Billing Information

Dr. Geldwert takes great care in ensuring you have a pleasant experience and that your questions and concerns are addressed to your satisfaction. He believes that developing strong relationships with patients is critical to practicing good medicine. In today’s environment, most managed care plans do not value the time and dedication required to practice this way.

Therefore, Dr. Geldwert does not currently participate as an in-network provider with commercial insurance plans, except for Medicare. For any patients who are seeing Dr. Geldwert as an out-of-network provider, medically necessary lab work and imaging studies will typically be covered under your insurance plan as if you were seeing an in-network provider. His office will also submit a claim to your insurance company on your behalf, so if you have out-of-network benefits, you would be reimbursed according to your plan. To find out more about insurance reimbursement, please see below for information on estimating out of pocket expenses.

We understand that patients have financial concerns, and the staff can provide you with upfront information about fees, as well as help you determine the status of your benefits and coverage. We strongly encourage you to contact the office at 212-980-6487 if you are interested in making an appointment.

 

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 Center for Podiatric Care and Sports Medicine. If you have out of network benefits, we will also submit claims to your insurance company on your behalf, so that you can receive your benefits according to your plan.

For certain services, we request payment upfront and we will submit a claim for you to be reimbursed directly by your insurance company. In other instances, 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 balance bill for the portion that they have not covered.

The amount the insurance will cover typically depends on your insurance plan’s:

  • 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 percent you are responsible for once you have met your deductible)
  • Out-of-Pocket Maximum

If you have met your out of network deductible, you would be responsible for your co-insurance on the allowed rate, and if you have met your out-of-pocket maximum, you should no longer be responsible for paying any co-insurance. If Dr. Geldwert’s fee is more than the allowed rate, you would also be balance-billed for the difference between Dr. Geldwert’s fee and the allowed rate. In order 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 policy-holder. 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 him at 212-996-1900 to schedule an appointment today.