We are always happy to assist you with your insurance questions.
Contact EWBC Billing Department
Address:
EWBC Billing Department
170 Sawgrass Drive
Rochester, NY 14620
Phone: (585) 442-1830
Fax: (585) 758-7091
Hours:
Monday – Friday
7:00 am to 4:30 pm
Billing & Insurance
Patient Financial Policy & Responsibilities
Thank you for choosing Elizabeth Wende Breast Care, LLC. as your healthcare provider. Our goal is to build a successful physician-patient relationship with you. Your understanding of our patient financial policy and your responsibility for payment of services is important to our professional relationship.
Therefore, it is your responsibility to notify our office of any changes in your address, name, telephone, insurance information, etc.
Payment
Payment is expected at the time of the visit whether you have a copay or deductible plan. Please be aware if you are scheduled for a screening mammogram, and additional testing is recommended, and the additional tests are diagnostic. They may result in out-of-pocket expenses from you due to deductibles, co-insurance, and/or co-pays. Every insurance policy is different – please consult your insurance company to determine if you will have any out-of-pocket expenses for any diagnostic services.
There will be an additional $50 fee for co-payments and deductibles not received at the time of service.
Insurance Claims
We will bill your insurance company for the services you’ve received at our office. To properly bill your insurance company, we require that you provide all insurance information, including primary and secondary insurance, and any change of insurance information.
- You are expected to present an insurance card at each visit. Copayments and past due balances are due at the time of check-in unless previous arrangements have been made with our billing department. You may pay by cash, check, money orders, or credit card.
- Payment for known copays, co-insurance, and deductibles is your responsibility and will be due when services are performed. The insurance company makes the final determination of your eligibility and benefits. If your insurance company is not contracted with us, i.e., if the practice is not part of your insurance’s network, you agree to pay all charges not covered by insurance.
- Not all services provided by this office are covered by every plan. You are responsible for understanding your benefit plan and for knowing its requirements for referrals to specialists, preauthorization of procedures, etc. It is your responsibility to pay for non-covered services. After insurance claims are paid, the remaining balances on your account must be paid in full within the regularly scheduled billing cycle of 30 days.
- If we are out of network for your insurance company and your insurance pays you directly, you are responsible for payment and agree to forward the cost to us immediately. But, again, it is the patient’s responsibility to know if our office is participating in their plan.
Self-pay Accounts
Patients without insurance are expected to pay for services at the time of the visit. Financial needs are understood by this office, please ask to speak with our billing department to discuss a mutually agreeable payment plan, or information on additional resources that maybe available.
Missed & Canceled Appointments
Missed or canceled MRI appointments with less than 24-hour notice: $200 fee charged.
All other missed or canceled appointments with less than 24 hours' notice: $50 fee charged.
If more than two appointments are missed or canceled without prior notice to our office in a two-year period, we reserve the right not to schedule any further appointments. Terms are subject to change without prior notice.
Returned Checks
A returned check charge of $20 will be payable by cash or money order along with the fee for insufficient funds rendered by the bank. A returned check may be cause for providing services on a cash-only basis.
Outstanding Balances
If previous arrangements have not been made with our finance office, any account balance outstanding over 75 days will be forwarded to a collection agency.
Questions about fees, policies, or your responsibilities?
Questions about the No Surprises Act (Surprise Medical Bills)
Our billing department is available and happy to assist. Call 585-442-1830.
Insurance Participation
Elizabeth Wende Breast Care, LLC participates with all Excellus BlueCross BlueShield plans, MVP/SM, Aetna®, Medicare, and Medicaid, as well as other insurance plans (please see list below). We are also a provider to many NYS Health Partnerships.
EWBC Participating Insurances
ACS (ENERGY EMPLOYEES OCCUPATIONAL ILLNESS COMPENSATION PROGRAM)
AETNA, Aetna Choice, Aetna Medicare
AIGCS CLAIM SERVICE, INC.
ALLIED BENEFIT SYSTEMS
ALLSTATE INSURANCE CO
AMERAPLAN, INC
AMERIBEN/IEC GROUP
AMERICAN HERITAGE LIFE INS. CO.
AMERICAN INDIAN HEALTH
AMERICAN INSURANCE COMPANY
AMERICAN MEDICAL AND LIFE INS. CO.
AMERICAN MEDICAL SECURITY
AMERIHEALTH/ADMINISTRATORS
AMFIRST INSURANCE CO.
ANTHEM HEALTH & LIFE INSURANCE
APWU HEALTH PLAN
ASI CORPORATION
ASR HEALTH BENEFITS
ASSOCIATION & SOCIETY INS CORP
AVMA GROUP HEALTH AND LIFE INS.
BANKERS LIFE AND CASUALITY
BLUE CROSS BLUE SHIELD (EXCELLUS)
BLUE CROSS BLUE SHIELD OF WESTERN NY
CANCER SCREENING OF GENESEE/ORLEANS
CANCER SCREENING PARTN WAYNE CNTY
CANCER SCREENING PROGRAM OF
CANCER SERVICES OF STUEBEN COUNTY
CANCER SERVICES PARTNERSHIP
CANCER SERVICES PROGRAM
CAREFIRST
CARE IMPROVEMENT PLUS
CATTARAUGUS COUNTY HEALTH DEPT
CAYUGA COUNTY HEALTHY WOMEN PART.
CBCA ADMINSTRATORS INC
CCN
CDS GROUP HEALTH
CHAMPVA
CELTIC LIFE INS CO
CHAUTAUQUA COUNTY HEALTHCARE PLAN
CHEMUNG COUNTY HEALTH DEPARTMENT
CHESTERFIELD RESOURCES
CHOICE BENEFITS
CHRISTIAN CARE MIN.
