Yes, we are currently accepting new patients.

Important Insurance Considerations   At this time, we are unable to work with certain insurance plans because they often result in significant out‑of‑pocket costs for treatment and medications. We are not able to accept Medicare Advantage Plans, Medicare without a Supplement, Medicaid, NH Healthy Families, WellSense, AmeriHealth Caritas, Tricare, Humana, Martin’s Point, Aetna, MVP Health, UMR, Harvard Pilgrim, United Healthcare, or Blue Cross/Anthem plans of Massachusetts. We are also unable to accept any out‑of‑pocket group plans, and we do not offer a Self‑Pay option.

We gladly accept many commercial insurance plans, as well as Medicare with Supplemental Insurance (i.e., Medigap Plans that cover the 20% not covered by Part B).

At this time, we are unable to accept the following insurance plans: Medicare Advantage Plans, Medicare without a Supplement, Medicaid, NH Healthy Families, WellSense, AmeriHealth Caritas, Tricare, Humana, Martin’s Point, Aetna, MVP Health, UMR, Harvard Pilgrim, United Healthcare, Blue Cross/Anthem plans of Massachusetts, and any out‑of‑pocket group plans. We are also unable to accept Self‑Pay

Why We’re Unable to Accept Certain Insurance Plans   Some insurance plans cannot be accommodated in our practice because they often result in significant out‑of‑pocket costs for treatment and medications. Our goal is to help patients avoid unexpected expenses, so we encourage everyone to verify their coverage before scheduling.

YOU ARE RESPONSIBLE FOR THE FOLLOWING:

Verifying Coverage

Before your appointment, please contact your insurance company to confirm whether our office is considered an in‑network provider under your specific plan. Insurance coverage can vary widely, and even if we accept a particular insurance company, your individual plan may not include our services. If your plan does not cover care with us, you would be responsible for the full cost of the visit. You are also responsible for obtaining any required insurance referral from your Primary Care Provider prior to your appointment.

Ensuring Premium Payments are Up to Date

Affordable Care Act (“Marketplace”) plans may show coverage as active even when monthly premiums have not been paid. If a payment is missed, the insurance company may later deny infusion claims, which could leave patients responsible for the entire cost of treatment.

All new Patients start with Referrals.

If you are a New or Returning Patient to our Practice referrals are required.

We kindly ask that you obtain a referral from your primary care provider, regardless of whether it is required by your insurance company. The referral should include office visit notes, laboratory results, written imaging reports (we do not require the images themselves), and any relevant hospital records. If you are transferring from another rheumatology practice, we also request that you provide your current medical records so that we can thoroughly evaluate your ongoing treatment plan.

Important Update for Marketplace Insurance Plans

Some Affordable Care Act (“Marketplace”) plans may show coverage as active even when monthly premiums have not been paid. If a payment is missed, the insurance company may later deny infusion claims, which could leave patients responsible for the full cost.

New Requirement Before Infusions

Patients with Marketplace insurance plans must provide a photo or screenshot from their insurance portal showing that the most recent premium has been paid before each infusion appointment.

This proof can be emailed to nero@nero.care, faxed to 603-995-4137 or uploaded via your patient portal to our office.

Recommended timeframe

To avoid delays or rescheduling, please send your proof of payment at least 48 hours before your scheduled infusion.

We appreciate your cooperation as we work to reduce financial risk and ensure uninterrupted care

How long will this process take?

The duration of this process varies based on the receipt of your referral. Typically, it can take anywhere from 2 weeks to 2 months. As a small private practice, we meticulously review each referral with the utmost care and attention it deserves. You are welcome to call in and check the status

Our primary care is provided through in‑office visits. Telemedicine is available for urgent concerns or when clinically appropriate. Our secure telemedicine platform, doxy.me, can be accessed through the Telemedicine page on our website.

Note: You are responsible for verifying whether your insurance plan covers telemedicine visits. Coverage varies by insurer and individual policy, so please contact your insurance provider directly to confirm your benefits and any potential costs before scheduling a telemedicine appointment. If your plan does not cover telemedicine services, you will be responsible for the full cost of the visit.

Always call your pharmacy first to see if they have an active refill on file. Prescription refill requests to the office require a 72 HOUR lead time to be processed, be aware that some specialty medications will take much longer due to the prior authorization process. Always call weeks in advance before you are out of your medication, this will ensure process time and availability at your pharmacy. Have your RX information handy when calling including the name of the drug, and the current dosages you take daily.

Once you are connected to the Patient Portal Breeze the office cannot help with any technical issues. Please contact Technical Support at gobreeze.