Office Information

Office Hours

Office Information | Office Hours | Form Downloads | Ladera Ranch CA | San Clemente CAFor more information or to schedule an appointment, please call us at 949.364.8411.

  • Monday – Thursday: 8 AM to 5 PM
  • Friday: 8 AM to 3 PM

If you have a dermatologic emergency after hours or on weekends and are currently under their care, please call to get the on-call number for Dr. Lener, Dr. Fogelson, or Dr. Mundi.  If it is a true medical emergency, please call 911.


Download Our Forms

The following forms can be downloaded to your computer and printed at home. By filling out these forms ahead of time, you will save a significant amount of time during your first office visit.

New Patient Registration PacketOffice Information | Office Hours | Form Downloads | Ladera Ranch CA | San Clemente CA

Patient Instructions:

We typically give these instructions to our patients in the office on an as needed basis, but we have also posted these files here for reference.

Surgical & Medical Treatment Instructions:

Aldara CreamOffice Information | Office Hours | Form Downloads | Ladera Ranch CA | San Clemente CA

Biopsy CareOffice Information | Office Hours | Form Downloads | Ladera Ranch CA | San Clemente CA

Dry Skin CareOffice Information | Office Hours | Form Downloads | Ladera Ranch CA | San Clemente CA

iPledge – Childbearing PotentialOffice Information | Office Hours | Form Downloads | Ladera Ranch CA | San Clemente CA

iPledge – Non-Childbearing PotentialOffice Information | Office Hours | Form Downloads | Ladera Ranch CA | San Clemente CA

Liquid Nitrogen TherapyOffice Information | Office Hours | Form Downloads | Ladera Ranch CA | San Clemente CA

Surgery Pre-Operative InstructionsOffice Information | Office Hours | Form Downloads | Ladera Ranch CA | San Clemente CA

Surgery Post-Operative CareOffice Information | Office Hours | Form Downloads | Ladera Ranch CA | San Clemente CA

Cosmetic Treatment Instructions:

Botox and Filler CareOffice Information | Office Hours | Form Downloads | Ladera Ranch CA | San Clemente CA

Chemical PeelOffice Information | Office Hours | Form Downloads | Ladera Ranch CA | San Clemente CA

IPL & VbeamOffice Information | Office Hours | Form Downloads | Ladera Ranch CA | San Clemente CA

Laser Hair RemovalOffice Information | Office Hours | Form Downloads | Ladera Ranch CA | San Clemente CA

SclerotherapyOffice Information | Office Hours | Form Downloads | Ladera Ranch CA | San Clemente CA

Administrative:

Medical Records ReleaseOffice Information | Office Hours | Form Downloads | Ladera Ranch CA | San Clemente CA

(Note: For a transfer of on-going care from this office to another dermatologist, please check first with your doctor if he or she feels that your old records are helpful, in your case.)

Office Information | Office Hours | Form Downloads | Ladera Ranch CA | San Clemente CANote: These files are in PDF format. If you do not have Adobe® Reader® on your computer, you can download it for free by clicking here or on the Get Adobe Reader icon.


Payment Policies

Office Information | Office Hours | Form Downloads | Ladera Ranch CA | San Clemente CAFor your convenience, we accept cash, check, Visa, MasterCard, and Discover.  To make a payment please call 949 207-6082.


Insurance Policies

Physicians at The Dermatology Center at Ladera accept appointments for patients regardless of their insurance status. We participate In-Network with most standard PPO plans. And we have also setup our fees and self-pay discounts in a way so that patients who value our high level of care can be treated at reasonable rates, regardless of their insurance status or network.

It is our recommendation that patients call their insurance about a week before their visit and ask if your doctor at our office is in their Network, and what specific benefits will apply.

We are In-Network for most major PPO & POS plans, including:

  • Medicare & Medicare Supplemental
  • Tricare
  • Anthem Blue Cross – only traditional “Prudent Buyer” network, Medicare PPOs, and out-of-state BlueCard PPO
  • Blue Shield – only standard/full/OffEx network, Medicare PPOs, and out-of-state BlueCard PPO
  • Cigna
  • Aetna
  • HealthNet
  • Humana/ChoiceCare
  • First Health/Coventry
  • Multiplan
  • Beechstreet

And we are In-Network for these additional PPO & POS plans:

  • Affiliated Health Funds PPO
  • America’s Choice Provider Network PPO
  • Bellflower Unified School District
  • CorVel PPO
  • First Access PPO
  • Fortified Provider Networks PPO
  • Galaxy PPO
  • Healthsmart PPO
  • Network by Design PPO
  • Orange County Foundation for Medical Care PPO & EPO
  • Prime Health Services PPO
  • Private HealthCare Systems PPO
  • Provider Select PPO
  • Stratose/National Preferred Provider Network
  • Three Rivers Provider Network
  • USA MCO PPO

For patients who are covered under of one of the PPO plans in which we are In-Network, we will ask for any co-pay at your visit.  If patients have no co-pay, but a high unmet deductible, we will ask for $50 as their co-pay at each visit.

