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[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ specialty=”on” _builder_version=”4.16″ global_colors_info=”{}”][et_pb_column type=”3_4″ specialty_columns=”3″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_row_inner _builder_version=”4.16″ global_colors_info=”{}”][et_pb_column_inner saved_specialty_column_type=”3_4″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.27.0″ vertical_offset_tablet=”0″ horizontal_offset_tablet=”0″ hover_enabled=”0″ z_index_tablet=”500″ text_text_shadow_horizontal_length_tablet=”0px” text_text_shadow_vertical_length_tablet=”0px” text_text_shadow_blur_strength_tablet=”1px” link_text_shadow_horizontal_length_tablet=”0px” link_text_shadow_vertical_length_tablet=”0px” link_text_shadow_blur_strength_tablet=”1px” ul_text_shadow_horizontal_length_tablet=”0px” ul_text_shadow_vertical_length_tablet=”0px” ul_text_shadow_blur_strength_tablet=”1px” ol_text_shadow_horizontal_length_tablet=”0px” ol_text_shadow_vertical_length_tablet=”0px” ol_text_shadow_blur_strength_tablet=”1px” quote_text_shadow_horizontal_length_tablet=”0px” quote_text_shadow_vertical_length_tablet=”0px” quote_text_shadow_blur_strength_tablet=”1px” header_text_shadow_horizontal_length_tablet=”0px” header_text_shadow_vertical_length_tablet=”0px” header_text_shadow_blur_strength_tablet=”1px” header_2_text_shadow_horizontal_length_tablet=”0px” header_2_text_shadow_vertical_length_tablet=”0px” header_2_text_shadow_blur_strength_tablet=”1px” header_3_text_shadow_horizontal_length_tablet=”0px” header_3_text_shadow_vertical_length_tablet=”0px” header_3_text_shadow_blur_strength_tablet=”1px” header_4_text_shadow_horizontal_length_tablet=”0px” header_4_text_shadow_vertical_length_tablet=”0px” header_4_text_shadow_blur_strength_tablet=”1px” header_5_text_shadow_horizontal_length_tablet=”0px” header_5_text_shadow_vertical_length_tablet=”0px” header_5_text_shadow_blur_strength_tablet=”1px” header_6_text_shadow_horizontal_length_tablet=”0px” header_6_text_shadow_vertical_length_tablet=”0px” header_6_text_shadow_blur_strength_tablet=”1px” box_shadow_horizontal_tablet=”0px” box_shadow_vertical_tablet=”0px” box_shadow_blur_tablet=”40px” box_shadow_spread_tablet=”0px” saved_tabs=”all” global_colors_info=”{}” sticky_enabled=”0″]We participate in Medicare, Workers\u2019 compensation<\/a> and No-fault insurance<\/a>, and work with the out-of-network benefits of most other insurance companies, and our benefits expert can assist you with any questions you may have.<\/p>\n We have treated hundreds of patients with all types of insurance, including for surgical care. We take pride in our transparency and adherence to all the regulations. Please see below some information about your rights and protections.<\/p>\n Your Rights and Protections Against Surprise Medical Bills<\/strong><\/p>\n \u201cOut-of-network\u201d means providers and facilities that haven\u2019t signed a contract with your health\u00a0 plan to provide services. Out-of-network providers may be allowed to bill you for the difference\u00a0 between what your plan pays and the full amount charged for a service. This is called \u201cbalance billing<\/strong>.\u201d This amount is likely more than in-network costs for the same service and might not count toward your plan\u2019s deductible or annual out-of-pocket limit.<\/p>\n \u201cSurprise billing\u201d is an unexpected balance bill. This can happen when you can\u2019t control who is involved in your care\u2014like when you have an emergency or when you schedule a visit at an in- network facility but are unexpectedly treated by an out-of-network provider. Surprise medical bills could cost thousands of dollars depending on the procedure or service.<\/p>\n If you have an emergency medical condition and get emergency services from an out-of-network provider or hospital, the most they can bill you is your plan\u2019s in-network cost-sharing amount (such as copayments, coinsurance, and deductibles). You can\u2019t <\/strong>be balance billed for these emergency services. This includes services you may get after you\u2019re in a stable condition, unless you give written consent and give up your protections not to be balanced billed for these\u00a0 post-stabilization services.\u00a0 If your insurance ID card says \u201cfully insured coverage,\u201d you can\u2019t<\/strong> give written consent and give up your protections not to be balance billed for post-stabilization services.<\/p>\n When you get services from an in-network hospital or ambulatory surgical center, certain providers there may be out-of-network. In these cases, the most those providers can bill you is \u00a0 \u00a0 \u00a0 your plan\u2019s in-network cost-sharing amount. This applies to emergency medicine, anesthesia, pathology, radiology, laboratory, neonatology, assistant surgeon, hospitalist, and intensivist services. These providers can\u2019t <\/strong>balance bill you and may not <\/strong>ask you to give up your protections not to be balance billed.<\/p>\n If you get other types of services at these in-network facilities, out-of-network providers can\u2019t<\/strong><\/p>\n balance bill you, unless you give written consent and give up your protections. If your insurance ID card says \u201cfully insured coverage,\u201d you can\u2019t<\/strong> give up your protections for these other services if they are a surprise bill. Surprise bills are when you\u2019re at an in-network hospital or ambulatory surgical facility and a participating doctor was not available, a non-participating doctor provided services without your knowledge, or unforeseen medical services were provided.<\/p>\n If your insurance ID card says \u201cfully insured coverage,\u201d surprise bills include when your in-network doctor refers you to an out-of-network provider without your consent (including lab and pathology services). These providers can\u2019t <\/strong>balance bill you and may not <\/strong>ask you to give up your protections not to be balance billed.<\/p>\n You may need to sign a form (available on the Department of Financial Services\u2019 website<\/a>) for the full balance billing protection to apply.<\/p>\n You\u2019re never required to give up your protections from balance billing. You also aren\u2019t required to get out-of-network care. You can choose a provider or facility in your plan\u2019s network.<\/strong><\/p>\n If you think you\u2019ve been wrongly billed and your coverage is subject to New York law <\/strong>(\u201cfully insured coverage\u201d), contact the New York State Department of Financial Services at (800) 342-3736 or surprisemedicalbills@dfs.ny.gov<\/a>. Visit http:\/\/www.dfs.ny.gov<\/a> for information about your rights under state law.\u00a0\u00a0<\/em><\/p>\nPatient Rights & Protections<\/h1>\n
When you get emergency care or are treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from balance billing. In these cases, you shouldn\u2019t be charged more than your plan\u2019s copayments, coinsurance and\/or deductible.<\/span><\/h2>\n
When you see a doctor or other health care provider, you may owe certain<\/span> out-of-pocket costs<\/a>,\u00a0 like a<\/span> copayment<\/a>,<\/span> coinsurance<\/a>, or<\/span> deductible<\/a>. You may have additional costs or have to pay the entire bill if you see a provider or visit a health care facility that isn\u2019t in your health plan\u2019s network.<\/span><\/h2>\n
What is \u201cbalance billing\u201d (sometimes called \u201csurprise billing\u201d)?<\/h2>\n
You\u2019re protected from balance billing for:<\/h2>\n
Emergency services<\/h3>\n
Certain services at an in-network hospital or ambulatory surgical center<\/h3>\n
Services referred by your in-network doctor<\/h2>\n
When balance billing isn\u2019t allowed, you also have these protections:<\/h2>\n
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