Dr. John Happel | Sep 22, 2018 | 0
Varicose Vein Doctors Who Accept UPMC Insurance: Dr. Happel
How to Find the Best UPMC Varicose Vein Doctor in Pittsburgh
The Top Varicose Vein Doctor in Pittsburgh Accepts UPMC Insurance
Allegheny Health Network vascular surgeons and vein specialists don’t accept UPMC insurance.
If you have UPMC insurance, make sure you choose a qualified vein doctor.
Ask your chosen vein doctor ahead of time whether or not they charge an additional facility fee.
Dr. Happel does not charge an expensive facility fee.
What’s Happening with Western Pennsylvania Health Care?
UPMC and Highmark continue scrapping for market share. Patients in Pittsburgh are caught in the middle between the two clashing titans.
It’s difficult for our city. Highmark and UPMC are fighting over the control of our health care. It’s been chaotic for many of us.
In addition, health insurance premiums and deductibles are rapidly increasing. Patients are caught in the cross-fire. It is virtual war between these two health insurance companies.
About five years ago, UPMC stated that they would not renew its contract with Highmark.
Highmark was the largest provider of health care in the Allegheny County and surrounding area. According to the Tribune Review in February 2016, more people in Western Pennsylvania now have UPMC insurance. In reality, the number of people with each insurance plan is pretty even. Each insurer has about 28% of the market in the 29 counties of Western Pennsylvania.
This health care war has left many casualties. Many patients are scrambling to make sure that their family doctor, their specialists, and nearby facilities remain in-network. It is important to stay in-network to avoid a hefty penalty for receiving care by providers and hospitals that don’t accept your health insurance.
Allegheny Health Plan facilities are out-of-network to patients with UPMC insurance. These include Allegheny General Hospital, West Penn Hospital, Canonsburg Hospital, Jefferson Hospital, and Forbes Regional.
The good news is that the Happel Laser & Vein Centre facility is in-network for all UPMC patients.
Dr. Happel and the Happel Laser & Vein Centre Stay Independent
Where should you have your veins treated?
The answer is simple.
The Happel Laser & Vein Centre.
Dr. Happel has remained independent.
Point being, he has not sold his practice to any health plan or hospital.
Medical and vein practices are being gobbled up like stuffing at Thanksgiving.
Independent practices are the dinosaurs of medicine. Crushing regulations and the increasing financial burdens to practice independently have required many doctors to sell their practice to a health system or hospital.
Nationwide roughly 40% of medical practices still remain independent. In our area, surprisingly, the total number of independent practices is only about 25%.
Happel Laser & Vein Centre has stayed above the fray. Although there have been multiple offers from both UPMC and Highmark to buy our practice, we have turned them down.
In terms of your insurance, that means we can accept both UPMC and Highmark.
We have remained friendly to all insurance plans. It’s all about helping. Our core value is that we truly care. We don’t have to turn away any patients because of their insurance plan because we have not sold our practice.
All varicose vein procedures are done in our own office.
You don’t have to worry about having any out-of-network charges.
UPMC vs. Highmark
Over the past year, the UPMC health insurance division has grown significantly. It is a challenging time for Highmark. According to Modern Healthcare magazine, the amount of money that UPMC has received from Highmark patients has fallen from 26% to 18%.
UPMC continues to try to sever the messy relationship with Highmark. This intensified when Highmark bought West Penn Allegheny Health system in 2013.
It’s a messy divorce. In 2014, both sides could not agree to sit in the same room together and negotiate. This is one of the most competitive insurance markets ever. The entire country is watching to see what the final outcome will be.
There are other battles going on with UPMC. UPMC’s tax exempt status was challenged by the city of Pittsburgh. This challenge was dropped in 2014.
Dr. Happel and Happel Laser & Vein Centre Accepts UPMC Insurance
Dr. Happel is in-network for your plan.
Just like custom suits are created by London Baker street tailors, Dr. Happel designs treatments for your individual vein problem.