It is our policy and practice to collect the full patient cost sharing including the co-pay, co-insurance, and deductible because we are legally obligated to do so.

Regarding Narrow PPO Networks:

There is a recent trend in the insurance market known as narrow PPO networks, which are a more restricted set of providers within a PPO.  Narrow networks are often labeled Select, Exclusive, Local, Enhanced, or other confusing descriptors.  We do participate in the traditional, broad PPO networks, but we do not participate in most of the narrow PPO networks.  In years past, these plans were primarily for individual/family plans, but are increasingly sold to employer groups.  Insurance companies are also giving designations to some physicians and not to others for unknown reasons, and this can impact patient cost sharing, so it is important for you to check if your specific physician is covered at our office by your plan.

We will do our best to keep the following information up to date, as it becomes available to us.  The following is the best information we have on narrow PPO networks that we are not participating in:

Anthem Blue Cross narrow networks are any plans using the “Select“, “Pathways“, “Tiered”, or National BlueCard PPO Basic “PPOB” networks.  These plans are sold on the CoveredCA.com State Exchange, as off-exchange individual plans, or as group/employer sponsored plans. Narrow Anthem networks also include any plan with “Alternate Network” and Vivity.

Blue Shield has a narrow network known as the “Exclusive” or “Mirrored” PPO network which is used for all plans sold on the CoveredCA.com state exchange, and “mirrored” plans sold off-the-exchange to individuals or employer groups.  On the positive side, many Blue Shield narrow network plans pay 50% of “allowable/discounted” fees (which we will honor, as a courtesy) for out-of-network care. 

Aetna has a Savings Plus of California designation, which only Dr. Lener and Dr. Fogelson have, which may affect cost sharing in a few Aetna plans.

Patients in the above narrow PPO networks will be Out-of-Network patients at our office.

We do participate in a few Narrow PPO Networks in 2017:

We accept all HealthNet PPO plans.  This includes PPO plans sold on the CoveredCA.com State Exchange, so those patients can see our dermatologists here with in-network benefits.  Health Net does have two narrow network plans, PureCare One EPO and PureCare HSP, and we do participate in both of those.

Cigna’s LocalPlus is a narrow network that we were not in prior to 2017, but we are now In Network.  Starting in 2017, we are in the following Cigna PPO networks: Open Access Plus, Local Plus IN, Choice Fund LocalPlus, and Choice Fund LocalPlus IN. Dr. Mundi also has the Cigna Care designation, which may affect cost sharing for a few plans.

We are Out-of-Network for:

  • United Healthcare PPO
  • Anthem Blue Cross EPO
  • CoveredCA.com State Health Exchange plans, except HealthNet
  • Most Narrow PPO Networks
  • Oscar
  • HMO Only patients assigned to a Medical Group, IPA, or PCP, including: Kaiser Permanente, Monarch, SCAN, Greater Newport Physicians, Mission Hospital Affiliated Physicians, Mission Internal Medicine / Mission Heritage / St. Joseph Health, MemorialCare, and others
  • Medicare Advantage HMOs
  • Medicaid / Medi-Cal / Cal-Optima
  • Healthy Families (SCHIP)
  • Worker’s Compensation
  • Auto Insurance plans

Patients with United Healthcare PPO, Anthem Blue Cross PPO, or Blue Shield PPO that is considered by our staff as out-of-network/narrow-network will still only be asked to pay just their co-pay at their visit, and we will submit the claim to their insurance. After insurance processes the claim, we will send the patient a statement for the remaining balance not paid by co-pay and their insurance. Our office will continue this process as long as the patient’s insurance processes the claim without an outright denial and patients make timely payment of their portion of the balance.  Patients’ Out of Network deductible will usually apply to these claims.

Patients in other out-of-network plans will be asked to pay our office directly for their care on the date of service.

Self-Pay Discounts

In an effort to provide patients with fees that are fair, we now provide self-pay discounts to patients based on their total medical charges for that visit.  This plan allows patients with a reasonable alternative to what otherwise might be restricted options for seeking Dermatologic care.

