In order to make sure your visit to the practice goes smoothly, we've put together all the important information about how things work at the practice.
Don't forget to bring your insurance information with you
In order to register and treat you promptly, we request that our patients bring their current insurance information with them for each visit.

Thu 12/3/2015 10
THIS REFLECTS CURRENT CONTRACTS HELD BY STEVEN C. SHESKIER, M.D.
 
*NY MEDICARE
*NJ MEDICARE
 
OXFORD FREEDOM
OXFORD LIBERTY (REQUIRES REFERRAL)
OXFORD MEDICARE HMO (REQUIRES REFERRAL)
MEDICARE COMPLETE CHOICE REGIONAL PPO ONLY
 
UHC OPTIONS PPO
UHC CHOICE POS
      CHOICE EPO
      CHOICE HMO
UHC SELECT POS
      SELECT EPO
      SELECT HMO
UHC NAVIGATE POS (REQUIRES REFERRAL)
      NAVIGATE EPO  (REQUIRES REFERRAL)
      NAVIGATE HMO (REQUIRES REFERRAL)
UHC CHARTER  (REQUIRES REFERRAL)
      CHARTER BALANCED (REQUIRES REFERRAL)
      CHARTER PLUS    (REQUIRES REFERRAL)
UHC CORE ESSENTIAL EPO
UHC CHOICE/CORE
UHC CORE POS
 
UHC MEDICARE HMO (REQUIRES REFERRAL)
UHC MEDICARE EVERCARE
 
*IF YOU HAVE OPTED TO A MEDICARE ADVANTAGE PLAN, YOU MUST CALL YOUR CARRIER TO VERIFY IF YOU HAVE OUT OF NETWORKBENEFITS AS DR. SHESKIER DOES NOT PARTICIPATE WITH MOST ADVANTAGE PLANS.
 
PLEASE NOTE DR. SHESKIER DOES NOT PARTICIPATE IN ANY PLANS UNDER THE NATIONAL HEALTH INSURANCE MARKETPLACE.

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At present we participate in:

 

Most United/Oxford Plans:    Make sure to bring your Insurance card with you.  He does NOT participate with Empire Plan/UHC, Community Plan, Compass and the Exchange Plans (Obamacare) 

 

Medicare: 
We accept patients on most Medicare plans. As a courtesy, we will also bill your secondary insurance provider directly. You will be asked to sign an Advanced Beneficiary Notice for services not covered under Medicare. You shall be accountable for covering these services.

 

Workman’s Compensation: Bring your case number

 

No Fault: You must have applied and received case number

 

Policy: We are in a new era where insurance companies and employers are changing their policies and coverages daily. Physicians themselves see increasing administrative costs as policy limitations and verification processes become increasing cumbersome and reimbursements less. My office has been opting out of many insurance programs because of this.Fortunately, many policies have out of network provisions that allow one to seek the medical care they deserve at minimal out of pocket cost. My office will explore your out of pocket costs with you if I am a non-participant in your program. We will gladly provide you with the necessary documentation to aid in your reimbursement. Please do not hesitate to call and see if I am still a participant in your insurance program since things can change on a weekly basis.

 

 

 

GOOD NEWS: For patient's without "out-of-network" coverage, you may be seen by one of my orthopedic partners, Dr. Sal Gupta or Dr. Hayashi (podiatrist). This is a trying time for us all, but help is available.

 

Sincerely, 

 

Steven C. Sheskier, M.D.

 

In General;

We will bill your visit directly to your insurance provider if you supply an updated proof of insurance at each visit. Please note that the insurance policy is between you and your insurance provider; we are happy to file the claim for you, but the balance is your responsibility if your plan does not pay after 30 days. Any amount not covered by your insurance policy is due immediately after you receive your first invoice from us.

 

***(Credit card info is taken at sign in pending verification of your policy/case)

 


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