Insurance-Related Frequently asked questions.

Medical Health Insurance FAQ’s

Patients’ Personal Responsibilities:

Our practice provides the following overview in an effort to be transparent and to help you understand the out-of-pocket expenses that may be your personal responsibility.

Co-pays - the payment set by your insurance company to be paid by you each time you see a physician.  The amount usually appears on your insurance card.

Co-insurance – the percentage of the payment set by your insurance company in which you share the cost of covered health care services.  It is generally a percentage of the allowed amount as determined by your health plan.

Deductibles – the amount of money that you must pay (set yearly by your insurance company) prior to your insurance company paying your claims on your behalf. It is each individual’s personal responsibility to know what his/her own deductible is, how much has already been met and how much remains.

Please note, if our doctors are participating providers with your insurance company, our contract expressly prohibits us from forgoing any portion of your personal responsibility for payment, as specified by your insurance company.

Non-covered services – medical services not covered under your individual plan as defined by your insurance policy.  The fact that some services may not be covered by your insurance policy does not mean that you would not benefit from them, or that they are not medically necessary and appropriate, it simply means that they are not covered under your particular insurance plan.  It is not possible for our office to know the specifics regarding coverage of each individual patient’s insurance plan.  This is the responsibility of each individual (i.e. your responsibility).

  • If our doctors are a participating provider with your insurance company (“takes your insurance”) we have agreed to allow your insurance company to set our fees (i.e. your insurance company dictates our “contracted”, or “reasonable and customary” rates).  Our doctors, as participating providers, do NOT set our own fees/prices.  In addition, your insurance company determines/dictates your personal financial responsibility in the form of co-pays, coinsurance and your deductible.

  • An Employer Flexible Spending Account is a benefit which allows employees to receive tax free reimbursements for eligible healthcare expenses. If your employer offers such a plan, you can pay for your healthcare using pre-tax dollars.

  • A Health Savings Account is a flexible way to pay for your medical expenses using pre-tax dollars. You set it up with your own bank, the funds contributed to this account are not subject to federal income tax; it’s not “use it or lose it”, and you can put more money into it than you can a traditional FSA. For more information, simply type your bank's name with the words "health savings account" into the Google search bar and you should be taken to the appropriate page. http://www.irs.gov/pub/irs-pdf/p969.pdf

  • * “Non-par”, or “non-participating providers” do accept Medicare. The difference is that the patient is asked to pay for the visit at the time services are rendered, the physician’s staff then submits the bill on your behalf to Medicare. Thereafter you will receive a Medicare Summary Notice (MSN) and reimbursement for approximately 85% of the Medicare-approved amount** directly from Medicare.

    ** Non-participating providers charge Medicare's limiting charge which is up to 15% more than Medicare’s approved amount for the cost of services you receive. This means that after you are reimbursed you are simply responsible for up to 15% of Medicare’s approved amount for covered services (plus your 20% coinsurance, as is usual).

    For those without any health insurance coverage, or those out-of-network with our office, we do offer our services out-of-pocket. Call our office for more information 212-832-2020

Understanding your own healthcare policy/coverage:

We strongly recommend that you verify your own coverage, including confirming that our doctors are participating providers with your particular plan, and obtaining information regarding your co-insurance, copay, and deductible (including how much has been met and how much remains) so that you completely understand your financial responsibility before seeing any physician. By doing this, unwanted and unpleasant financial surprises can be avoided.

If you have any questions or concerns, our staff will happily assist you: (212) 832-2020, or info@lasiknyc.com.

Our office takes Medicare.

Accepted Insurances

Accepted Insurances

We are medical office, and thus for clinic visits, evaluations, procedures, and surgery, we take health insurance (not vision insurance)

We are not a participating provider with Medicaid plans at this time.

All our services and products are HSA / FSA eligible, and we also accept CareCredit.

Regardless of network status, we always see patients on a private-pay basis, and are happy to assist with any documentation needed to submit a claim for reimbursement.

Medical Insurance Plans

  • AETNA (Except Student Health) 

  • AARP MEDICARE COMPLETE 

  • BLUE CROSS BLUE SHIELD 

  • CIGNA 

  • EMPIRE BLUE CROSS BLUE SHIELD 

  • EMBLEM HEALTH (PPO ONLY)

  • HUMANA (PPO ONLY) 

  • GHI (PPO ONLY) 

  • MAGNA CARE 

  • MEDICARE 

  • Multiplan PHCS

  • NIPPON LIFE through Aetna Signature Plan 

  • OSCAR 

  • OXFORD PLAN 

  • UMR 

  • UNITED HEALTH CARE