Lifecare Medical Associates, PC

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Billing & Insurance

Many people have insurance to cover some, but not all of the cost of their medical care. Most insurance plans require a deductible, co-insurance payment, co-payment or other out of pocket expense, which must be paid by the account’s responsible financial party.  We rely on you to become familiar with your insurance policy and to bring your insurance card with you to each visit.  If your insurance company requires a co-pay for your visit, that co-pay is collected when checking in at the registration center. 

Our practice participates with a wide range of area and national insurance carriers; however, there are instances when we are not contracted with your specific insurance carrier or you may not have insurance coverage. If this is the case, 100% of our fees are required to be paid by you when your bill is received. As a courtesy to you, we will submit claims on your behalf, providing you give us permission to do so.  This is done by signing our HIPAA notice of privacy practices at the time of your first visit to our office.  If you have any questions regarding your insurance coverage prior to your visit, please contact your insurance carrier's member services department for an explanation of your healthcare plan. 

Many insurance companies require you to select a primary care physician (PCP) prior to being seen for care. If your healthcare plan has this requirement, please be sure you have notified them that you have selected the physician of your choice in our office. It is your responsibility to add a new baby or adopted child to your insurance policy. Insurance claims, which are denied as the result of improper PCP designation, will become your financial responsibility.

Our Financial Policy

  • Our policy for all accounts is that the patient is ultimately responsible for payment of any and all charges incurred as a result of care provided by this office.
  • Payment for any charge is due at the time service is provided. This includes any co-payment. Please help to keep billing costs down by honoring this policy.
  • If we take assignment on your insurance, we will handle your claim accordingly. Any adjusted balance will be billed to you at a later date. If your insurance is not involved with direct assignment, we ask that you pay at the time of your visit. We are happy to be of assistance in helping you with your insurance claim forms.
  • Non payment of your account will not be accepted. If your account has not been paid after appropriate billing and notification, or if arrangements have not been made for a payment schedule, your account will be referred to legal counsel for appropriate action. Any such action will include automatic conclusion of any and all medical care provided by this office.

We would appreciate your cooperation by letting us know of any changes in address or insurance coverage. Such information will allow us to file your claim promptly and accurately. We appreciate the fact that there are many financial situations which may make payment of your account less timely than requested. We would like to be of help if possible. Please feel free to discuss any problem with your account by calling toll free 1-877-775-2455

Insurance Plans

Our practice participates with the following major insurance plans:

            Note: If you don’t see your insurance carrier listed, we encourage you to contact our office prior to receiving care for an estimate of your costs.

Lifecare Medical Associates, PC

Lifecare Diagnostics, Inc. (Lab & X-ray)

Aetna

Aetna   

Cigna

Cigna    

Excellus

Excellus

Empire UHC

Empire UHC

Fidelis   

Fidelis

GHI/Emblem      

Lifetime Benefit Solutions (Formerly RMSCO)

Lifetime Benefit Solutions (Formerly RMSCO)

Medicare            

Medicare

Medicaid

Medicaid

MVP / Preferred Care

MVP / Preferred Care     

POMCO

POMCO

Tricare (Non-Network Provider)

Tricare (Non-Network Provider)

United Health Care

United Health Care         

NYS Workers Compensation

NYS Workers Compensation        

No Fault

No Fault