New Patient Registration (Download .pdf)
Notice of Privacy Practices (Download .pdf)


We accept the following insurances:

Premera
Regence
Cigna
Asuris
Aetna
First Choice Health
United Healthcare
Medicare
Community Health Plan of Washington
Soundpath Health
Health Alliance

**Please contact your insurance carrier to verify whether or not Dr. Sica participates with your insurance. If you do not have your insurance card or if insurance cannot be verified, you are responsible for the full balance at the time services are rendered.

Please understand that each plan has different stipulations such as referrals, authorizations, lab work, etc. IT IS VERY IMPORTANT THAT YOU, THE PATIENT COME INTO OUR OFFICE WITH ALL OF THE REQUIRED DOCUMENTATION AND BE FULLY AWARE OF HOW YOUR PLAN WORKS PRIOR TO THE TIME OF YOUR SCHEDULED APPOINTMENT. YOU, THE PATIENT ARE THE POLICYHOLDER AND IT IS YOUR RESPONSIBILITY TO KNOW YOUR INSURANCE PLAN.
Elective Procedures Considered Not Medically Necessary

For elective procedures, you may be asked to sign a waiver acknowledging you have been informed that Medicare or your insurance carrier does not cover those particular services and you are solely responsible for payment. Payment is due at time of service for non-covered services.

Cosmetic Procedure Deposits

Cosmetic and elective procedures may require a deposit or payment in full to hold that appointment slot. Full payment is expected at the time of service. Please be aware that a missed appointment can result in forfeiture of all or a portion of your deposit.

Pathology Fees

The Dr. Sica is highly skilled in dermatopathology and frequently perform microscopic slide interpretation of their patients’ tissue specimens. In those instances, patients or their insurance carriers will receive a bill from the anatomical lab that prepares the slides and another bill from the Dr. Sica for interpretation.

Depending upon specific factors, we may send the tissue specimen to an outside reference lab for both slide processing and interpretation. Patients or their insurance carriers will likely receive a single bill from an outside reference lab in this instance.

Sometimes an additional dermatopathology consultation is required for the wellbeing of the patient. We reserve the right to send patient’s tissue specimens to the most qualified dermatopathologist to perform a consultation. There will be an additional bill for this service that may or may not be covered by the patient’s insurance carrier.

Returned Check Fees

Any returned check from the bank for non-payment shall result in the patient’s or guarantor’s account being assessed a $30.00 fee per check returned.

Collection Fees

Delinquent accounts referred for outside collection will be assessed a $25 collection fee.

Guarantor is responsible for any applicable statutory interest and finance charges associated with collection.

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