Carriers we participate with:
Blue Shield Until January 1st, 2025
NY State Empire Plan Until January 1st, 2025
We accept and bill Traditional Medicare part B , NY Worker's Compensation and No Fault Auto cases.
Blue Shield Until January 1st, 2025
NY State Empire Plan Until January 1st, 2025
We accept and bill Traditional Medicare part B , NY Worker's Compensation and No Fault Auto cases.
Please call your carrier to verify your plan's coverage. A few carriers require referral from a primary care doctor or prior authorization. You're welcome to contact our office in advance of your visit to have us help verify your coverage. Deductible, Co-payment & uncovered charges are due at the time services are provided.
Payment may be made by cash, check or credit/debit Cards.
If you have out of network coverage, we will provide you with a "super bill" with the information required to submit your bills to your carrier to be reimbursed. We will assist you when possible.
For Medicare Advantage (Part C Medicare) out of network plans you will be charged Medicare allowed fees for adjustments. If you have out of network coverage we will provide you with a "super bill" so you may submit your charges for reimbursement.
We continue to bill traditional Medicare Part B for you and accept payment from your carrier. You are responsible for all services that Medicare doesn't cover. Medicare only covers medically necessary spinal manipulation.
With a few exceptions, supportive and/or maintenance treatments, are not covered by insurance.
Only "Medically necessary" care is covered by insurance. It can be confusing to patients as to what type of treatment you are receiving. Please discuss this with the doctors if you have a question as to your type of treatment and if it's covered by your plan.
Medical Necessity: You must be on a treatment plan with defined, measurable, functional goals. There must be an end to treatment, once you reach maximum improvement. If continued improvement can be demonstrated with documented measures of objective functional improvement, your care will be covered.
Supportive Care is for minor flare-ups or natural fluctuations of chronic spinal problems for which there is no cure. Example: “My lower back is starting to hurt again. I’d like an adjustment and I’ll see how it goes. I'll call if I need another treatment.”
Maintenance Care- is long term, regularly scheduled care you feel helps your overall well-being and keeps your problem from worsening. Example: You feel good and you find that occasional adjustments prevent you from getting worse.
You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost
Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.
We make every attempt to follow HIPPA regulations and keep your Private Health Information (PHI) private.
BACK TO HEALTH CHIROPRACTIC PATIENT PRIVACY NOTICE
Payment may be made by cash, check or credit/debit Cards.
If you have out of network coverage, we will provide you with a "super bill" with the information required to submit your bills to your carrier to be reimbursed. We will assist you when possible.
For Medicare Advantage (Part C Medicare) out of network plans you will be charged Medicare allowed fees for adjustments. If you have out of network coverage we will provide you with a "super bill" so you may submit your charges for reimbursement.
We continue to bill traditional Medicare Part B for you and accept payment from your carrier. You are responsible for all services that Medicare doesn't cover. Medicare only covers medically necessary spinal manipulation.
With a few exceptions, supportive and/or maintenance treatments, are not covered by insurance.
Only "Medically necessary" care is covered by insurance. It can be confusing to patients as to what type of treatment you are receiving. Please discuss this with the doctors if you have a question as to your type of treatment and if it's covered by your plan.
Medical Necessity: You must be on a treatment plan with defined, measurable, functional goals. There must be an end to treatment, once you reach maximum improvement. If continued improvement can be demonstrated with documented measures of objective functional improvement, your care will be covered.
Supportive Care is for minor flare-ups or natural fluctuations of chronic spinal problems for which there is no cure. Example: “My lower back is starting to hurt again. I’d like an adjustment and I’ll see how it goes. I'll call if I need another treatment.”
Maintenance Care- is long term, regularly scheduled care you feel helps your overall well-being and keeps your problem from worsening. Example: You feel good and you find that occasional adjustments prevent you from getting worse.
You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost
Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.
- You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
- Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
- If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
- Make sure to save a copy or picture of your Good Faith Estimate.
We make every attempt to follow HIPPA regulations and keep your Private Health Information (PHI) private.
BACK TO HEALTH CHIROPRACTIC PATIENT PRIVACY NOTICE