We Accept Insurance Coverage From The Following Networks:
- Aetna Medicare/PPO
- Cigna Multi-plan
- Empire
- Highmark BC/BS
- Independent Health
- Martin’s Point
- Medicare
- MVP
- Senior Blue
- Travelers Medicare
- Tricare
- United Health Care Medicare
- United Multi-plan Commercial Plans
- Univera
Currently we DO NOT ACCEPT The Following Insurances: BC/BS MEDICAID, FIDELIS, HUMANA, INDEPENDENT HEALTH MEDISOURCE, MEDICAID, MOLINA, UNITED HEALTH CARE COMMUNITY PLAN, UNITED HEALTH CARE DUAL ACCESS AND WELLCARE.
Other Options
It is very important for you to bring your current insurance card each visit and to inform us if there has been any change in your coverage or in your address. As changes may occur in the plans that we accept, please verify our acceptance at the time you make an appointment. Rheumatology Consultants of Western New York, P.C. will make every effort to verify your coverage prior to your appointment, yet we cannot guarantee coverage of services by your insurance company.
Patients with Private Health Insurance
Those patients who have health insurance with which we do not participate will be seeing the health care provider “out of network”. Many insurances have different levels of coverage, in which patients may have some coverage seeing a provider who does not participate with that insurance plan. You may determine what your insurance company will cover by contacting them in advance of your visit. The two most common differences in cost between seeing the physician “out of plan” versus “in plan” is the amount of your annual deductible and the amount of your co-insurance. Regardless of what your insurance covers, you are responsible for paying your bill. Should you have any questions, please contact our billing office at (716) 675-7376.
Self-Pay Patients
If you are a self-pay patient (this applies only to patients who do not have any health insurance), the fee for an initial consultation is $300 payable on the day of service. Additional fees may be assessed at the time of check-out. Subsequent follow up visits are $125 payable on the day of service. For your convenience we accept cash, check, Mastercard, Visa and Discover.
Benefits and Eligibility
To determine your insurance benefits and eligibility please contact your insurance carrier directly. Note that you are ultimately responsible for payment for all services that are not covered by your insurance plan.
