Open the areola paperwork below. Download your own copy, complete all applicable sections, and save the completed file.

Once completed, email your forms to Seachellespm@aol.com or text them to (941) 348-1933.

If you need help opening or completing the paperwork, call (941) 348-1933.

Insurance Billing Assistance

Clients with Aetna, Cigna, or Meritain Health can contact Medical Tattooing Billing Services (MTBS) to discuss their plan and possible insurance billing assistance. MTBS must confirm eligibility and any required approval steps before treatment.

Phone: (407) 982-4876
Email: claims@mtbs.ink
Website: www.mtbs.ink

Insurance Resources for Clients Paying Out of Pocket

These resources are for clients who pay SeaChelle’s, LLC out of pocket and wish to ask their insurance company about possible reimbursement. Reimbursement is not guaranteed. Before treatment, confirm your plan’s coverage, provider eligibility, prior authorization requirements, and claim documents and deadlines.

Client Insurance Guide

Use this one-page, fillable guide when you contact your insurer. Record their answers and ask what you will need to request reimbursement after paying out of pocket.

Download Client Insurance Guide (PDF)

Medical Necessity Letter Template for Your Doctor

Give this template to your surgeon or treating physician. Your doctor must personalize it based on your medical history and clinical needs, then sign it. A medical necessity letter does not guarantee coverage or reimbursement.

Download Doctor’s Letter Template (PDF)

Download and save your own copy before filling it out. If you need assistance, contact Michelle at (941) 348-1933.