Insurance Policy 

CDPHP

Highmark/Blue Shield Northeastern New York

United Health Care - Optum

Self-Pay

Insurance plans vary and not all services may be covered. 

Please call your insurance company to confirm the details of your benefits- including in network/out of network coverage, deductibles, co-pays, and required referrals or authorizations- before your first appointment. 

Patients are responsible for any unpaid balances that are not covered by insurance.

Outstanding balances over 90 days will be sent to collections.

All co-pays, deductibles, and co-insurances are due at the time service.
  

Rates & Insurance

For all other insurance companies, KM Psychiatry Associates may be out-of-network. Payment is due in full at the time of services.  You will receive a bill to submit to your insurance for reimbursement. Please check with your insurance for their specific reimbursement policy in accordance with your plan.

KM Psychiatry Associates, Kristen Marquis PMHNP as your health care provider. We are committed to providing quality care and service to all our patients. The following is a statement of our financial policy, which we require that you read and agree to prior to any treatment. 

·Please understand that payment of your bill is considered part of your treatment. Fees are payable when services are rendered. We accept cash, check, credit cards, and pre-approved insurance for which we are a contracted provider and are the designated Primary Care Provider (PCP), if applicable. 

·It is your responsibility to know your own insurance benefits, including whether we are a contracted provider with your insurance company, your covered benefits and any exclusions in your insurance policy, and any pre-authorization requirements of your insurance company. 

·We will attempt to confirm your insurance coverage prior to your treatment. It is your responsibility to provide current and accurate insurance information, including any updates or changes in coverage. Should you fail to provide this information, you will be financially responsible. 

·If we have a contract with your insurance company we will bill your insurance company first, less any copayment(s) or deductible(s), and then bill you for any amount determined to be your responsibility. This process generally takes 45-60 days from the time the claim is received by the insurance company. 

·If we do not contract with your insurance company, you will be expected to pay for all services rendered at the end of your visit. We will provide you with a statement that you can submit to your insurance company for reimbursement. 

·Please understand some insurance coverages have Out-of-Network benefits that have co-insurance charges, higher co-payments, and limited annual benefits. If you receive services are part of an Out-of-Network benefit, your portion of financial responsibility may be higher than the In- Network rate. 

· If your insurance company sends you a payment for services rendered by KM Psychiatry Associates or Kristen Marquis PMHNP, please contact the office for instructions on how to transfer the payment to KM Psychiatry Associates. As you will be responsible for all unpaid balances. 

·Proof of payment and photo ID are required for all patients. We will ask to make a copy of your ID and insurance card for our records. Providing a copy of your insurance card does not confirm that your coverage is effective or that the services rendered will be covered by your insurance company.