Why We Are Out-of-Network
Dr. Geldwert believes that developing strong relationships with his patients and taking the time to fully understand their concerns is the best way to practice medicine. Most managed care plans today do not value or fully compensate for the time and dedication required to practice this way. Doctors end up rushed and may not be able to thoroughly diagnose the issue and all of the factors that may be contributing to it, leading to unsatisfactory outcomes. This is why Dr. Geldwert does not participate as an in-network provider with commercial insurance plans.
How Our Billing Works
We strive to make the billing process simple, transparent, and stress-free:
- Often, we request payment upfront and you will be provided with paid receipts for your appointments and treatments, which you can submit to your insurance for reimbursement. Any lab work or imaging that Dr. Geldwert refers you for will usually be covered by your insurance plan.
- Occasionally, you will not be asked to pay the full amount upfront and we will submit the claim to your insurance company first. Once we have received payment from them, you will receive a balanced bill for the portion that they have not covered.
We are committed to providing you with the best care possible, both in the exam room and out of it. We are happy to provide you with up-front information about fees, and we can help you understand your benefits and coverage.
Estimating Out-of-Pocket Expenses
We do our best to help you estimate any out-of-pocket costs for services at Geldwert Bunion Center. The amount the insurance will cover typically depends on your insurance plan, including:
- Allowed Rate (how much the plan pays an out-of-network provider for a specific service)
- Deductible (how much you pay before your insurance plan starts to cover services)
- Co-Insurance (the percentage you are responsible for once you have met your deductible)
- Out-of-Pocket Maximum
To help determine what you will owe, our office will always attempt to obtain this information on your behalf. However, the insurance companies will not always disclose this information to the doctor’s office. In certain instances, they will only provide this information to the policyholder. In these instances, it is best to call your insurance company on your own, and we can provide you with the diagnosis and procedure codes.
If you are uninsured or do not have out-of-network benefits, please contact our office to request fees for self-pay consultations and common procedures.
For the highest quality of foot care in NYC and Westchester, including foot surgery, turn to Dr. Geldwert. Contact us to schedule an appointment today.