All appointments once confirmed have a 48-hour cancellation policy (2 days before your appointment). All appointments are subject to a $150 no show/cancellation fee.
All gastroenterology appointments are subject to a $450 cancellation fee.
Because of today’s managed care plans with their In-Network Deductibles and Co-insurance Charges, we now require that we have a credit card on file for all patients. Most visits are fully covered so this is only a precaution. Nothing will be charged to your card unless services are not covered by your insurance company or if your plan includes unforeseen charges. No charges will be made without your notification.
If you’d prefer to pay out-of-pocket, we accept cash as well as all major credit cards.
What is a Deductible?
The deductible is the amount of money that you may have to pay 100% out of pocket over the course of one year before covered healthcare is paid for by your insurance company. In most cases, copayments or coinsurance costs will not count toward your deductible, and preventive doctor visits such as regular PCP check-ups or vaccination appointments are usually covered whether the deductible has been reached or not.
What is an Out of Pocket Maximum?
This one may seem a little more self-explanatory. In addition to a deductible, some plans will have a separate, higher number which places a maximum amount that you can spend out of pocket during one year. After your out of pocket maximum is reached, one hundred percent of medical costs will be paid for by your insurance provider. Some packages are “no cost after deductible” plans, in which the deductible itself represents the out of pocket limit.
What is a Copayment?
A copay is the set amount of money that you will be required to pay for various services which are covered under your health insurance. Copayments will vary from plan to plan and service to service – for instance, a normal visit to your primary care provider may have a different copay than an urgent care visit or mental healthcare appointment, etc.
What is Coinsurance?
Once your deductible has kicked in, your coinsurance determines the percentage of your healthcare costs that will be shared between you and your insurance provider. So, if your coinsurance is 20%, you’ll be required to cover 20% of costs while your insurance carrier takes care of the other 80%, from the point the deductible is reached up to your out of pocket maximum. A no cost after deductible plan will show 0% under coinsurance.
We accept the following health insurances:
1199
Aetna
Alliance (PPO)
Beech Street
Cigna
Emblem
Empire Blue Cross Blue Shield
Freelancers
GHI
HealthNet
Island Group Administrators
Magnacare
Medcal
Multiplan
MVP
Nippon Life Benefits
NYS Empire Plan
Oxford Freedom
Oxford Liberty
PHCS
POMCO
UnitedHealthCare
Please bring a NY State driver’s license or valid government ID, along with your insurance card.
For Referral Requests
Please note, we require you to have come in for an appointment in the last 6 months. For any additional questions please email referrals@momnyc.com.
