Insurance

Allergy & Immunology Health Services, Inc. accepts most major commercial insurance, HMO/PPO plans, Medicare and Medicaid as well as self-pay patients. We will bill your insurance company as a courtesy to you. Any balance due is your responsibility. Self-pay patients are asked to pay that day for services rendered.
Please bring any necessary insurance forms and medical information with you at the time of your visit. All forms presented to us must be completed and signed, with a pre-addressed stamped envelope. Please inform us of change of address, phone number, or insurance carrier.

Insurance Coverage – All patients are ultimately responsible for their own bill and a clear understanding of their insurance policy. Patients who have health care coverage are responsible for providing the office with complete and accurate information regarding their insurance. It is the patient’s responsibility, not ENT Allergy & Immunology Services, to understand the terms of their insurance coverage. This includes but is not limited to: knowing what services are covered (allergy skin testing, etc.), where services can be performed (lab), that their provider is in network, their deductible, co-payment, co-insurance (if applicable), obtaining required referrals. I understand that I remain primarily liable for payment of all medical services which are not covered by my insurance.

Self-Pay patients – Patients without health coverage are expected to pay their bill in full at time of service. For your convenience, we accept Visa, MasterCard, Discover and American Express.

Co-Pays – Any co-payments required by your insurance company are due at the time of service. We are required by the insurance companies to collect co-pays at the time of the visit. We advise patients of this at the time the appointment is made and when confirming the appointment. We may need to reschedule your appointment if you do not have the co-pay at the time of your visit.

Medicare Policy – Allergy & Immunology Health Services, Inc. accepts Medicare assignment which means that we agree to accept Medicare’s allowance on services provided to you. You will still be responsible for your annual deductible, the co-payment, and any non–covered services specified by Medicare. If you carry a supplemental plan to Medicare, please be sure we have your policy information so that a claim can be filed for you.
Medicaid – All Medicaid patients must present a valid card prior to being seen. If the patient wishes to be seen without their validated card, they will be required to make payment in full, before services are rendered.
Pre-certification / Pre-determination – Authorizations from your insurance company to perform a service does not guarantee payment. It means that the insurance company finds the service medically necessary. The charges will be processed according to your policy. If your policy does not cover a specific service, it will be denied even with prior authorization.

Referrals – If your insurance policy requires a referral, the patient is responsible to see that a referral is obtained and provide that referral to our office. If authorization is not provided, you will be asked to either reschedule your appointment or pay for your visit at the time of service.

Nonparticipating Insurance Plans – If Allergy & Immunology Health Services does not have an existing contract with your insurance plan you will be responsible for the full billed amount. We will not accept the plans UCR (Usual, Customary & Rates).