Insurance Information and Appointment Booking

Insurance Information

At ESSE Care we strive to work with your insurance provider for surgical costs.

We are happy to call your insurance on your behalf and provide a complimentary update on your plan and what you have met for deductibles and out-of-pocket costs.

By providing your basic information and insurance card we can have our team contact them and find out your benefits.

Provider Pricing

Office Visit Fees (Out-of-Network):

Office visits are charged upfront for the time required. You will receive a receipt and a super-bill to submit to your insurance for coverage. The super-bill includes specific insurance coding related to your diagnosis and visit, including exams and ultrasounds.

Please note: The cost of your visit will be applied to your out-of-network deductible. If met, your insurance may reimburse a portion of the visit. This will be sent directly to you by your insurance.

Esse Care Consult fee – $250 per 15 minutes required

Duration	Fee
1 hour 30 minutes	$1,500
1 hour 15 minutes	$1,250
1 hour	$1,000
45 minutes	$750
30 minutes	$500
Sonogram review only	$250

All consultations include:

Comprehensive medical history review
Detailed symptom analysis
Treatment planning
Imaging interpretation when available
Educational resources specific to your condition

Note: Complex chart review, case planning, and imaging interpretation are included in these rates.

Our Healthcare Providers

Dr. Karli Provost Goldstein

Minimally Invasive Gynecologic Surgeon & Endometriosis Specialist

Dr. Karli Provost Goldstein is a board-certified, fellowship-trained expert in minimally invasive gynecologic surgery, specializing in advanced laparoscopic and robotic excision of endometriosis, fibroids, adenomyosis, and pelvic pain. She uses fertility-preserving techniques to treat even the most complex cases involving the bowel, bladder, diaphragm, and nerves, performing deep excision through tiny incisions for long-term relief and optimal recovery.

At ESSE Care and Wellness, Dr. Goldstein takes a whole-body, hormone-aware approach, combining expert surgical care with personalized treatment plans that address root causes of pain, inflammation, and hormonal imbalance. Her integrative model blends advanced diagnostics, pelvic floor therapy, acupuncture, nutrition, and mind-body healing to support every aspect of wellness, empowering patients to restore balance and reclaim their lives.

Dr. Leigh Rosen

Minimally Invasive Gynecologic Surgeon. Dr. Rosen specializes in reproductive surgery.

Dr. Leigh Rosen is a board-certified OB/GYN and fellowship-trained Minimally Invasive Gynecologic Surgeon with expertise in advanced laparoscopic and hysteroscopic procedures for fibroids, polyps, uterine septums, Asherman’s syndrome, hydrosalpinx, and more. With deep experience in fertility-focused surgery, Dr. Rosen brings a compassionate, precision-based approach to caring for patients navigating infertility, complex diagnoses, or the emotional challenges of reproductive health.

At ESSE Care and Wellness, Dr. Rosen offers personalized consultations centered on connection, empathy, and whole-person care. She tailors every surgical plan to the individual—recognizing that no two patients’ paths are the same—and combines her surgical expertise with thoughtful communication and emotional support. Her goal is to make every patient feel heard, safe, and empowered at every stage of their journey.

Dr. Rosen’s surgical coordination team works closely with your insurance to maximize coverage whenever possible from fertility treatments to surgeries.

Services We Provide

Our clinic specializes in advanced reproductive care services, with varying insurance coverage depending on the procedure:

Consultations, Case Reviews and Office Visits

Comprehensive evaluations with our specialists to address reproductive health concerns.

Our consultation services include:

Medical history review
Symptom evaluation
Treatment planning
Follow-up care

Billing: Generally out-of-network for office visits; superbills provided for insurance submission.

Diagnostic Procedures

Advanced testing to identify reproductive health conditions.

Available diagnostic options:

Ultrasound imaging
Hormone testing
Fertility assessments
Specialized reproductive diagnostics

Billing: Often partially covered by insurance; we provide detailed coding for maximum reimbursement.

Surgical Procedures

Minimally invasive and advanced surgical interventions.

Surgical services we provide:

Laparoscopic procedures
Endometriosis excision
Fertility-preserving surgeries
Reproductive organ restoration

Billing: We work directly with your insurance company to seek coverage for surgical procedures.

Lifelong Care & Whole-Body Wellness

Comprehensive support addressing the interconnected nature of reproductive and overall health.

Featured wellness offerings:

Holistic health assessments
Teenage gynecology
Nutritional counseling for reproductive health
Mind-body integration therapies
Hormonal balance support throughout life stages
Preventative wellness planning

Billing: Many wellness services may be partially covered by insurance; we provide detailed documentation to maximize your benefits.

Insurance

Insurance Type	Fee / Billing Method	What to Expect
In-Network	Insurance billed directly	You pay only your copay or coinsurance at time of service
Out-of-Network	$1,000/hour or $500/30 minutes	Full payment due at time of service; superbill provided for insurance submission

In-Network

Fee / Billing Method: Insurance billed directly

What to Expect: You pay only your copay or coinsurance at time of service

Out-of-Network

Fee / Billing Method: $1,000/hour or $500/30 minutes

What to Expect: Full payment due at time of service; superbill provided for insurance submission

We are out of network with ALL major insurance providers. However, with CERTAIN PLANS, we can work with your insurance for coverage on the surgical fees and associated costs, depending on your POLICY. In certain cases we are able to obtain a one-time approval for the surgery as an in network exception

Out-of-Network Plans:

Aetna
United
Oxford
BCBS
Empire Plan
Cigna
GHI/ Emblem

Our office and billing department can assist in verifying your benefits and potential costs. To do this, we require a copy of your insurance card (front and back) and some basic demographic information. This process ensures transparency about costs before your appointment.

