Please understand that payment for services is considered part of your treatment and is due according to our financial policy.
Read our financial policy
Self Pay Discount
Patients without health insurance who are paying out-of-pocket receive a 10% discount when services are paid in full at the time of the visit.
Patient Responsibility
Please note that it is the responsibility of the patient or legal guardian to provide our office with complete and accurate insurance information. Patients with more than one insurance plan must notify each insurance carrier of the existence of multiple policies and ensure that their Coordination of Benefits (COB) information is kept up to date annually.
Failure to disclose insurance information on your registration forms, or delays in updating your insurance details, may result in denied insurance claims. In such cases, the patient/guardian will be responsible for all charges. Our office must adhere to insurance company deadlines for claim submission.
Plans We Do Not Participate With
Please verify participation with our staff before your appointment. At this time, our office does not participate with the following plans:
-Workers Compensation
-Medicare
-Medicaid
-UHC Medicaid Government Programs
-Excellus Government Products
-Total Care
-Essential Health Plans (through NYS Marketplace- call our billing dept to confirm)
If your insurance changes to any of the above plans (including as secondary coverage), you must notify our office immediately.
Usual and Customary Rates
Our practice is committed to providing high-quality care and charges fees that are considered usual and customary for this region. Patients are responsible for payment of services regardless of any insurance company's determination of allowable or customary charges.
Click here to update your billing or patient information
Click here to pay your bill online
AETNA
ONLY: EC, MC, OPEN CHOICE PPO, OPEN ACCESS EC, OPEN ACCESS MC, NATIONAL ADVANTAGE PROGRAM. Please confirm with the office that we participate with your plan |
BCBS of CNY - All products except government plans.
Our office does not participate with HMO Blue Option, Child Health Plus, ValuMed Plus, Family Health Plus or Medicare Blue PPO.
** NYS of Health- OUR OFFICE ONLY PARTICIPATES WITH COMMERCIAL EXCELLUS INSURANCE THROUGH THIS PROGRAM. We do not participate with any Essential products. Contact the office with any questions or to confirm we participate with your insurance. |
| CDPHP |
CIGNA- MUST HAVE MVP LOGO ON ID CARD
**You must have the MVP or MULITPLAN logo on your ID card |
| EMPIRE PLAN |
FIDELIS CARE NY **see below
OUR PRACTICE PARTICIPATES WITH FIDELIS MEDICAID, CHP & HBX- Metal Level Products ONLY *****We do not participate with the Fidelis NY Health Exchange products- Essentials or QHP
Always confirm with our office to be sure we participate with the plan you are enrolling in. |
MEDICARE - See below. We do not participate nor submit charges
Our office does not participate with Medicare; we are considered an "Opt-Out Provider", which mean you will be considered a self-pay patient and a waiver must be signed at every visit. Charges will not be submitted by our office nor by the patient and you agree and understand that we do not accept assignment. |
MULTIPLAN- **See note for participation
WE NO LONGER PARTICIPATE WITH MULTIPLAN (effective 7.31.2021) Please contact the Billing Dept for further questions. Our office will submit your claim on your behalf. |
MVP
**Our office only participates with GROUP POLICIES
**We do not participate with the NY Health Exchange MVP products or any INDIVIDUAL purchased policies. |
NY HEALTHCARE EXCHANGE/MARKETPLACE *see exceptions
*Allergy & Asthma Diagnostic Office accepts COMMERCIAL Excellus BC/BS plans. We do not participate with Excellus Essential plans from the Marketplace.
* Allergy & Asthma Diagnostic Office accepts Fidelis HBX-METAL LEVEL PLANS from marketplace. We do not participate with any other Fidelis plans from the Marketplace.
******PLEASE CONTACT THE OFFICE TO CONFIRM WE PARTICIPATE WITH THE PLAN YOU HAVE SELECTED.
Any other Marketplace/Exchange plan will not be accepted in this office. |
UNITED HEALTHCARE - All products EXCEPT UHC Medicaid or UHC CHP
All products except United HealthCare Child Health Plus or United HealthCare Medicaid. Please contact the office to confirm we participate with your plan. |
**For those patients who do not have health insurance, we offer a 10% discount on services
paid in full at the time of service.