Patient Resources

**You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.**

Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.

  • You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
  • Make sure your health care provider gives you a Good Faith Estimate in writing at least one business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
  • If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
  • Make sure to save a copy or picture of your Good Faith Estimate.

To request a Good Faith Estimate for any service, call 1-855-632-6667 .  For questions or more information about your right to a Good Faith Estimate, visit the Centers for Medicare & Medicaid Services Website or call 1-800-985-3059 .


Practice Policies

All patients must complete the Patient Forms prior to being seen by our physician.

Insurance

If you are not insured by a plan in which we participate, the full payment is required at each visit. If you do not have an up-to-date insurance card, payment in full is required at each visit until your coverage is verified.

Your driver's license and valid insurance card are required to provide proof of insurance. The patients that fail to provide us with the correct insurance information may be responsible for the balance of the claim.

Please contact your insurance company with any questions you may have regarding your coverage provisions.

Payments

Payments are due at the time of service. Co-pays and Balances are to be paid at the time of the visit, without exception. Our office accepts checks, cash, and the American Express, MasterCard, Visa and Discover credit cards.

Missed or Cancelled Appointments

Patients that miss, or cancel their Appointment, with less than a 24-hour notice, will be charged a $50 service fee.

Please help us to serve you better by keeping your scheduled appointment, or by cancelling the appointment 24 hours prior to the scheduled visit.

Insurance Information

Primary Care Partners, LLC participates in the following Insurance Plans:

  • Aetna: PPO, HMO, Medicare Advantage, Meritain, Premier Plus - Medicare Advantage Dual Plan, CVSHealth
  • AHS PPO
  • AmeriHealth: Local Value, Regional Preferred, Value Network, Administrators
  • Amerihealth Caritas
  • Brighton Health: MagnaCare, Brighton Create
  • Centivo Health: Prime Partnership Plan HMO
  • Consumer Health Network (CHN)
  • Cigna: EPO, HMO, POS, PPO, Medicare
  • ClaimDoc
  • Claim Watcher / Homestead
  • Highmark WholeCare: Medicare Assired Diamond
  • Horizon Blue Cross Blue Shield of NJ: PPO, HMO, POS, Blue Card, Federal, Horizon Medicare Advantage, Omnia (Tier 1)
  • Humana Medicare Advantage: HMO, PPO, PFFS
  • Humana Military Commercial (Tricare East): Prime - PPO
  • Medicare: Traditional, Railroad Medicare
  • Oxford Health Plan: Freedom POS, Liberty, Oxford Medicare Advantage
  • Qualcare: Humana, Emblem, Oscar
  • United Healthcare: UMR, United Medicare Advantage
  • UPMC for Life Dual
  • US Family Health Plan
  • VA Community Plan
  • WellCare - Medicare

Please note - This list is subject to change and may not include all insurance plans accepted at this time.  Please confirm insurance participation with your physician's office or insurance company.

It is important to be aware of your insurance plan's policies: co-payments, deductibles, co-insurances, participation status and responsibilities, and referral requirements.

Your co-payment is due at check-in. If you do not have insurance, a full payment is required at the time of your visit.


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