Out-of-Network Insurance at Manhattan Pain Medicine
At Manhattan Pain Medicine, we understand that dealing with insurance can be confusing and stressful. We want to make the process as smooth as possible for our patients. Here’s how we handle out-of-network insurance:
What Does Out-of-Network Mean?
When a healthcare provider is considered “out-of-network,” it means they do not have a contractual agreement with your insurance company. Although out of pocket costs may be higher, they aren’t always, and this allows for more personalized and comprehensive care.
How We Work with Out-of-Network Insurance
- Insurance Verification: We will call your insurance and verify your benefits.
- Benefits Explanation: Someone from our office will describe your benefits and what any out of pocket costs may be with our office
- Cost Share: Your cost share is estimated up from, and will be collected as a deposit at the time of visit.
- Insurance Billing: We bill the insurance for you, same as in-network.
- Insurance Payment: When your insurance pays, we balance the books. As insurances are unpredictable, you may have a balance or you may be due a refund. You would never owe more than the amount on our fee schedule.
- Savings Programs: We have a team to help submit claims to any savins programs you may be eligible for to minimize your out of pocket costs and reimburse for any upfront expenditures.
Alternatives
- Superbill Generation: If you prefer to self-pay up front, we provide you with a detailed superbill. This document includes all the necessary information for you to submit a claim to your insurance company for reimbursement.
- Self-Pay Options: For those without insurance or with limited out-of-network benefits, we accept self-pay. We strive to provide transparent pricing and work with you to manage costs effectively.
Why Choose Manhattan Pain Medicine?
- Personalized Care: Our highly personalized approach ensures that each patient receives the care they need, rather than what an insurance company might deem adequate.
- Collaborative Treatment Plans: We work closely with you and your other healthcare providers to create a comprehensive and effective treatment plan.
- Holistic Approach: We incorporate various treatment modalities, including medications, physical therapy, targeted injections, and pain psychology, to address all aspects of your pain.
Contact Us
If you have any questions about your insurance coverage or need assistance with payment, please don’t hesitate to reach out to us. Our friendly staff is here to help you navigate the process and ensure you receive the best possible care.