Insurance Plans
Medicare: Dr. Edelstein is an in-network, or participating, PPO provider.
All Other Insurance Plans: Dr. Marc Edelstein is an out-of-network provider. You will be responsible for paying the portion of the charges that your insurance company does not pay.
Billing
Out-of-Network Insurance Plans: As a courtesy to you, we will submit your claim to your insurance carrier for payment. When we have received all payments due from your insurance carrier, we will then bill you for the remaining balance. Included in this bill will be any balances not paid by your insurance carrier, such as deductibles, co-insurances, and noncovered items.
Dr. Edelstein does ask that you pay the balance of your account within 60 days of being billed by us. Any balances not paid within 60 days of being billed by us will incur a finance charge of 1.5% per month thereafter. The finance charge will begin accruing 61 days after the date on the first bill we have sent to you. We will consider requests for monthly payments in cases of financial hardship.
Charges for Cancelled or Rescheduled Appointments and Procedures:
Appointments: There will be no charge for any appointment cancelled or rescheduled at least 48 hours ahead of the appointment. An appointment cancelled or rescheduled within 48 hours of the appointment will incur a rescheduling fee of $100.
Procedures: There will be no charge for any procedure (colonoscopy, endoscopy, etc.) cancelled or rescheduled at least 72 hours ahead of the scheduled procedure. A procedure cancelled or rescheduled within 72 hours of the scheduled procedure will incur a rescheduling fee of $300.
Insurance and Personal Payment Information for Services Provided by Dr. Susan Edelstein
Insurance Plans
Blue Cross, Blue Shield & Medicare: Dr. Susan Edelstein is an in-network, or participating, PPO provider.
All Other Insurance Plans: Dr. Edelstein is an out-of-network provider. You will be responsible for paying the portion of the charges that your insurance company does not pay.
Billing
In-Network insurances: Office visit copays are due at time of visit. All other co-insurances due will be billed to the patient after the carrier has processed the claim.
Out-of-Network Insurance Plans: As a courtesy to you, we will submit your claim to your insurance carrier for payment. When we have received all payments due from your insurance carrier, we will then bill you for the remaining balance. Included in this bill will be any balances not paid by your insurance carrier such as deductibles, co-insurances, and noncovered items.
Dr. Edelstein does ask that you pay the balance of your account within 60 days of being billed by us. Any balances not paid within 60 days of being billed by us will incur a finance charge of 1.5% per month thereafter. The finance charge will begin accruing 61 days after the date on the first bill we have sent to you. We will consider requests for monthly payments in cases of financial hardship.
Charges for Cancelled or Rescheduled Appointments and Procedures:
Appointments: There will be no charge for any appointment cancelled or rescheduled at least 48 hours ahead of the appointment. An appointment cancelled or rescheduled within 48 hours of the appointment will incur a rescheduling fee of $100.
Procedures: There will be no charge for any procedure (colonoscopy, endoscopy, etc.) cancelled or rescheduled at least 72 hours ahead of the scheduled procedure. A procedure cancelled or rescheduled within 72 hours of the scheduled procedure will incur a rescheduling fee of $300.
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