If a visit’s total medical charges are:       Your discount off those charges will be:

Up  to  $200:                                                       20%

$201 – $600:                                                      30%

Over    $601:                                                       40%

Some restrictions do apply.  For example, payment must be made by patients on the date of service to receive the discount.  We cannot offer these discounts to patients with insurance with whom we are in-network, and we will not submit any claims. These discounts are not based on and do not apply to any of our non-medically necessary or cosmetic services, and the discounts cannot be combined with any other discounts.   Please direct any questions to our billing team at (949) 207-3182.

Understand your plan network and benefits

It is our recommendation that patients call their insurance about a week before their visit and ask if your doctor at our office is in their Network, and what specific benefits will apply.

If we are out-of-network, patients should ask what benefits they have for out-of-network providers, so that there are no financial surprises.  Sometimes there is a separate deductible or other payment differences for out-of-network care.  But we have many patients that are cared for on an out-of-network basis and are pleased with how it is handled at our practice.

Thank you for taking the time to understand our insurance policies. Our mission is to provide high quality Dermatologic care.  Insurance details can be challenging – please contact our billing team at (949) 207-3182 with questions.


Patient Portal

The Patient Portal gives our patients secure 24/7 web access to their medical information from the comfort and privacy of their own home or office.   Our staff will web enable patients at the appropriate time during office visits, and your username and password will be emailed to you.

This service is free to all established patients.

Through the Patient Portal, patients are able to:

  • Receive Biopsy and Lab Results
  • Get appointment confirmation and reminders via email
  • Send and receive messages with doctors and staff (please allow 2-3 days for response)
  • View current and past appointments
  • Review medications and request prescription refills
  • Update contact information
  • Access medical record
  • View current and past statements, and make payments

Our office will make efforts to web enable all patients.  If any established patient would like to be web enabled before their next visit, just call the office and our staff can do that for you.  New patients will not be web enabled until they arrive for their first visit.

The portal is not for diagnosis, treating new conditions, or urgent messages.

Click here to access the Portal at portal.LaderaDerm.com

Your confidentiality is important to us. When you connect to the portal, you are connected to a secure web site. Only the limited information you see is securely stored on the portal, but your actual records are maintained securely in our office. If you wish to deactivate the service, just let us know.  All internet communication via the portal is recorded in your medical record. Staff members other than your physician will be involved in receiving your messages, and routing them to the doctor or staff as necessary. You may certainly use the web site at any time, however we will most likely not respond until our usual business hours.  We will do our best to respond to any portal requests as quickly as possible, but because your doctor may not be working every day, please allow us 2-3 business days to respond.

If you have any questions or comments about the patient portal, please contact our office staff.


Tips For Getting Prescriptions & Prescription Refills

Office Information | Office Hours | Form Downloads | Ladera Ranch CA | San Clemente CAFor all prescription refills, contact your pharmacy first.  If there are no refills available, have your pharmacy contact our office.  This is the most efficient way to get your prescription refilled.  If you have not heard from us within 24 hours, please contact our office.

It is our office policy that patients must have been seen within the year in order to get a prescription refilled.  This is to ensure that you get the optimal care you need.  If it has been more than a year since your last visit, please schedule an appointment.  If the refill is urgent, inform our staff and we will make all possible efforts to get you an appointment in a timely manner.


Use of Electronic Medical Records

Office Information | Office Hours | Form Downloads | Ladera Ranch CA | San Clemente CAElectronic medical records (EMR) are digital records of your health care. We are a comprehensive electronic medical record facility with an ongoing commitment to improving access to your health records. By using industry leading technology, we are better able to provide you with the best patient care possible.

Some benefits include the ability of our physicians to access your health records easily whether we are in the office or on weekends when you call with a health concern. We are able to quickly retrieve all your health information, update your medications, allergies and medical history, and prescribe treatments more efficiently by sending them directly to your pharmacy. In addition, the patient portal allows you to access, view, and update your health information. It allows you to communicate with our office more efficiently saving you time.

By going paperless, we feel that we are doing our part in helping the health care industry to provide better, more comprehensive care and create efficiencies that will eventually provide overall cost savings.


Notice of Privacy Practice

Click on the link below to view our Notice of Privacy Practice:


Biopsy Results

Our office will notify you of your results either through our Patient Portal or by phone.  If you have not heard from our office within 3 weeks of your biopsy, please call for your results.  We do notify everyone of their results so if you have not heard from us, please do not assume that your results are normal.

back to top

ABD AAD