Dr. Happel is an independent doctor. He has not sold his practice to any hospital system. Dr. Happel also accepts UPMC, Aetna, Cigna, Highmark, United, Humana and many other insurance plans.
For a more complete list, please refer to the bottom of the page.
People “in the know” choose us. Local primary care physicians, surgeons, dermatologists, nurses, and hospital workers as well as other health care professionals come to the Happel Laser & Vein Centre.
People also come to our accredited vein center office from other states. They choose us on the basis of our reputation, qualifications, credentials, and experience in treating in venous disease.
We have written all-inclusive blog articles on how to choose the best vein clinic and vein expert in the city.
You are looking for the “greatest of all time” vein doctor.
Varicose Vein Referral Patterns Are Polluted in Pittsburgh
Most primary care and family doctors in Pittsburgh have sold their practice. They are encouraged to refer their patients to the health system where they have become an employee. They are no longer independent.
Most of us assume that when your primary care physician recommends a specialist to you that they will be the best in their specialty.
Unfortunately, there’s more going on behind the scenes. It’s demoralizing to hear that primary care doctors are encouraged not to refer out of the health system that owns their practice. The referring physician’s referrals are closely tracked.
Primary care doctors may be punished if they do not refer to the health plan that bought their practice. Most people never considered this when they purchased their health insurance.
However, if you research a vein specialist on your own, you can go to any specialist who participates with and accepts your UPMC insurance.
Why Choose a Vascular Surgeon to Treat Your Veins?
All board certified vascular surgeons are trained in venous disease.
Other medical specialties cannot make that claim.
The sad truth is that many of the vein doctors in Pittsburgh have trained in other fields. They have become disenchanted with their chosen field.
They were usually burned out and switched to practicing on veins instead of the field in which they trained.
Practicing is the key word.
Unbelievably they often learned their craft by taking a three day “weekend course.”
Their results are as predictable as any Adam Sandler movie.
Heed our advice and thoroughly research the qualifications of the vein doctor. That should happen before you go for your initial consultation.
Many people just go to a vein center that is near-by or close to them.
Don’t assume that all vein doctors are the same.
A big mistake is to respond to advertising.
Don’t forget to research who treats your veins. Not doing so is a big mistake.
Another big mistake is not choosing a vein center that has been inspected and accredited.
Happel Laser & Vein Centre is the only vein center that is accredited in the city of Pittsburgh.
The real question is, “Why should any vein center be exempt from inspection?”
Examine the vein doctor’s qualifications. If they claim to be a “diplomat” of the American Board of Venous and Lymphatic Medicine, look closer.
There are a lot of not-so-funny things happening in the varicose vein world.
Looking for the best vein doctor who accepts your insurance?
Look no further.
We understand what you want.
Choose the best varicose vein doctor in Pittsburgh.
Do some serious research. Choose your vein doctor carefully and with due diligence.
You are now better equipped to navigate through the ever-restrictive healthcare networks. All that it takes is a little effort and time.
Please read our reviews on the internet.
Dr. Happel has the qualifications, credentials, training, and experience which show that he is the top choice of vein specialists in Pittsburgh.
He has trained in vascular surgery at the Mayo Clinic. He is a board certified vascular surgeon.
He has the longest experience in Pittsburgh specializing in varicose vein treatments.
Ah stop, you had me with The Happel Laser & Vein Center is the only inspected and accredited vein center in Pittsburgh.
To learn more about your health insurance and your varicose vein coverage, call us at 724-969-0600 or contact us by email.
The Happel Laser & Vein Center accepts and proudly participates in all of the following insurance plans:
- Anthem Blue Cross Blue Shield
- Health America
- Health Assurance
- Health Plan of Upper Ohio Valley
- Highmark Blue Cross Blue Shield
- Medical Mutual
- Mountain State Blue Cross
- Mon-Valley Health Plan
- United Health Care
And all Blue Cross/Blue Shield insurance plans
Vein centers in Pittsburgh have never been inspected except for Happel Laser & Vein Center.
Would you ever go to a restaurant or fly on a plane that hasn’t been inspected?