Insurance & Policies

We want to make your experience at Ozog and Associates a pleasant one. To facilitate your visit with the allergist, please take the time to review the information below.

Please note: In order to best serve our sick patients who need urgent appointments, there will be a $25 charge for all appointments that are canceled less than 24 hours prior to the date of your visit. This includes no shows. Additionally, if you are more than 15 minutes late, you may be asked to reschedule your appointment.

1) What should I bring to my first visit?

2) What medications, if any, do I need to stop prior to my visit?

3) What forms do I need for my first visit?

4) Will my visit be covered by my insurance?

Your Visit
Please expect a new visit to take up to two hours, and a return visit to take about an hour. Please plan accordingly.
What should you bring to your appointment?
Driver’s license or identification card
Current insurance card
List of current medications with dosing and frequency
List of medications needing to be refilled
Relevant medical records (lab testing, x-rays, etc.)
Written referral from your primary care physician (HMO or POS)
New Patient Registration Form
New Patient History Form
HIPAA Form
Co-payment
Co-payment is due at the time of service.
Please arrive 15 minutes before your scheduled appointment time in order to properly check in and prepare for your visit.
If you cannot make your scheduled appointment, please call our office at least 24 hours before to notify us.
If the HMO or POS requires a written referral, you must have it faxed to us or bring it to your appointment.
We do not refill medications routinely by phone or fax.

Allergy Skin Testing
Allergy skin testing is a method used to determine the cause of your allergic symptoms. In order for your allergy skin testing to be as accurate as possible, all antihistamines, except for diphenhydramine (benadryl) should be held for one week prior to your initial appointment or your testing appointment. Benadryl should be discontinued at least 48 hours prior to your visit. We ask that you please hold the antihistamines (listed below) as they may interfere with your testing.

Please call our office if you have concerns about temporarily discontinuing your medications, or if you have questions about a particular drug.
Not all allergy medications need to be held prior to testing. You may continue your asthma inhalers or nebulizer treatments (controller and rescue), montelukast (Singulair), zileuton (Zyflo), and theophylline.

The following is a list of anithistamines that should be discontinued prior to your visit.

acrivastine (Benadryl Allergy Relief)
azelastine (Astelin, Astepro, Optivar)
brompheniramine (Bromfed, Dimetapp, Bromfenex, Dimetane, BPN)
fexofenadine (Allegra)
hydroxyzine (Atarax)
carbinoxamine (Clistin, Palgic)
cetrizine (Zyrtec)
chlorpheniramine (Chlor-Trimeton, Piriton, Chlor-Tripolon, HISTA-12)
clemastine (Meclastine)
cyproheptadine (Periactin)
desloratidine (Clarinex)
dexchlorpheniramine (Polaramine)
doxylamine (Unisom)
levocabastine (Livostin)
levocetirizine (Xyzal)
loratidine (Claritin)
ketotifen (zatidor)
meclizine (Bonine, Bonamine, Antivert, Postafen, and Dramamine (Less Drowsy Formulation)
olopatadine (Pataday, Patanase, Patanol)
pheniramine (Avil)
promethazine (Phenergan, Promethegan, Romergan, Fargan, Farganesse, Prothiazine, Avomine, Atosil, Receptozine, Lergigan)
pyrilamine (Mepyramine)
tripelennamine (Pyribenzamine)
triprolidine (Actidil, Myidil)

Forms

Patient Registration
Please download the forms below, and bring the completed forms to your appointment with us.

NEW PATIENT FORMS PACKAGE….

ROI – Release of Information Form

AQI – Authorized Qualified Individual

Auto-Pay Authorization Form

Insurance
Billing has become more and more complex due to changes in health care. If we have signed a participating agreement with your insurer, we will bill the insurer. You are responsible for your co-pay at the time of service, and any remaining balance from services rendered. If we do not participate in your insurance plan, payment is expected at the time of your visit. It is ultimately your responsibility to understand your insurance benefits with your insurance carrier.

Please check with your insurance carrier regarding your deductible for office visits (consultations with the Allergy Specialist) as well as a deductible for testing (Allergy Testing). These are often separate and you may be subject to a charge if you have not met your deductible for the year.

Some insurance policies have complex rules about what is and is not covered. Illinois Allergy and Asthma Specialists is always subject to the final determination of coverage by your insurance plan.