INSURED PATIENTS:

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.

MEDICARE:
We accept patients on the Medicare plan. 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.

 

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.

At present we accept: (Credit card info is taken at sign in pending verification of your policy/case)

United/Oxford:    Make sure to bring your Insurance card with you

Medicare

Workman’s Compensation: Bring your case number

No Fault: You must have applied and received case number

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.

Medicare, No-Fault insurance and Physician Referred Workman's Compensation cases being evaluated for surgery.

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). I have helped train theses doctors and they have been working closely with me in my office. They will see patient's that have insurance/financial issues who otherwise be unable or unwilling to be seen under the present insurance structure. As a courtesy to you and your referring doctor,I will consult with them on your diagnosis and care at no extra charge. This is a trying time for us all, but help is available.

Sincerely, 

Steven C. Sheskier, M.D.