Plans Not Accepted:

Medicare
Medicaid
Tricare

Please note: Tricare, Medicare, and Medicaid do not reimburse physicians out of their network. These will be treated as cash payments.

Superbills & Insurance Coverage

For out-of-network services, we provide detailed superbills containing:

Provider information and credentials
Specific diagnosis codes (ICD-10)
Procedure codes (CPT) for all services performed
Detailed receipt showing your payment

You can submit this superbill to your insurance company for possible coverage, which will be sent directly to you. The visit cost will also be applied toward your out-of-network deductible.

Verifying Your Coverage

We want to help you understand your insurance benefits before your visit. We’re happy to call your insurance on your behalf and provide a complimentary update on your plan and what you have met for deductibles and out-of-pocket costs.

Check Your Coverage Yourself

To understand your out-of-network benefits, you can contact your insurance provider using the number on the back of your card and ask:

Do I have out-of-network coverage for physician services, imaging, and surgery?
What percentage of the visit is covered?
Is there a limit to how many visits are covered per year?
Do I have an out-of-network deductible to meet? What is my out-of-pocket maximum?
What diagnoses are covered?
How do I submit super-bills for reimbursement? (Please email us the required forms if necessary.)

Let Us Help You

By providing your basic information and insurance card, we can have our team contact them and find out your benefits. To do this, we need:

A copy of your insurance card (front & back)
Your date of birth
Your contact information

We'll provide you with a complimentary update on your benefits, so you understand your coverage before your appointment.

Billing Procedures

Office Visits

All office visits are billed based on time spent with the provider.

Payment is due at the time of service
Fees are based on appointment duration and complexity
Superbills are provided following your appointment

Surgical Procedures

For surgical interventions, our billing process is more comprehensive:

Initial case review to determine complexity and expected duration
Coordination with your insurance provider before scheduling
Verification of benefits and coverage for specific procedure codes
Detailed estimate of your potential financial responsibility
Discussion of payment options before proceeding

We work extensively with your insurance company to maximize your coverage for surgical procedures.

Case Reviews

To determine if you're a good candidate for care at ESSE, we offer comprehensive case reviews of:

Medical records
Recent laboratory results (within 6 months)
Imaging studies (within the last year)
Prior operative reports with pathology

Note: Records exceeding 50 pages may require a consultation fee due to the extensive review time needed.

Payment Options

We accept and encourage you to use flexible spending and health savings account debit cards for all services. These pre-tax accounts can help offset out-of-pocket costs.

Credit / Debit Cards

We accept all major credit and debit cards for your convenience.

FSA / HSA Accounts

These pre-tax accounts can significantly reduce your healthcare expenses.

Getting Started with ESSE Care

Contact ESSE to Verify Insurance

Submit your insurance information over the phone or through our online form. We'll verify your benefits and let you know what's covered and what's not before your appointment.

Schedule a Visit

Book an appointment with one of our specialists to discuss your health concerns. Once insurance is reviewed, you'll submit payment to secure your visit.

Prepare for Your Appointment

Please bring the following to your appointment:

Photo ID
Insurance card
List of current medications
Relevant medical records
Previous imaging or lab results
Payment method (credit card, HSA/FSA card)

Finding Your Way Through Healthcare Costs: A Personal Message from ESSE Care

At ESSE Care, we know that navigating insurance and medical bills is often one of the most overwhelming parts of seeking care—especially when you’re already dealing with symptoms, uncertainty, and the emotional toll of being unheard for too long.

We want you to know: you’re not alone. From your first phone call to your last follow-up, we’re here not just to treat your symptoms, but to guide and support you through every step of your care—including the financial journey.

Why We’re Out-of-Network—and Why That Might Be the Right Path for You

We choose to operate independently of traditional insurance networks so that we can offer care that is truly patient-centered—without the constraints or time limits often set by insurance-based models.

This means your visit won’t be rushed. Instead of a standard 15-minute appointment, we take the time—often an hour or more—to listen deeply, evaluate thoroughly, and create a care plan that reflects your unique needs and goals.

We understand that “out-of-network” can feel unfamiliar. Our focus is on providing thoughtful, expert care that prioritizes your experience and long-term wellness, without compromise.

Making Your Insurance Work for You

Over the years, we’ve helped hundreds of women and families navigate their coverage—and we’ve learned a few things that really work:

Don’t take the first “no” as final. Many patients win appeals with the right language and persistence. We’re here to help you with that.
Use the phrase “network adequacy.” If your insurance plan doesn’t offer someone with the expertise to treat your condition, you can request an exception. We’ll walk you through how.
Use your HSA or FSA. These pre-tax accounts can give you an automatic 20-30% discount on medical care.
Track everything. A simple document with dates, names, and notes from every call can protect you—and save hours of stress down the road.

Don’t Give Up—We’re Here to Fight for You

We know it’s hard. You may have already seen multiple doctors and still not have answers. But please don’t give up.

We are here to advocate for you—with your insurance, your care plan, and your long-term healing.

💛 Call us. Tell us what’s going on. Let’s figure this out together.

Why Specialized Care Is Worth the Investment

Time and time again, we hear stories like this: a patient comes to us after years of misdiagnosis, multiple providers, and tens of thousands spent on treatments that never addressed the root cause. And within a single consultation, there’s finally clarity—a diagnosis, a plan, and real hope.

Choosing expert care early can mean avoiding years of frustration, failed treatments, and unnecessary procedures. At ESSE Care, we’re committed to giving you the answers you’ve been searching for.

You’re Not Just a Patient. You’re a Whole Person.

At ESSE Care, we understand that financial concerns are part of your story. They matter. That’s why every member of our team—from your first point of contact to your surgeon—approaches your care with empathy and transparency.