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Insurance Accepted

 
Cancer Services Program Multiplan/PHCS
Child Health Plus & Family Health Plus (Excellus and MVP only) MVP Commercial and Senior Products
Excellus Blue Cross/Blue Shield Commercial and Senior Products MVP/Cigna
HealthNow/WNY BCBS Some Aetna, Univera, and United Healthcare
Medicaid (Blue Choice Option/MVP Option) (NOT FIDELIS) Sidney Hillman
Medicare Tricare/Champus
   

 

Hilton Health Care Financial Policy

Effective 1/1/12

We value our relationship with our patients.

This financial policy has been set up to prevent misunderstandings

so please read this carefully. Thank you.
  1. It is your responsibility to keep the practice updated with your most current information (insurance, address, phone numbers, etc).
  2. Any questions regarding benefit issues or physician participation status should be directed to your insurance company.
  3. We require prior notification if you are unable to keep your appointment. There will be a $20 charge for all missed appointments.
  4. We expect any co-pay to be paid at the time of service. If payment is not made at the time of service a $10 administrative/billing fee will be added to your account.
  5. There is also an administrative charge for the completion of some forms.

  6. We will file a claim on your behalf to all insurers with whom we are currently participating. If we are not participating with your insurer, you are responsible for submitting your own claim and paying in full at the time of service. We do not submit for Workers Compensation or any liability claims. We will submit for motor vehicle claims.

  7. We do not participate with all insurers. Some insurers require you to list a Primary Care Physician (PCP). Please make sure one of our doctors is listed or they will not cover your visit here. A list of insurances with which we participate is on the reverse. Please check with your insurance to verify coverage here.
  8. Returned checks will incur a $20 returned check fee. In the event of a second returned check, your privilege to pay by check on future visits will be terminated and you will be expected to pay with cash or credit card.
  9. It is understood and agreed that in the event any outstanding balance has to be referred to a collection agency or attorney for recovery, the patient will be fully responsible for any cost, including, but not limited to attorneys fees. A 30% fee will be charged to your account when it is sent to the collection agency. We work very hard to help you keep this from happening. Please keep in touch with us if there is a financial hardship.

  10. We require that you sign a payment agreement if you are unable to pay the entire balance on your account. The amount paid each month will be determined by Hilton Health Care and must be paid in addition to any additional charges each month

  11. We are collecting some charges for the high deductible insurances at the time of your visit. We make every effort possible to determine what is allowed by your insurance. We realize there could be a conflict with your HSA or FSA accounts if an overpayment is made.  Please be aware of your deductible status!

Administrative Forms Policy

As of 02/13/2007, there will be a charge for completion of any form(s) not submitted at the time of an office visit. Current fee is $10 for the first page plus $5 for each additional page. This fee is due at the time the form is dropped off.

This charge is necessary due to increasing demands on providers’ time and increasing office expenses.

 

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Last modified: 11/08/11