OUR FINANCIAL POLICY

 

We hope that your visit at the Allergy and Asthma Care of Queens will be a pleasant one. It is our belief that a good physician/patient relationship is based upon good understanding and communication. These financial policies have been developed in an effort to remove any misunderstanding that may arise regarding a patient's account. These policies are also designed in an effort to enable us to continue providing quality, state-of-the-art patient care in a cost effective manner. If you have any questions or do not understand any of these policies, please feel free to call our office at (917) 584-6770. Patients must fill out patient information forms prior to seeing the doctor. This information will include address, telephone number, social security number, birth date, insurance information, employer information, emergency contact information, and other similar information. It is extremely important that this information is kept up-to-date. Accordingly, at each subsequent visit, we will verify most of this information when you present for your appointment. In the event that any of it has changed, you will be asked to provide us with the changes.

 

 

PAYMENT FOR SERVICES

Payment for services provided to you is ultimately your responsibility. For your convenience, we accept cash, or personal checks. In addition, if you have health insurance, we will gladly file a claim with your health insurance company.

 

 

HEALTH INSURANCE

If you will be using health insurance to settle your account, you must present your current insurance card at each visit. This is a requirement of your insurance company. It also enables us to have the most current information about billing your insurance company. You will be responsible for all amounts not paid by your insurance company, including amounts denied, applied to deductible, or considered non-covered as permitted by your insurance company.

 

Co-Pay: by law we MUST collect your carrier designated co-pay at the time of services. Please be prepared to pay this co-pay at each visit.

 

Non Plan patients: payment is expected at the time of service. Your itemized receipt should be attached to your insurance form and sent to your carrier who will reimburse you directly.

 

Referrals: if your plan requires a referral from a primary care physician, it is your responsibility to make sure that you bring this form PRIOR to your appointment. If you do not have your referral, you will be required to sign a financial waiver. It is then your responsibility to provide us with the referral as soon as possible.

 

Self-Pay: If you are self-pay, you will be expected to pay the day's charges on the day of the service. There may be additional charges for tests and other services rendered subsequent to your visit. You will be billed for these items.

 

 

PAST DUE ACCOUNTS

Past-due accounts cost both time and money; therefore, patients with delinquent accounts will be required to make payment at the time of service. If you are unable to make mutually agreeable payment arrangements, we will be glad to reschedule your appointment.

Allergy & Asthma Family Care of Queens

42-21 Francis Lewis Blvd Suite M

Bayside, NY 11361

(917) 584-6770