We accept Medicare assignment and participate in many insurance company plans. If you are seeing us for a procedure that is covered by your insurance, we encourage you to contact your insurance provider and make sure we are a participating provider. It is your responsibility to check if Dr. Barnard is participating with your insurance company. You will need a referral to see Dr. Barnard only if your insurance company requires one. If your appointment is cosmetic in nature, there is a $100.00 consult fee that is due one week prior to the consult. This fee will be deducted from your surgery cost if you decide to have surgery by Dr. Barnard. You will be given a price quote after your consult that is good for 6 months. This quote will include Dr. Barnards' fee, facility and anesthesia fee if done at Covenant or Allen Memorial Hospital, implant and garment cost if required. Although most cosmetic procedures will be performed in our office surgical suite that is accredited by the JCAHO, some procedures may require general anesthesia. If this is the case, we utilize Covenant Hospital or Allen Hospital in Waterloo. All cosmetic fees are due in full three weeks prior to your surgery date.