Insurance and Billing

As a courtesy to our patients, we will submit to all insurances for covered services. We currently participate with the following insurance companies:

(subject to change)

• Medicare
• CT Blue Cross Blue Shield
• Federal Blue Cross Blue Shield
• Healthnet
• Aetna
• Connecticare
• Cigna
• United Healthcare
• Connecticut Medicaid (Title 19) (Ages 0 years to 18 years old with PCP Referral)
• Colonial Cooperative Care
• Taft Hartley
• Med Span
• Oxford Health Plan
• Healthy CT

We are Tricare Approved. We can see Tricare Standard & Tricare For Life without insurance authorizations. Tricare Prime requires an authorization directly from the insurance company prior to scheduling.

All co-pays are to be paid at the time of visit, unless other arrangements have been made in advance. If you have a  deductible/coinsurance plan, we will bill you for your cost share after your insurance processes/pays the claim. We appreciate your prompt payment of any balance due, as this helps us to keep our costs down.

For those patients who have insurance that we do not participate, it simply means that to see one of our physicians you will be seeing the physician “Out of Network”.  Fortunately most plans have different levels of coverage, in which patients are usually permitted to see any physician out of plan.  Your particular insurance benefits can usually be determined in advance of your appointment by contacting your insurance company’s benefits office.  The two most common differences in cost between seeing the physician “out of plan” versus “in plan” is the amount of your annual deductible and the amount of your co-insurance.

If you are a self-pay patient (if you plan to pay without the use of insurance) or if you do not have your insurance card at the time of registration, we will require a minimum fee of $150.00 towards your visit with the Physician for that day. This fee does not include any future visits.

If you need to have surgery at the Hospital or Outpatient Facility, all charges will be reviewed in advance on a case by case basis.

Cosmetic services require payment in advance, at time of service as these are not covered by insurance.

To determine your insurance benefits and eligibility, please contact your insurance carrier directly. Note that you are ultimately responsible for payment for all services that are not covered by your insurance plan. Please make sure that all referrals and authorizations are obtained in advance from your insurance company – these are usually initiated by your PCP office.

We understand that sometimes patients are experiencing financial difficulty and are unable to pay at the time of visit. We will be happy to discuss your situation with you and try to come to a mutually acceptable payment arrangement for any out of pocket expense.