Our Policies

We are committed to providing you with the best possible care and are pleased to discuss our professional fees with you at any time. Your clear understanding of our Financial Policy is important to our professional relationship.  Please ask if you have any questions about our fees, financial policy or your financial responsibility.

Insurance/Hospital Information

Patients are required to provide Amherst Ear, Nose & Throat with current insurance information at every visit. Your FAILURE to provide us with accurate information with result in a patient bill that you may be held responsible for. You will be held responsible for any amount. Amherst ENT accepts the following insurance plans: AARP, Aetna, BC/BS (Medicaid managed care excluded), Cigna, GHI, Independent Health (Medicaid managed care excluded), Medicare, Nova,Tricare & Univera. Our Doctors practice at Sisters Hospitals of Buffalo, St. Joseph Hospital, Ambulatory Surgery Center of WNY & Women & Children’s Hospital of Buffalo. WE DO NOT ACCEPT WORKERS COMPENSATION OR NO-FAULT INSURANCE.

Co-Payments

By law we MUST collect your carrier designated co-pay.  This is part of your agreement with your insurance company. This payment is expected at the time of service. Please be prepared to pay the co-pay at each visit. Should you not pay at the time of service and we subsequently send you a statement, an administrative fee of $10 will be added to your account.

Deductibles/Co-Insurance

In accordance with the provision of your insurance plan, you are required to pay for a portion or all of your medical services. As a result, if you have a deductible or co-insurance with your insurance plan, payment is expected at the time of service. Please be prepared to pay the deductible at each visit. The amount charged is the allowable fees directly from your insurance company. The amount taken is a deposit and other charges may occur once it has been submitted to your insurance company.

Appointments

24 hour notice must be provided in the event you cannot keep an appointment.  Should you not provide this notice; a cancellation fee of $25 may then be added to your account.

Referrals

If your plan requires a referral from your primary care physician, it is YOUR responsibility to obtain it prior to your appointment and have it with you at the time of your visit.  If you do not have your referral, YOU WILL BE ASKED TO RESCHEDULE YOUR APPOINTMENT.

Financial Responsibilities

You are responsible for the timely payment of your account.  If for any reason you maintain an unpaid balance on your account and fail to work out a payment arrangement with us, after 90 days your account will be turned over to our collection agency. Should it become necessary for us to use an outside agency to collect payment form you, you will be additionally responsible for whatever charges we incur as a result of this. Accounts sent to collections will have a collection fee added to the balance.

Payment Types

We accept Cash, Checks, MasterCard, Visa, American Express, and Discover Card.

Self-Pay Patients

Payment is expected at the time of service before seeing the physician.

Medicare

We will submit claims to Medicare.  The patient will be responsible for the deductible and the 20% co-insurance, which can be billed to a secondary insurance if you have one.

Divorced/Separated Parents of Minor Patients

The parent who consents to the treatment of a minor child is responsible for payment of services rendered.  Amherst Ear, Nose & Throat will not be involved with separation or divorce disputes.

Privacy

Amherst ENT Privacy Policy