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Insurance And Office
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Our practice participates in many insurance
plans. An updated list is available on this web site or
by contacting our office. Since each plan has different
requirements and coverage limitations and exclusions, it
is the responsibility of the patient to understand and meet
the requirements of their individual plan. Most patients
will have a "co pay" (a portion of their changes
which is not covered by insurance). Those covered by Medicare
and some other insurance plans may have "deductibles"
as well. Many Insurance plans and Medicare do not consider
"routine" check-ups (those performed without regard
to specific medical problem) or "screening "laboratory
studies to be covered services .Co pays, deductibles and
non-covered charges are payable at the time services are
rendered. Our billing staff is available to assist you with
questions you may have about coverage conditions and payment
arrangements.
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Laboratory, Radiology
and Hospital Charges |
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Due to the requirements of some insurance
companies or the nature of certain laboratory studies, your
lab tests may be sent from our office to a reference laboratory.
Reference laboratories are independent of our practice and
will bill separately for their services. For all laboratory,
radiology and hospital charges, it is the patient's responsibility
to determine if these providers are covered by your individual
plan. Most will bill your insurance directly. If you have
questions about bills and cannot resolve them with the insurance
company or other provider directly, please talk to a member
of our billing staff.
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HMO Referrals |
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Many managed care plans require that patients
obtain referrals from their primary care physician prior to
their appointment with a consulting specialist. It is the
patient's responsibility to obtain a valid referral prior
to seeing the specialist. Authorization is usually required
by managed care plans prior to procedures.
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Insurance Plans Accepted
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We are a participating provider with the
following insurance companies. If you have questions regarding
billing, please call the office during normal business hours
for referrals to the billing service.
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- Aetna US Healthcare
- Blue Cross/Blue Shield
- Blue Shield Northeast NY
- CDPHP
- Cigna
- Empire Healthchoice
- GHI
- GHI/NYC
- H.I.P.
- Local 825
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- Magnacare
- Medicare
- Multiplan
- Mvp Health Plan
- NYS Government Empire Plan
- Oxford (Freedom/Liberty)
- Orange Ulster School District
- Performax
- PHCS
- Pomco
- United Healthcare
- Wellcare
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If you don't see your insurance carrier
listed, please contact our office.
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| We accept Medicare
and most major HMO's & Insurances |
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