Payment Policy

PAYMENT POLICY

As a Medicaid provider, we are paid directly for covered services we provide to you. In some cases, Medicaid pays less than 100% of the cost of the service and informs us that you are expected to provide a co-payment for each office visit.

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Health Plans

  • Florida Medicaid
  • Sunshine Health Plan
  • Cenpatico
  • Kidcare/Healthy Kids/Medikids
  • Prestige Health Choice
  • Magellan Health Services
  • Magellan Complete Care
  • Children’s Medical Services
  • Big Bend Community Based Care
  • Capital Health Plan (CHP)
  • Beacon Health Options
  • Integrated Behavioral Health (IBH)
  • Triwest Healthcare Alliance Florida Blue
  • Employee Assistance Program (EAP)
  • Private Pay (Cash,Check or Money Order)

APPOINTMENT QUESTIONS

What is a deductible and what does it mean for my visit?

A deductible is the amount of expenses (money) that must be paid “out of pocket” by the policy holder before an insurance company will pay any expenses.  This set amount is determined by your individual insurance policy.  

Deductibles only apply in certain situations.  Your insurance plan determined when you have to pay “out of pocket” towards your deductible and when your services are paid for or “covered” by your insurance company.  When your services are paid for or “covered” by your insurance company it means one of two things: either you have met your deductible, or that particular service does not qualify for, or “apply towards”, your deductible.  

With our real-time verification process, we are able to quickly see if you have fulfilled or “met” your deductible.  This information is updated hourly and is generally very accurate.  

Do you accept Private-Pay or Sliding Scale?

​Yes. For Private-Pay, please contact our office during regular office hours.  There is NO sliding scale offered at this time.

Do I need a referral from my doctors’ office?

NO.  You do not need a referral from your doctor.

Does NDNY accept walk-in’s without a scheduled appointment?

NDNY highly recommends scheduling an appointment, unless critical circumstances do not permit. A $50.00 walk-in fee will be charged to client and is due the day services are rendered.

Will I be charged if I don’t show for my  appointment?

​NDNY reserves the right to charge a fee of $25 for all missed appointments to include appointments not canceled with a 24hr advanced notice. Multiple “no shows” in any 12-month period, may result in termination from our practice. 

What if I need to cancel my appointment at the last minute on the day of my scheduled appointment?

​Appointments that are canceled on the same day as scheduled, are considered a “No-Show” appointment. A no-show fee will be billed to the client.  The fee is not covered by insurance and must be paid prior to your next service appointment. 

Can I receive a text reminder for my appointment?

Yes. NDNY sends text and/or email reminders several days before scheduled appointments and the day of your appointment.

 

​​Could I be required to participate in random drug test?

​Yes. Patients being treated at this agency can undergo random urine drug screening.