FAQs

CALL 866-693-2699 

Our billing partner HPI has access to each insurance claim sent to your insurance for care, and the explanation of benefits corresponding to that claim which details coverage determinations your insurance company made and shared with HPI.

HPI’s patient support representatives are available for assistance from 9 am to 7 pm, and they are proficient in both English and Spanish.and can provide you with a detailed breakdown of charges.

For the most efficient response and support, securely text us at: 315-201-0621.

Alternatively call us at this number: 315-201-0621

Because we are a comprehensive primary care and preventative care team, we believe in screening for common problems. Along with the COVID-19 pandemic came a sharp spike in the rates of debilitating mental health concerns including anxiety and depression. We screen for these common conditions using standardized tools (the GAD and PHQ) to objectively assess symptoms and determine severity. We repeat the assessment serially to fully understand improvement or worsening in anxiety or depression to optimize our recommendations and treatments for each.

A No-Show fee applies if you fail to cancel your appointment 24 business hours in advance or miss your appointment: $40 for primary care, $75 for psychotherapy and specialist visits.

To update your information for future care: please contact our Bethany Medical team at 315 201 0621 to update the billing information you have on file with us. 

If you want to update billing information to re-submit a claim for past care, contact our billing partner, HPI at 866-693-2699 to update your information with them.

An EOB, or Explanation of Benefits, is a document from your insurance company explaining how they handled your healthcare claim, including services, billed amount, what’s covered, and any remaining balance.

There are several reasons why you may still receive a bill even if you have insurance:

Deductible: If you haven’t met your annual deductible, you may be responsible for a certain amount of healthcare costs before your insurance coverage kicks in.

Co-insurance: Even after your deductible is met, you may still be responsible for a percentage of the healthcare costs, known as co-insurance.

Non-covered services: Some services may not be covered by your insurance plan, and you will be responsible for paying the full amount for those services.

Out-of-network providers: If you receive care from a healthcare provider that is not in your insurance network, you may have to pay a higher percentage of the costs.

A deductible is what you pay out of pocket for covered healthcare before insurance kicks in. For instance, with a $1,000 deductible, you pay the first $1,000. After that, insurance covers costs as per your plan’s terms.

If your insurance claim is denied, our billing partner will work with you to appeal the decision or explore alternative solutions. HPI (866-693-2699) is here to assist in resolving any issues.

Yes, payments can be made over the phone. You can either us at 315-201-0621 or contact our billing partner HPI at 866-693-2699

Bethany Medical requires all patients to keep an active credit card on file with auto-pay enabled to efficiently process balances after insurance claims are settled. Payment plans are available through the web portal or by calling HealthPrime (HPI) at (866-693-2699). If we are in-network with your insurance, you will never be charged more than your carrier’s designated amount. If errors are discovered, be assured that refunds will be issued.

Our “Financial Policy,” found in our consent forms, outlines that patients are responsible for any costs not covered by insurance, including co-payments (charged immediately), deductibles, or uncovered services. By signing, patients authorize Bethany Medical to securely store and charge their credit card for any outstanding balances after insurance processing. Declining this policy will result in discharge from the practice within 30 days, and unpaid balances will be sent to collections.

After your visit, we submit a claim to your insurance company. Once they process the claim, you will receive a statement from us outlining any remaining balance. Payment can be made online, by phone, or in person. Delays may occur due to insurance processing, such as verification, adjustments, or benefit coordination. Bethany Medical submits claims promptly, but insurance-related delays can happen. Statements for remaining balances are sent immediately after insurer confirmation of coverage and owed amounts.

Copayments are typically due at the time of service. Our staff will verify your insurance benefits. Patient deductibles are determined by your insurance company based on the specifics of your insurance plan when they are reviewing a claim for care that has already been given. Your insurance company communicates to our billing company HPI what they approve to be paid for the care you have received, and the breakdown of how much the insurance company is contracted to pay for that care directly, and the balance that they apply to patient deductible which is subsequently owed by the patient. 

To assist with managing costs, we offer flexible payment plans tailored to individual needs.

We accept various forms of payment to accommodate our patients’ needs, including major credit cards, debit cards, cash, and checks.

To set up a payment plan, please contact our billing partner HPI at 866-693-2699. They will assist you in arranging a suitable payment schedule tailored to your needs. for each.

We offer the convenience of automatic payments for your peace of mind. Once you provide your preferred payment method, we can securely process your payments automatically for services rendered, ensuring seamless transactions. This eliminates the time spent on manual payments and the risk of an accidental oversight in paying a copay or deductible and the consequent negative impact on your personal credit.

If you believe there is a billing error, please contact our billing partner, HPI at 866-693-2699

Yes, telemedicine coverage varies depending on your insurance plan. However, it’s essential to check with your insurance provider to understand the specifics of your coverage, including any copays or limitations that may apply.

Our practice works with all major insurance providers. However, coverage may vary depending on individual plans, so we recommend contacting our office or your insurance provider directly to confirm your specific coverage details.

• 1199
• AARP Healthcare
• Aetna Commercial
• Aetna Medicare
• Allied Health Plan (confirm card says Aetna or Cigna)
• Centivo Commercial (EPO & PPO)
• Cigna Commercial (OAP & PPO)
• Cigna Medicare (PPO)
• CoreSource (confirm that card says Aetna, BCBS, or Cigna)
• Emblem / GHI Commercial
• Emblem Medicare
• Empire (Anthem) BCBS Commercial
• Empire (Anthem) BCBS Healthplus Medicaid
• Empire (Anthem) BCBS Medicare
• Fidelis Care of New York Medicaid
• GEHA
• Golden Rule (United)
• HIP Commercial
• HIP Medicaid
• HIP Medicare
• Humana Medicare (excluding NUTRITION OR PSYCHOTHERAPY)
• Magnacare
• Medicare
• Meritain Health
• Nippon Health
• Oscar
• Priority Health (Cigna PPO)
• UMR
• United Healthcare UHC / Oxford – Freedom & Liberty
• United Healthcare UHC Commercial
• Wellcare

*Subject to change

If a copayment was collected at your visit BUT you had any outstanding balance from an earlier date of service, that payment may have been applied to the older outstanding bill instead. Please review your account details through Personapay and reach out to our billing specialist at 315-201-0621 for clarification.