Insurance

Insurances We Accept

Understanding your insurance coverage is crucial for a smooth experience and effective management of your dermatological care.

Below is a detailed list of the insurance providers and plans we currently accept.

Our Accepted Insurance Providers

If you do not see your insurance provider listed below, please contact us at 212-757-7010 as we are continuously updating our accepted insurances and may still be able to accommodate you.

AARP Supplement
Aetna (including but not limited to Aetna Choice POS II, Aetna Choice POS Open Access, Aetna Elect Choice EPO, Aetna HMO, Aetna Managed POS Open Access, Aetna Medicare HMO & PPO, Aetna NYC Community Plan, Aetna Select, Aetna Signature Administrators PPO)
Affinity (including Essential Qualified Health Plans)
Beech Street
Blue Cross Blue Shield (including BCBS Anthem, BCBS Blue Card PPO, BCBS Empire, BCBS Federal Employee Program, BCBS Highmark, BCBS Horizon, BCBS MA Blue Care Elect PPO, BCBS MA Preferred Blue PPO, BCBS PPO, BCBS Healthplus Medicaid HMO, BluePPO HSA)
CDPHP(including New York State of Health - Small Business, PPO)
Cigna (including CIGNA HMO, CIGNA Open Access Plus, CIGNA PPO)
Elderplan
EmblemHealth (including EmblemHealth Select Care, EmblemHealth Select Care Bronze, Emblem HIP Select PPO, Emblem Health GHI, EmblemHealth Essential)
Empire Blue Cross Blue Shield (including Blue Priority NY, Empire HMO, Empire HMO Bronze Individual via Exchange, Empire Plan, Empire PPO, Empire Prism EPO Blue Priority)
Fidelis (including Care Essential Plan, NY State of Health HBX, Essential, Marketplace, Medicaid HMO, Medicare, Wellcare)
GHI
Green Leaf Plans
HealthFirst (including Essential, Green Leaf, Leaf Premier, NY HMO ABCD, NY Silver Leaf, Medicare, Medicaid HMO)
Highmark Community Blue PPO
HIP Prime HMO(including , Medicaid HMO)
Horizon BCBS (including OMNIA - TIER2, Direct Access, HMO, OMNIA, POS, PPO)2
Humana (including Choice POS, ChoiceCare Network PPO, Medicare)
I&F QHP Select Care Network
Leaf Premier Plans
MagnaCare
MEDICA CHOICE WITH UNITEDHEALTHC
Medicare (including Medicare Part B)
Medicaid HMO
Meritain Health
Metroplus (including Essential, Health - Exchange, Place / Exchange, Medicaid HMO)
Molina (formerly Affinity, including Medicaid HMO, Essential)
Multiplan PPO
MVP (including EPO/PPO, Liberty EPO/PPO, Preferred PPO)
NSLIJ Careconnect
Oxford (including Freedom, Liberty)
PHCS PPO
PPO 6000 Series
Savings Plus of Metro NY
SOMOS (including BlueCross BlueShield, Emblem)
UMR
1199
UHC AARP Medicare Advantage
UHC Choice Plus POS
UHC Compass HMO
UHC Community Plan HMO(Medicaid)
UHC NAVIGATE PLUS POS
UHC Navigate POS
UHC Options PPO
And More

For any questions regarding your specific insurance plan or to check if we participate with a provider not listed here, please contact our office directly at 212-757-7010.

Our knowledgeable staff is here to assist you with any insurance-related inquiries and ensure that your visit is as hassle-free as possible.

Remember, understanding your insurance benefits helps us serve you better.

How to Verify Your Coverage

To ensure a smooth experience at Park Plaza Dermatology, it’s important that you verify your insurance coverage before your appointment. Here’s how you can do this:

Review Your Insurance Card

Check the details on your insurance card. Locate the customer service phone number for policyholders.

Call Your Insurance Provider

Dial the number on your card to speak with a representative. Ask them if Park Plaza Dermatology is

within their network of covered providers and what dermatology services are covered.

Contact Our Clinic

You can also contact our office directly at 212-757-7010 for assistance in verifying your coverage. Our staff can help determine if we accept your insurance and guide you on any necessary pre-authorization for treatments.

Understanding Your Benefits

Understanding common insurance terms will help you navigate your benefits more effectively:

Deductible: The amount you pay for healthcare services before your insurance plan starts to pay.

Co-pay:A fixed amount you pay for a healthcare service, typically paid at the time of the service.

Out-of-pocket Maximum:The most you have to pay for covered services in a plan year. After you spend this amount on deductibles, co-pays, and coinsurance, your health plan pays 100% of the costs of covered benefits.

How These Terms Apply to Dermatology Services

For dermatology, your insurance might cover services differently based on whether they are considered medical necessity or cosmetic. It's important to understand how your plan categorizes these treatments.

What to Do If You Are Uninsured or Underinsured

If you do not have insurance or if your insurance does not cover all the services you need, Park Plaza Dermatology offers several options:

Payment Plans: We provide flexible payment plans to help manage the costs of treatments. Please discuss this with our billing department prior to your appointment. Financial Assistance: Depending on your circumstances, you may be eligible for financial aid. Contact our office for more information about available programs

FAQs

Here are answers to some frequently asked questions about insurance and billing at our clinic:

Q: Will my insurance cover cosmetic dermatology procedures?

A: Most cosmetic procedures are not covered by insurance. However, we recommend checking with your provider as some plans may offer partial coverage under specific conditions.

Q: What should I do if my insurance denies a claim?

A: Contact our billing department. We can help you understand the reason for the denial and assist in filing an appeal if necessary.

How to Prepare for Your Visit

To ensure your visit is efficient and stress-free, please bring the following items:

Insurance Card: Always bring your current insurance card to each appointment. Identification: A valid ID (driver’s license or passport) is required.

Pre-Visit Requirements: If your insurance requires pre-authorizations or referrals, please make sure these are arranged before your visit.