Resources
Insurance and Billing
Although every physician participates with different insurance plans, it is the goal of this organization to work with patients on all facets of their care, including their billing and insurance information.
Insurance information will be verified before appointments, and insurance claims related to individual doctors’ participation will be submitted for an assignment. We will supply any paperwork necessary to claim reimbursement for services that require direct payment. Coverage of lab work, pathology, and anesthesiology services will vary between insurance companies. As per organizational policy, up-front expenses as a result of co-pays, deductibles, co-insurance, etc. will become the sole responsibility of the patient.
Participating Insurances
Medicare – 9/17/2017
NY State Medicaid – 8/1/2017
1199SEIU Benefits – 11/1/2018
Aetna
- Commercial – 9/15/2019
- Medicare – 9/15/2019
Affinity
- Medicaid, Child Health Plus (CHP), Health and Recovery Plan (HARP) – 5/1/2021
- Basic Health Plan (BHP) and Essential Health Plan (EHP) – 5/1/2021
Amida Care
- Medicaid, HIV Special Needs Program (SNP), Chronic Condition Special Needs Plan (C-SNP) – 6/1/2018
Empire BCBS
- Large Group Commercial – 3/1/2018
- Medicare Advantage – 3/1/2018
- Small Group – 3/1/2018
Empire BCBS HealthPlus
- Medicaid, Child Health Plus (CHP), Health and Recovery Plan (HARP) – 1/1/2020
- Essential Plans 1-4 – 1/1/2020
- Individual Network – 1/1/2020
Cigna
- Commercial (including MVP) – 4/15/2018
- Cigna Health Spring Medicare (Pending Effective Date)
Emblem HIP/GHI
- Commercial – 9/15/2018
- Emblem Medicare, GHI Medicare, HIP Medicare – 9/15/2018
- HIP SelectCare, HIP Millennium – 9/15/2018
- HIP Medicaid – 9/15/2018
- HIP Essential – 9/15/2018
FidelisCare
- Fidelis Medicare Advantage – 4/20/2018
- Fidelis Medicaid Managed Care, Health and Recovery Plan (HARP), Essential Plan (Aliessa) – 4/20/2018
- Fidelis Health Benefit Exchange and Qualified Health Plan (QHP) – 4/20/2018
HealthFirst
- Commercial and Qualified Health Plan (QHP) – 4/1/2018
- Medicare Advantage – 4/1/2018
- Medicaid, Health and Recover Plan (HARP), Basic Health Plan (BHP), Child Health Plus (CHP) – 4/1/2018
- Humana Medicare Advantage 10/1/2019
MagnaCare/Brighton Health Plan Solutions
- Commercial, Casualty & Create – 10/1/2018
- Medicare & Dual Eligible – 10/1/2018
- Medicaid – 10/1/2018
- MultiPlan/PHCS- 4/15/2018
MetroPlus
- Medicaid, Essential, Fully Integrated Dual Advantage (FIDA), HIV Special Needs Plan (HIV-SNP), Child Health Plus, Enhanced Health and Recovery Plan – 6/13/2018
- Medicare Advantage – 6/13/2018
- Marketplace – 6/13/2018
- Gold, GoldCare – 6/13/2018
- The Empire Plan – 2/1/2018
UHC/Oxford
- UHC Commercial, United Medical Resources (UMR) – 9/1/2018
- Oxford Metro, Core, Charter Narrow Networks – 9/1/2018
- UHC Compass – 9/1/2018
- UHC/Oxford Medicare Advantage – 9/1/2018
- UHC VA Community Care Network – Pending
- UHC NY Medicaid, NY Health, Community Plan, Health and Recovery Plan (HARP), Wellness4Me, Child Health Plus (CHP), Essential – 9/1/2018
- Village Care Max – 6/3/2021
VNSNY (Visiting Nurse Service of New York)
- Medicare Advantage, Medicare Advantage Special Needs Plans (SNPs), Medicaid Advantage Plus, Fully Integrated Duals (FIDA) – 6/4/2018
- VNS Choice Select Health (HIV Special Needs Plan) – 6/4/2018
- WellCare Medicare 5/4/2018
Affiliated Hospitals
Mid-Bronx Endoscopy Center Physicians are affiliated with BronxCare Hospital. To learn more about BronxCare Hospital please visit: https://www.bronxcare.org/
Anesthesia Services
Mid-Bronx Endoscopy Center anesthesia services are contracted through York Anesthesiologists in New York, NY.
