Accepted Insurance Plans
Major PPO Networks
We participate in most major Preferred Provider Organization networks for maximum coverage flexibility.
HMO & EPO Plans
Accepted plans with primary care referrals and coordinated care networks.
Medicare & Medicaid
Fully credentialed for Medicare Advantage, Traditional Medicare, and state Medicaid programs.
Self-Pay & Direct Billing
Transparent out-of-pocket pricing with flexible payment plans for uninsured patients.
How to Verify Your Benefits
Call Your Insurance Provider
Use the phone number on the back of your insurance card. Ask specifically about coverage for our Taxonomy/Location codes.
Check Provider Directory
Log in to your insurance portal and search for "Health Medical Center" or our NPI: 1234567890 to confirm network status.
Contact Our Billing Team
Send us your insurance details 24-48 hours before your visit. We'll run a free benefits verification and explain your copay/deductible.
Understanding Your Coverage
Copayment
A fixed amount you pay at the time of service. Health's billing desk will collect your copay upon check-in for covered visits.
Deductible
The amount you pay out-of-pocket before your insurance starts covering costs. We'll track your deductible status throughout the year.
Coinurance
After meeting your deductible, you may pay a percentage of the allowed amount. We file claims directly with your insurer.
Out-of-Pocket Maximum
The most you'll pay in a plan year. Once reached, your insurance covers 100% of allowed amounts for the remainder of the year.
Frequently Asked Questions
Do you accept my specific insurance plan?
Insurance networks change frequently. Please contact our billing department at (800) 123-4567 or use the form below. We verify benefits in real-time and will notify you if your plan is not currently accepted so you can explore self-pay or alternative options before your visit.
What if I need a referral or pre-authorization?
Our medical assistants will handle referrals and pre-authorizations on your behalf when required by your plan. We'll notify you if your insurance denies coverage so we can appeal or adjust the treatment plan accordingly.
How are payments and billing handled?
You are responsible for your copay, deductible, and coinsurance at the time of service. We submit claims electronically within 24 hours. Explanation of Benefits (EOB) statements are sent directly to you by your insurance company. We offer 0% interest payment plans for balances over $200.
Can I get a price estimate for a procedure?
Absolutely. Once we verify your insurance benefits, we'll provide a transparent, written cost estimate before any treatment begins. Prices may vary slightly based on medical necessity and actual services rendered.
Need Help Verifying Coverage?
Our patient financial representatives are available to verify benefits, explain estimates, and set up payment plans. Reach out before your appointment to ensure a smooth billing experience.
(800) 123-4567 | Mon-Fri 8AM-6PM
billing@health.com
123 Health Ave, Suite 200, NY 10001