Midtown Sports Imaging MRI: Dedicated Extremity Open MRI

Insurance & Financial Information

We are transparent in our billing as much as possible, even with health insurance companies self imposed hurdles. We always give our best estimate if there will be any out-of-pocket costs such as copays, co-insurances and deductibles.

 

We try hard to minimize out-of-pocket expenses for our patients and maximize the insurance portion of your treatment expenses.

 

Our highly trained billing staff and physician owner are always available to guide you though the complicated medical billing structure, answer questions, and assist with insurance claim matters.

 

We always estimate what you're out of pocket cost will be prior to performing any treatments.

 

For our patients that do not have medical insurance that covers our services, we have upfront and fair pricing that does not leave you with surprise bills.

Financial policy

  • Copays are due at the time of your visit. We accept cash and credit cards.
  • Deductibles and co-insurances will be invoiced by email at a later date, after insurance companies finalize processing our claims.
  • We do NOT charge a service fee for credit card payments.
  • We accept most medical insurance plans. See list below.
  • Flexible spending and health savings account (HSA) allocated money is accepted.
  • Payment plans are sometimes initiated on an individual basis.  Discuss with our billing manager if this is desired.

The use of medical insurance

We are in network with most insurance plans. If you have insurance benefits, we often are able to estimate in advance what your insurance will cover, and what your out of-pocket-cost may be due to copays, deductibles and co-insurances. Oftentimes, our entire bill is covered by insurance. The insurance experts at our practice will always give an estimate of what your expenses will be prior to any treatment being performed.

 

Our billing department will take care of all claims submitted to insurance on your behalf. We will also follow-up and appeal on your behalf, when necessary, should there be any denials. In most circumstances, we will collect payment from your insurance company directly such that you do not need to lay out money in advance. If there is an additional balance due after the insurance processes our claim, we will invoice you by email and allow credit card payments in our secure online portal.

 

Some insurances will send a check to the member. You will be responsible for paying us the amount paid to you. For these payments, we will invoice you by email and allow credit card payments in our secure online portal, or you can drop off or mail us the insurance check.

We accept the following medical insurances

Below is a list of many popular medical insurances that we have encountered. This list is not comprehensive. Prior to being seen in our office, we always do an insurance evaluation in order to determine what cost will be covered, and what out-of-pocket costs may be expected.

 

If your insurance is not on the list below, we encourage you to call or email us and provide your insurance information. For all insurances, on the list below or not, we will call your insurance with specific questions about our billing. This allows us to have an accurate assessment of what is possibly covered by insurance.

 

  • 1199 National Benefit
  • Aetna
  • Blue Cross Blue Shield
  • Cigna
  • Emblem
  • GHI
  • Magnacare
  • NYSHIP
  • Oxford Health - Out-of-network
  • UMR
  • United Healthcare

 

We do not accept Medicare or Medicaid plans, however, we offer fair sliding scale out-of-pocket prices for these patients. Please call to inquire.

Flexible spending and medical savings account dollars

Our services are considered medically necessary and are eligible to use pretax dollars through flexible spending accounts and medical savings accounts. Upon request, we will send a detailed breakdown of charges and biller information that is s sometimes needed to qualify.