Insurance and Payment Information

Scroll Down or Select a Topic:

Payment Information

Patient Payment Responsibility

We collect all patient responsibility (copays, deductibles, and coinsurances) at Check-In for procedures and office visits.

We can give you an estimate of what you will be expected to pay, if you would like an estimate please call the billing department at 315-424-1430 ext. 7.

Please be aware that we have not collected outstanding deductibles in the past, and have billed patients for deductible amounts subsequent to payment and notification of your remaining deductible by your insurance carrier. We now have the ability to verify, in real-time, your outstanding deductible amounts at the time of service. We will be collecting these deductible amounts along with your co-pay or co-insurance amounts. Please bring your insurance card to every visit.

Any patient with a past balance will be asked to pay the balance and the estimated responsibility at check in.

Back to Top

Scheduling a Procedure

All procedures are done in the afternoon. Before a procedure can be scheduled a provider must do an evaluation of the area and agree with the procedure.

If you are scheduling a procedure, we will be able to provide you with an estimate of charges prior to the procedure. We will collect payment based on this estimate. Final charges will be determined following the completion of the procedure. Additional charges will be billed to you by statement, and any over-payments will be refunded by check. If you have a specimen sent to the lab, you may also receive a bill from the laboratory for the pathology/testing.

Back to Top

Cosmetic Procedures

To schedule a cosmetic service the treatment plan must be approve by your provider. There may be an initial cosmetic consultation fee for the first time that a cosmetic procedure is discussed.

Cosmetic procedure payments are only by cash or credit card. No checks will be accepted for cosmetic procedures.

Back to Top

Payment

We accept cash, check, MasterCard and Visa. We do not accept checks for cosmetic procedures or self-pay accounts.

Back to Top

Last Updated: 04/22/2016
Insurance Information

We participate with the following carriers

  • MVP/CIGNA
  • Aetna
  • Pomco (SU: Pomco needs a referral from your primary care provider)
  • Excellus BCBS (except products listed below)
  • Upstate Medicare
  • Railroad Medicare
  • GHI/EMBLEM
  • United Healthcare Empire
  • United Healthcare (except products listed below)
  • Lifetime Benefit Solutions formally EBS-RMSCO (employees of Nine Mile Point need a referral from your primary care provider)
  • Univera
  • Today‚Äôs Options
  • Martins Point (Referral from your primary care provider needed)
  • Insurances that use the Mulitplan or PHCS Network

Back to Top

Medicare Advantage Plans we participate with

  • Excellus BCBS
  • MVP Gold Advantage
  • United Healthcare
  • American Progressive: Todays Options
  • Wellcare
  • Aetna (effective as of January 15th 2014)
    • Aetna Medicare HMO plan WE DO NOT PARTICIPATE

Back to Top

We DO NOT participate with

The following insurances we DO NOT have contracts with but we will courtesy bill for you. You will still be expected to pay your patient responsibility (copays, coinsurance, and deductibles) at check in

  • Humana (Humana GOLD and Humana HMO is NOT accepted)
  • Seiba
  • Mutual of Omaha
  • Aetna Medicare HMO
  • Aetna Medicare HMO through Syracuse
** For insurances not listed, please call the billing office. **

Due to state laws, federal laws or practice policy we are prohibited from providing care to you as a self-pay patient. We will be unable to see you as a patient in the practice. These insurances include, but are not limited to

  • Excellus BCBS
    • Value med plus
    • Healthy NY Products (child health, family heath, essentials plan)
    • Medicaid
    • HMO Blue Option
    • Essential Plan
  • CDPHP Commercial HMO
  • Choice Plus
  • Choice Care
  • EPOCH
  • Evercare
  • Fidelis
  • Healthnow
  • Medicaid
  • Totalcare
  • Touchstone Health
  • Republic Health/Freelancers
  • Magnacare
  • United Healthcare
    • Definity Health
    • Child Health Plus
    • Family Health Plus
    • Managed Medicaid
    • Americhoice
    • Community Plan
  • Humana
    • Humana Gold
    • Humana HMO
  • Essentials Plans

** Please note that this is not a complete list and is subject to change. **

Last Updated: 04/22/2016
Additional Information

More Insurance/Payment Information:

Billing Changes as of January 1, 2014

Notification of Financial Practice and Policies

Last Updated: 04/22/2016
Announcements
Due to the tremendous changes in health care in the coming year, please visit our Insurance and Payment section for more information on the changes within the practice policies that may impact you.

Click here for our Insurance and Payment Section
Announcements
As of March 1st, 2013, we are asking all patients to fill out our new paperwork. Please take the time to fill out these new forms and bring them with you to the appointment. Patients that have had appointments before March 1, 2013 are being asked to fill out our new patient paperwork found below. This paperwork allows the office to remain HIPAA compliant and better serve you as a patient.

Click here to access the forms.