Insurance & Payment Policies

For well visits, make sure that your insurance company will cover the exam if it has been less than a year since the last one. Some insurance companies require a full calendar year between well visits (starting at age 2 years) while others allow a physical anytime within each year (one in 2017, one in 2018, one in 2019, etc.) ​Here is a current list of insurance companies of which we participate. Please note: that this list is subject to change. If you have any questions regarding insurance, please call our office. Aetna Blue Point Blue PPO Cigna EBS Benefit Solutions Emblem Health Empire Blue Cross/Blue Shield Excellus Blue Cross/Blue Shield Fidelis First Option Health GHI Great West PPO HealthNow of New York Healthsource Provident (through Cigna) Healthsource Provident (through PHCS) HMO Blue MultiPlan MVP North American Preferred – PPO, Care Net And Preferred OnPoint Private Healthcare Systems POMCO Preferred Care RMSCO United Healthcare – Empire, HMO, POS, PPO, EPO, Choice Plus Univera Healthcare

We accept cash, checks, post-dated checks, and VISA, MASTERCARD, and DISCOVER.

Please bring your insurance card to every visit, and if you receive a new card, bring it in for us to scan. If your insurance card lists a primary care provider (PCP), please make sure our physician's name appears on the front. If it does not, or if we have incorrect information and cannot bill your insurance company, you may be held financially responsible for the visit.

We collect co-pays and balances at the time of your visit, before your appointment. We will charge a $10.00 service charge if you are unable to pay your co-payment at the time of service. If you pay the co-payment no later than 15 days after the visit, we will waive the service charge.

Full payment is expected at time of service. All accounts with unpaid balances over 60 days will be assessed a $15.00 monthly statement fee.

If we have been unable to resolve your insurance claim within five months, we will notify you by U.S. mail requesting you check into the delay. If the claim is still unresolved after six months, we will request payment directly from you.

You are responsible for understanding your insurance company and your benefits, as covered services vary by plan. Please refer to your plan to check covered services and participating Labs and X-ray facilities. Not all insurance companies cover a yearly well child exam, vision screenings, and hearing exams; if these are not covered, you may be responsible for payment. Additionally, most insurance companies will pay for only 1 physical exam annually after age 2. When an exam exceeds the normal and customary time, additional billing codes may be used, and the insurance company may bill the patient for the extended time and diagnoses.

Our practice is committed to providing the best treatment for our patients and we charge what is usual and customary for our geographic area. You are responsible for payment regardless of any insurance company’s arbitrary determination of usual and customary rates.

All patients under 18 must be accompanied by a parent or legal guardian. The adult accompanying a minor patient and the minor's parent/legal guardian are responsible for full payment at the time of service. We require a parent or legal guardian to be present at any well-child physical and immunization appointments; if you cannot be present, we must have written permission signed by the parent, along with a phone number to reach you during the office visit.

If you can't keep an appointment, please give our office 24 hours' notice. We will charge a $25.00 fee for each missed appointment. Multiple missed appointments will result in discharge from our practice.