Billing and Insurance Information
We accept most major insurance carriers and are pleased to assist patients with their insurance questions. PLEASE NOTE: If you have a high deductible insurance plan, please be prepared to pay a deposit date of service, or contact our billing office to speak to staff who can assist with payment arrangements which we kindly request that you make in advance of service. Below is a list of accepted insurances. If your insurance is not listed below, check with your insurance carrier. We are happy to bill your insurance directly.
Insurance Plans We Accept
|Aetna (non Medicare plans)||Independent Health / Nova / Medisource / Encompass 65|
|BCBS / Community Blue / Senior Blue||Magnacare|
|Beechstreet / Viant / Multiplan||Medicaid|
|Cancer Service Program of Erie County||Medicare|
|Corvel||NYS Workers Compensation|
|Coventry / First Health||Railroad Medicare|
|Emblem Health / GHI||Lifetime Benefits|
|Empire Plan||United Health Care|
|Excellus||Univera / Senior Choice / Community Care (YourCare)|
The Windsong billing team is pleased to offer patients the courtesy of participation with several insurances. Since we will bill all the major carriers electronically, our turn-around time is very efficient. NO FAULT INSURANCE (NEW YORK STATE ONLY): We will submit your claim, however, if your no-fault carrier denies your claim you are responsible for services rendered and will be liable for payment upon receipt of a bill. If you have incomplete insurance information or no insurance at all, payment is expected at the time of service. We accept check, cash, Mastercard and Visa. Other payment arrangements are required in advance.
If you have one of the insurances listed above, we agree to bill your insurance company directly and accept assignment as directed by them. If your contract is not a “paid in full” type, we bill you directly only up to the allowed amount by your insurance (i.e. co-insurance, deductible or non-covered contract service). Should a referral be required and not supplied, you will be billed directly.
If you have another insurance not listed above, we will still bill them directly for you if you have the information needed with you (I.D.#, Group #, name and address of the carrier). The NYS Insurance Commissioner has set 30 days as ample time for any private insurance company to pay a claim. If your insurance carrier has not responded within the 30-day grace period, you will receive a bill and the balance will be due by you. Any insurance payments received by our office after you have paid us directly, will be refunded to you.
Insurance Coverage for Digital Breast Tomosynthesis (3D mammographyTM)
Most insurance today is covering Digital Breast Tomosynthesis or 3D mammographyTM, To better assist you, please see the following list of the insurance carriers that do not cover it at the time of this writing. For more specific information, please contact your insurance carrier.
- Some Cigna/MVP plans
- Some United Health Care plans
- Out of area BCBS (only WNY plans are covering tomo including Senior Blue and BCBS Medicaid/community blue)
- Champ VA
Please note that coverage does not mean an insurance carrier will pay in full for the exam. The digital breast tomosynthesis or 3D mammogram exam may be subject to co-pay, co-insurance, or deductible.
Services covered such as personal injury not on your property will be billed through the insurance carrier only if written authorization is received prior to the examination. These cases are treated as private insurance and are due within 30 days.
Co-pays are a contract between you and your insurance carrier, and are due at the time of service. Some contracts require more than one co-pay on the same date of service if you have two different types of exams or if two different radiologists read your exams. Although we disagree with this type of insurance ruling, we are required to enforce the carrier’s policy. If your co-pay is not paid at the time of service a $10.00 fee will be charged to your account. Any insurance contract disputes should be handled through the insurance carrier. You can find the phone number listed on your insurance card.
Appointments cancelled with less than 24 hours notice or failure to show up for a scheduled appointment may result in a $50 cancellation charge.
In today’s managed health care environment, many medical plans require prior authorization for an MRI, CT or PET/CT imaging service. Please be aware of any prior authorization requirements from your individual insurance. Contact your referring physician for the authorization number prior to your scheduled appointment. If you have any further questions, please contact your insurance, referring physician or our Billing Department Monday – Friday from 9:00 am to 4:00 pm at (716) 631-2592.
Please contact our Billing Department at (716) 631-2592, 9:00am-4:00pm Monday through Friday.