Insurance
Most insurance companies cover genetic evaluation and genetic consultation (i.e. genetic counseling) fees. However, as policies vary, you need to check with your insurance company to determine the benefits, restrictions and exclusions of your particular policy. In many situations, prior authorization or other paperwork may be required for your visit with us. You are responsible for being sure that these have been obtained before your visit.
If you are unsure about your insurance requirements, please call your insurance representative. If insurance information is incomplete, the patient will be billed directly. Please bring your insurance card to the appointment.
All visits are billed under Robert Lebel, MD or Joan Pellegrino, MD. Currently they participate with the following health insurance companies:
Aetna Blue Choice Option aka Montoe Plan BlueCross BlueShield of CNY BlueCross BlueShield of Utica-Watertown ChoiceCare/Humana Network Corporate Care Management Emblem Health/GHI (PPO) Empire Plan Excellus - all products Fidelis Care NY Fidelis, Child Health Plus HealthNow New York Indian Health Plan Magnacare |
Martin's Point Medicaid - NY & PA Medicare Monroe Plan (see Excellus) MVP POMCO - POMCOPlus+ RMSCO, Inc (see Excellus) Total Care Tricare - HealthNet Federal United Health Plus (aka United Health Direct) United HealthCare of CNY United Health Care Community Plan (aka Americhoice) Univera Healthcare (PHP) (UMAS Network) |
This means you are responsible for co-pays, deductibles, and any services not covered by your insurance. Please verify that authorization from your insurance company, if needed, has been obtained before you come to your appointment.
As a courtesy, we send bills to other insurance companies. Please note that you are responsible for making all payments, including co-pays and deductibles. You also need to make sure that authorization from your insurance company has been obtained prior to your visit(s) here.
If you have any questions, please call our billing office at 315 464-4813.