The Following is a list of insurances we ACCEPT:
Medicare
Medicare Railroad
Blue Cross Blue Shield WNY
Community Blue
Univera
Senior Choice
Independent Health -No Healy
Encompass 65 -No Healy
Nova -No Healy
Fidelis
MOST Aetna products/MagnaCare
GHI
United Health
Tricare
Molina
Todays Options
Humana
NALC
POMCO
CHAMP VA
Amerigroup
Wellcare
MVP/Cigna
Fallon Health
Empire
No Fault
We Do NOT Accept:
Workers Compensation
Aetna: Beech St Managed choice POS & Multiplan Choice POS
MVP Medicaid managed plan
Lifetime Benefit Solutions
KALOS
The patient is welcome to schedule an appointment but will be financially responsible for any balance. Payment is due at the time of service.
All uninsured (self-pay) patients have the right to receive a "Good Faith Estimate" of expected charges. Please see link below:
| your_rights_and_protections_against_surprise_medical_bills.doc |
Welcome Letter Form:
Welcome to Internal Med ID Associates. We hope that your health care experience with our practice is excellent. In order to provide you the best care we request some assistance from you.
We ask that all patients present with a current insurance card, a valid photo ID, and copays are due at the time of visit. If you are unable to make your appointment, please allow for a 24 hour notice, otherwise you maybe subject to a fee. All new patients MUST have records on site. If records are not received from your referring doctor, the appointment may need to be rescheduled. Please contact us to ensure records have arrived on your behalf.
The group accepts most insurances. Please contact your insurance provider to review your policy for office coverage. If you have a high deductible policy, a portion of the claim will be collected at the visit. We accept cash, check, Mastercard, Visa, and flex cards. If you have Medicaid secondary to an HMO and your HMO requires a copay, you will be billed if Medicaid does not cover the copay.
Our office utilizes an Electronic Medical Records system. We have the ability to E-prescribe medications, electronically send and receive Quest Diagnostic labs, upload radiology results from most facilities in the area and each patient will receive a clinical visit summary at the completion of the visit.
Thank you for considering our group for your medical needs. If there are any questions or concerns, please feel free to contact our office. We look forward to establishing care with you.
We ask that all patients present with a current insurance card, a valid photo ID, and copays are due at the time of visit. If you are unable to make your appointment, please allow for a 24 hour notice, otherwise you maybe subject to a fee. All new patients MUST have records on site. If records are not received from your referring doctor, the appointment may need to be rescheduled. Please contact us to ensure records have arrived on your behalf.
The group accepts most insurances. Please contact your insurance provider to review your policy for office coverage. If you have a high deductible policy, a portion of the claim will be collected at the visit. We accept cash, check, Mastercard, Visa, and flex cards. If you have Medicaid secondary to an HMO and your HMO requires a copay, you will be billed if Medicaid does not cover the copay.
Our office utilizes an Electronic Medical Records system. We have the ability to E-prescribe medications, electronically send and receive Quest Diagnostic labs, upload radiology results from most facilities in the area and each patient will receive a clinical visit summary at the completion of the visit.
Thank you for considering our group for your medical needs. If there are any questions or concerns, please feel free to contact our office. We look forward to establishing care with you.
Appointment Policy Form:
Please present your insurance information, a photo identification, and your copay or deductible. Copay's and/or deductible's are due at the time of visit. If you do not have your copay, a $5 surcharge will be added to your account.
A scheduled appointment is a commitment between you and our practice. We have reserved that time just for you. When appointments are missed or canceled, that time is permanently lost. If you cannot keep this commitment, we ask that you provide the office with a 24 hour notice. Should you not provide sufficient notice or fail to show for your reserved appointment, the Infectious Disease specialist will charge a $50 fee or a $100 fee if you are a new patient.
As a courtesy, the office provides you with a 2 day advance reminder call.
Thank you for your cooperation and understanding of our office policy.
I have read the above policy and understand my responsibility as a patient of Internal Med ID Associates.
______________________________________________________________________________________
(Patient Signature) (Date)
A scheduled appointment is a commitment between you and our practice. We have reserved that time just for you. When appointments are missed or canceled, that time is permanently lost. If you cannot keep this commitment, we ask that you provide the office with a 24 hour notice. Should you not provide sufficient notice or fail to show for your reserved appointment, the Infectious Disease specialist will charge a $50 fee or a $100 fee if you are a new patient.
As a courtesy, the office provides you with a 2 day advance reminder call.
Thank you for your cooperation and understanding of our office policy.
I have read the above policy and understand my responsibility as a patient of Internal Med ID Associates.
______________________________________________________________________________________
(Patient Signature) (Date)
Additional Forms
A general information sheet will be mailed to the home address. Please complete this form and bring it with you to your visit. We encouarge patients to bring a list of their current medications and a list of doctors involved in their care. A pharmacy phone number would assist us in submitting to your correct pharmacy.
Educational Links:
As a service for its patients and the general public, Internal Med ID Associates is pleased to provide links to a variety of educational websites. To access any of the health care resources listed, click on the appropriate link and you will be taken to the website you wish to visit.
www.cdc.gov/diabetes Diabetic Care
www.icsi.org/_asset/wjqy4g/HTN.pdf Hypertension or High Blood Pressure
www.nysmokefree.com/subpage.aspx? Treating Tobacco Use
If you are uninsured or underinsured please use the link below for information regarding Health Insurance Coverage Options:
info.nystateofhealth.ny.gov/what-ny-state-health
It is recommended for patients of all ages to have a Health Care Proxy and/or a MOLST form on file with your doctors office. Please have a copy readily available for family members who may need to intervene in your time of need. For a copy of either form please visit the following links:
MOLST: https://www.health.ny.gov/forms/doh-5003.pdf
HCP: https://ag.ny.gov/sites/default/files/pdfs/bureaus/health_care/hc_proxy_form.pdf
www.cdc.gov/diabetes Diabetic Care
www.icsi.org/_asset/wjqy4g/HTN.pdf Hypertension or High Blood Pressure
www.nysmokefree.com/subpage.aspx? Treating Tobacco Use
If you are uninsured or underinsured please use the link below for information regarding Health Insurance Coverage Options:
info.nystateofhealth.ny.gov/what-ny-state-health
It is recommended for patients of all ages to have a Health Care Proxy and/or a MOLST form on file with your doctors office. Please have a copy readily available for family members who may need to intervene in your time of need. For a copy of either form please visit the following links:
MOLST: https://www.health.ny.gov/forms/doh-5003.pdf
HCP: https://ag.ny.gov/sites/default/files/pdfs/bureaus/health_care/hc_proxy_form.pdf