Insurance Plans

Health plans which we accept

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fidelis

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United Health logo

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aetna

MAGNACARE

Oxford

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Not covered by any of these plans? Contact us and we will find the best solution to suit you.  

Payment for Services

Payments for services rendered are due at the time of your visit. If you have an insurance plan that we participate with, you must contact them prior to being seen, and arrange for us to be your Primary Care Physician (PCP). If you do not do so, then you will be responsible for the fee. Some insurance plans have deductibles and/or co-pays. It is required by these plans that payment be made at the time of your visit.

 

Please be prepared to pay that co-pay at the time of visit; it is not our policy to bill you later for it. If you do not present your co-pay at the time of visit, there will be a $20 service charge in addition to the co-pay. If your plan does not require a co-pay and we participate, we will accept the designated fee. You are responsible for any deductible and balance that your plan indicates on their explanation of benefits.

 

If we do not participate with your plan, payment is expected at the time of service. Your itemized receipt should be attached to your insurance form and sent by you to your carrier, who will reimburse your directly.

We appreciate timely payment of your account. For your convenience, we accept cash, checks, Master Card, Visa, and American Express. There will be a $25 charge for any returned checks.

 

Billing & Payment

 
Glendale Pediatrics, PC wants to help you understand your medical bill and will always provide clear information regarding the billing details of the provided health care services.
In order to assist you in that understanding, we have defined below the common billing terms.

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  • Co-Payments

 

Co-payments are a contractual agreement between the policyholder and their insurance company. The co-payment is part of the payment, which is issued to your physicians. This payment is made at the time of your child's appointment. Well visits are excluded from Co-payments unless otherwise instructed by your insurance carrier.

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  • Deductibles

Deductibles are an out of pocket expense. The amount of the deductible is based on the policyholders’ contract with their employer and their insurance carrier. There are in-network deductibles and out of network deductibles. Secondary insurance carriers normally do not pay the primary insurance deductibles.

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  • Co-Insurance

Co-insurance is also an out of pocket expense. Co-insurance is based on the member's contract with their insurance carrier. Some insurance carriers pay at a percentage rate of 80/20, while others may pay at percentage rate of 70/30; the rate varies. Depending on the percentage rate, your insurance will pay that percent, leaving the balance to the member. Unlike deductibles, a secondary insurance carrier may make payment. If the secondary insurance does not cover, then the policyholder would be responsible.

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  • Non-Covered procedures

The policyholder receives the explanation of benefits (EOBs) in the mail from their insurance carrier; they explain what procedures were performed on that date of service. These are procedures that your insurance company will not cover and pay. The EOBs will determine what the policyholder is responsible for if the insurance does not cover procedures. Self-pay patients are responsible for all charges and should be paid at time of service. If this is not possible, you must see the billing department to discuss a financial agreement. 
 

 

Please understand that the bills you receive from Glendale Pediatrics PC are based on the contractual agreements you have with your carrier.

For Billing inquiries/insurance questions, please contact Billing at:
Phone: 347-392-0448
Email: HEALTHREVENUESERVICES@GMAIL.COM

73-09 Myrtle Ave Glendale N.Y. 11385
Tel: 718-821-4200
Fax: 718-821-5600

 

23-25 31st Street  5th Floor, Astoria N.Y. 11105
Tel: 718-932-6300
Fax: 718-932-1741

Hours

Monday- Friday 9am-6pm                                             

Saturday- 9am-12pm (Please call to verify which office is open) 

Sunday- Closed

Notify us 24 hours prior to the scheduled appointment if you intend to cancel.

Late Cancellation and missed appointment fee $35.00 effective July 1st 2020

*Our offices will be available Monday-Friday 9am- 5pm during the SUMMER VACATION*

Web Page Designed by Chris Quezada