Insurance & Transparency
Navigating Your Insurance & Coverage
At the Practice of Dr. Joseph Roofeh, MD
We believe that exceptional, boutique women’s healthcare should coexist with absolute financial clarity. Our practice blends an exclusive, highly attentive concierge model with a streamlined approach to maximizing your insurance benefits.
We specialize in navigating premier employer funded PPO plans, ensuring you receive the full depth of your coverage with zero administrative stress.
Specializing in Employer-Funded PPO Plans
Many of our patients are executives, creatives, and professionals covered through customized, employer-sponsored health plans provided by major corporations across Southern California.
While these elite plans are typically managed by major networks—such as Anthem Blue Cross, Cigna, or Commercial Blue Shield—they are funded directly by your employer. Because of this unique structure, these plans frequently offer significantly broader flexibility, richer out-of-network benefits, and expanded wellness or concierge carve-outs specifically designed for women’s health and comprehensive prenatal care.
What this means for you: Your corporate plan may cover the vast majority of your obstetric or gynecological care, and in select custom corporate structures, may even cover or allow for the waiver of concierge fees.
Transparent Investment & Pricing
To maintain an uncompromising standard of care—characterized by unhurried, extended appointments, immediate access, and 360-degree support—our financial and concierge structures are fully transparent.
Pregnancy Concierge Fee
$3,500 (Per pregnancy)
Secures your exclusive access to enhanced services, extended physician time, and our comprehensive family education curriculum.
Global Pregnancy Care (Self-Pay)
$15,000
A predictable, all-inclusive global billing option for patients without participating insurance coverage.
Gynecology Services & Surgeries
Custom / Case-by-Case
Fully tailored to your clinical needs. We provide exact, transparent cost estimates following your initial consultation.
What Your Plan Typically Covers
For patients utilizing our preferred PPO networks (Anthem Blue Cross, Cigna, and Commercial Blue Shield), your insurance assets typically cover the foundational clinical components of your care, including:
- Obstetric Care: Routine prenatal visits, diagnostic in-office ultrasounds, comprehensive laboratory testing, and dedicated postpartum clinical checks.
- Midwifery Care: Integrated clinical visits with our Certified Nurse-Midwife.
- Surgical & Advanced Gynecology: In-office gynecologic procedures, minimally invasive therapeutic treatments, and major surgical interventions.
Complimentary Coverage Discovery Review
Because elite corporate policies vary widely, our dedicated administrative team conducts a personalized Coverage Discovery Review prior to your first visit. We handle the paperwork directly with your carrier to verify:
- Your exact eligibility and out-of-pocket tracking with Dr. Roofeh.
- Complete coverage limits for prenatal diagnostics, ultrasounds, and lab work.
- Your plan’s compatibility with Health Savings Accounts (HSA) or Flexible Spending Accounts (FSA) to seamlessly cover your concierge fee.
Frequently Asked Questions
Begin Your Care
Experience healthcare designed around your life, not an insurance template.
- Primary Location: 9735 Wilshire Blvd, Suite 207, Beverly Hills, CA 90212
- Phone: (310) 552-1700 | Fax: (310) 878-0279
- Email: admin@josephroofehmd.com
Hours of Luxury Accommodation
- Monday – Thursday: 9:00 AM – 5:00 PM
- Friday: 9:00 AM – 12:00 PM
- Saturday : Closed
- Sunday: By Request
