plans:

  • Aetna
  • Cigna (HMO also)
  • Coventry
  • Health Smart
  • Multiplan
  • Pacific Health Alliance
  • Private Healthcare Systems
  • Three Rivers Provider Network
  • (We are also working to add Healthnet)

Dr. Parnell and Dr. Zand are out-of-network providers for all other private health insurance companies. We will gladly provide you a copy of your itemized, coded bill – and you can submit this to your insurance company yourself for reimbursement.

If you have a high deductible, insurance often does not kick in to cover routine physician visits.  Healthy patients with a high deductible often end up paying out of pocket for dermatology visits – regardless of whether their doctor is in-network or not.  Therefore, you may choose to see the dermatologist of your preference.  Additionally, you can use your health savings account (HSA) card to pay for your medical visit at our office.

Payment is due at the time of service for our non-insurance-contracted patients.  Please note that cosmetic procedures are generally not covered by any insurance carriers.


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1030 Sir Francis Drake - Ste 110
Kentfield, CA 94904

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