Are we on your insurance plan?
We participate with many different insurance plans and will file for reimbursement. It is your responsibility to know the details of your health insurance plan with regard to referrals, co-payments, and percentage of coverage.
We require your co-payment at the time of the visit. In addition to cash and checks, we also accept VISA and MasterCard. Please call our billing/insurance department at (716) 675-5222 if you have questions about your insurance. We have in-house full-time billing/insurance/financial representatives to answer your questions, determine which services your insurance covers, and coordinate your benefits with your insurance company.
Billing for Laboratory Procedures
All laboratory procedures are billed separately from your office visit by the establishment that provided the service. If you still have a question and need additional help, please do not hesitate to call our office.
If you receive a bill from one of the reference labs, please call the listed number for questions. Their phone numbers for your reference are:
- Quest: 1-800-326-4756
- Genzyme 1-800-326-7002 (Genetic testing only)
- Kaleida Health 716-859-7200
- X-Cell Labs 716-250-9235
Decoding Your Coverage
Deductibles are paid out of pocket each year before insurance kicks in. Each family member usually has a separate deductible. Some of these plans include High Deductibles or Medical Savings Accounts. Co-Payments are flat fees charged each time you visit the doctor or use any medical service, regardless of the cost of the procedure. Coinsurance requires you to pay a percentage of the total cost of the care. Many plans require either co-insurance or co-pay but some charge both. Maximum out-of-pocket expense is the most you’ll have to spend before all of your medical bills are covered.
We participate with the following insurance plans (check with us regarding your coverage if your insurance is not listed, changes may have applied):
- IHA–all lines of business
- Blue Cross BlueShield of WNY – all lines of business
- Univera–all lines of business
- Medicare Part B
- Railroad Medicare
- NYS Medicaid (Established patients only)
- FidelisCare NY
- Aetna–Magnacare coverage only
- PHCS/Multiplan (Beechstreet, United Healthcare, UMR, POMCO, Consolidated Health, etc)
- United Healthcare/Empire Plan