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Because our care is highly individualized and often involves complex, diagnosis-first evaluation, Manhattan Pain Medicine is an out-of-network provider. This structure allows us to make clinical decisions based on what each patient needs, rather than limiting care to what may be covered under a standard insurance pathway.We follow all contractual and legal obligations related to patient responsibility, including charges, co-payments, co-insurance, and deductible amounts. When financial circumstances make full payment difficult, our team will review available options and may work with patients on a reduced fee or payment arrangement when appropriate.Our goal is to make thoughtful, comprehensive care as accessible as possible while maintaining the level of time, attention, and clinical judgment that complex pain care requires.