Patient Billing Information
All Patients:
When you register for your first visit at the Center,
you will be asked to present a form of personal identification
and proof of address. In addition, if you are uninsured
with no dependants and currently earn less than $24,500,
you can present proof of/attest to your income to qualify
for our sliding scale or other insurance programs. If you
have insurance, please present your most recently issued
card at each visit.
Any changes to your income
or insurance coverage should be presented to Patient Accounts
on the 1 st floor prior to check-in.
- PRESCRIPTIONS : Callen-Lorde
has partnered with PharmaCare Specialty Pharmacy, formerly
CVS ProCare Pharmacy, located nearby at 126 8 th
Avenue (between 16 th & 17 th Streets) to provide low-cost prescriptions,
as well as discounted over-the-counter
and other in-store products to all patients.
Please call (212) 807-8798 to transfer,
renew, or refill your prescriptions or ask any staff
for more information, including pick-up and delivery
options.
Uninsured/Self Pay Patients:
If you do not have health insurance and meet certain income, residency
and/or medical requirements, we offer on-site financial
screening, referral and enrollment assistance to obtain
government-funded insurance programs, such as the Columbia Breast
Health Partnership, Family Planning Benefit Program, Family/Child
Health Plus, Medicaid, or ADAP Plus. If you do not qualify for these
plans, we offer a 'sliding scale discount' based
upon your documented income and family dependents. Should you qualify,
your office visits and procedures will be billed at a discounted
rate, subject to annual income re-verification.
Please inquire about our fees prior to receiving
care, so that you are prepared to pay for your
medical, mental health, or dental services, as our charges increase according
to the complexity or amount of
services provided.
- OFFICE VISITS & PROCEDURES: When
you check out, Callen-Lorde will request
payment for your visit and any related procedures performed
by your provider, which can be made through the following options:
Cash, Money Order, Personal Check as well as MasterCard,
Visa, Discover, and American Express. Callen-Lorde
sends out monthly bills provided that you make installment payments at
the time of service or whenever possible until your
balance is cleared. Please note that Mental Health
Services balances must be kept below $130 at any given
time. In addition, Dental and Sexual Health charges
are due at the time of service, though extended repayment
provisions are available upon request and approval.
- LAB SERVICES: Most diagnostic
tests performed in conjunction with your medical visit
will be an additional charge that is seperately billed
to your mailing address by Quest laboratory. Please ask
in advance about their discounted fees
if you would like an approximation of how much your bill
might be. If you would like to pre-pay your
lab bill or if you receive a bill that appears to be
in error, please contact them directly at
(800) 631-1388.
Patients with Health Insurance:
MEDICAL SERVICES: Callen-Lorde
accepts ADAP Plus, Anthem, Beech Street, Centercare,
Community Care Network, Consumer Health Network, Empire
BC/BS, Empire Plan, FirstHealth, GHI, Healthfirst,
HIP, Horizon, Magnacare, Medicaid, Medicare, Multiplan, PHCS,
SelectPro, and United Payers/Providers.
Please note: As of July 1, 2006, Callen-Lorde will
no longer accept any new medical patients with Aetna, Cigna,
Healthnet, Oxford, and United Health Care coverage. We can provide
you with LGBT-friendly alternatives in these networks. In addition,
Callen-Lorde is not a No-Fault or Worker’s Compensation
provider, but can supply you with a detailed bill to submit
to your carrier.
At checkout, you will be asked to pay for any out-of-pocket expenses
and outstanding balances determined by your plan's benefits and
limitations. While we strive to help you receive your maximum benefits
available under your insurance coverage, we also need your understanding
of and cooperation with your policy's provisions. It is very important
to remember that your insurance is a financial contract between
you and your insurance carrier. You may be required to specifically
select one of our medical staff as your primary care provider (PCP) prior
to care or have your lab work processed through a specific service
provider. In addition, your coverage may be limited by
an annual deductible, co-insurance, co-payment, non-covered services
and/or out-of-network benefit limitations. It is your responsibility
to inquire with your plan prior to receiving care
about any out-of-pocket costs.
Whenever possible, Callen-Lorde will submit a claim to your carrier
on your behalf. Your insurance plan should respond within 4-6 weeks
in the form of an “Explanation of Benefits” statement
sent to you as well as the Center. If you receive a check from your
insurance company for a claim submitted on your behalf by Callen-Lorde,
please do not cash it into your personal account.
Instead, endorse it payable to "Callen-Lorde Community
Health Center" and mail it to the attention of the
Patient Accounts Department at: 356 West 18 th Street, New York,
NY 10011.
- DENTAL SERVICES: ADAP Plus,
Medicaid, Self Pay, and certain Managed
Medicaid plans (subject to verification by the Patient
Accounts department) are accepted.
- MENTAL HEALTH CARE SERVICES: ADAP
Plus, Medicaid, Healthfirst, Medicare, and Self Pay (for
psychiatry only) are accepted.
Other Questions:
If you have any other coverage, billing or payment concerns, please contact
our Patient Accounts department at 212.271.7253,
or fax your statement with any updated income or insurance
information to 212.271.7234. We will make every effort
to research and correct your account within the following 5-7 business days.
