In-Network Plans for New York Residents

We accept the following insurance plans for New York residents:

• NYSHIP

• Empire BlueCross BlueShield

• Medicare

• AARP Medicare

• MVP

• MVP Cigna

• Oxford Freedom

• UnitedHealthcare

• UnitedHealthcare Dual Complete

• Veterans Affairs Community Care Network

• TRICARE (Certified Provider)
   

If you have one of these plans, you may use your insurance benefits directly in our office.

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Out-of-Network

You can still receive care with us if your plan is out of network.

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What to expect:

• A detailed superbill will be provided for submission

• Reimbursement is issued directly to you by your insurance

• Payment is due at the time of service

• We are happy to help guide you through the paperwork
   

Please note: It is your responsibility to understand your out-of-network benefits and reimbursement rates.

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Medicare

PivOTal Performance Occupational Therapy PLLC is a participating Medicare provider.

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What this means for you:

• Medicare covers 80 percent of approved charges

• Secondary insurance may cover the remaining 20 percent

• Without secondary coverage, the 20 percent coinsurance is due at the time of your visit
   

For additional details regarding caps and run-out benefits, please refer to your Medicare Handbook.