CIGNA
CIGNA INTERNATIONAL
CNA HEALTH PARTNERS
COMBINED LIFE INSURANCE CO
COMMUNITY BLUE/FAMILY HEALTH PLUS
COMPASS ROSE HEALTH PLAN UHC
CONFEDERATION LIFE INS.
CONNECTICUT GENERAL LIFE INS. CO.
CONSOLIDATED HEALTH PLAN
COORDINATED BENEFIT PLANS
CORESOURCE
CORPORATE BENEFIT SERVICES OF AMERI
CORTLAND COUNTY HEALTH DEPT.
COVENTRY HEALTH CARE
DEFINITY HEALTH
DESERET HEALTHCARE
DIVERSIFIED ADMINISTRATION CORPORAT
ELMCO LLC
EMBLEM HEALTH
EVERCARE
FAMILY HEALTH PLUS
FARM FAMILY CASUALTY
FEDERATE INSURANCE
FIDELIS
FIDELIS MEDICARE
FIRST HEALTH SYSTEMS
FIRST SERVICE ADMINISTRATOR, INC.
FIRST UNITED AMERICAN LIFE INS
FMH BENEFIT SERVICES
FOREIGN SERVICE BENE PLAN
FOREVER BLUE
GEHA-ASA, GEHA MULTIPLAN
GEICO INS
GEISINGER
GENESEO PARISH OUTREACH CENTER
GERBER LIFE & HEALTH INSURANCE
GHI SECONDARY CLAIMS
GLOBAL MEDICAL MANAGEMENT
GOLDEN RULE
GPA
GREAT WEST LIFE & ANNUITY INS.CO
GUARDIAN
HARRINGTON BENEFIT SERVICES
HARTFORD LIFE & ACCIDENT
HARVARD PILGRIM HEALTH CARE
HEALTHAMERICA
HEALTH ASSURANCE
HEALTH CARE SUPPORT
HEALTHFIRST TPA
HEALTHLINK
HEALTH NET FEDERAL SERVICES,INC
HEALTH NOW
HEALTH PARTNERS CLAIMS
HEALTH PLANS, INC
HEALTHSCOPE
HEALTHSMART BENEFIT SOLUTIONS
HEALTHY LIVING PARTNERSHIP OF
HEALTHY LIVING PARTNERSHIP/ONEIDA
HEALTHY LIVING PART/TOMPKINS COUNTY
HEALTHY WOMENS PARTNERSHIP
HOP ADMIN
HUMANA CLAIMS OFFICE
HUMANA GOLD CHOICE
IBEW LOCAL 1249 INSURANCE FUND
IMG
INDEPENDENT HEALTH
INSURANCE ADMINISTRATOR OF AMERICA
INTEGRA BMS
INTER-COUNTY HEALTH PLAN, INC.
IRONWORKERS
IRON WORKERS MULTIPLAN/PHCS
KLAIS & COMPANY/EMBLEM HEALTH/HEALTHSMART
LIBERTY MUTUAL
LIFETIME BENEFIT SOLUTIONS
LIVINGSTON/WYOMING CANCER PARTNERSHIP
LOOMIS COMPANY
MAIL HANDLERS BENEFIT PLAN
MCA ADMINISTRATORS INC
MEDICA
MEDICAID/MC AUTO
MEDICAL MUTUAL OF OHIO
MEDICARE PART B-UPSTATE DIV
MEDICARE RAILROAD RETIREMENT
MEDIPLUS /TROA
MERITAIN HEALTH
MICRON HEALTH DAS
MID-AMERICA ASSOCIATES
MOAA ADMINISTRATOR
MOLINA
MSA PROCESSING CENTER
MULTIPLAN
MULTIPLAN -IRON WORKERS HEALTH PLAN
MUTUAL OF OMAHA
MVP, MVP GOLD, OPTION AND EXCHANGE
NALC HEALTH BENEFIT PLAN
NATIONAL ASSOC. OF LETTER CARRIERS
NATIONAL AUTOMATIC SPRINKLER
NATIONAL ELEVATOR INDUSTRY
NATIONWIDE HEALTH
NGS CORE SOURCE
NIPPON LIFE INS CO OF AMERICA
NORTH AMERICAN ADMINISTRATORS
NORTH AMERICAN PREFERRED
NORTHERN GRP. SERV., INC.
NOVA HEALTHCARE ADMINISTRATORS
OMNICARE ARM GRP
ORLEANS CTY HEALTHY LIVING PARTNER
OXFORD HEALTH PLANS
PACIFIC SOURCE
PAN-AMERICA LIFE INSURANCE CO.
PHCS
POMCO
PREFERRED HEALTH CARE
PREMIER 25
PREMIER HEALTH, OPTION
PRINCIPAL FINANCIAL GROUP
PRIORITY HEALTH
PROVIDENCE HEALTH PLAN
PRUDENTIAL INS CO
RISK ASMINISTRATION MANAGEMENT, INC
RMSCO
RURAL CARRIER BENEFIT PLAN
SCHUYLER HEALTHY WOMENS PARTNERSHIP
SECURITY HEALTH PLAN
SENECA COUNTY
SENIOR CHOICE/UNIVERA HEALTHCARE
SIDNEY HILLMAN HEALTH CENTER
SIERRA HEALTH AND LIFE
SOUTHERN TIER BUILDING TRADES
STARMARK
STATE CHEMICAL MANUFAC. CO.
ST.LAWRENCE-LEWIS INSURANCES
STRATEGIC RESOURCE CO
STRATTON VA MED CTR/136E
STUDENT RESOURCES/UNITED HEALTHCARE
SUMMACARE HEALTH PLAN
SUMMIT AMERICA INSURANCE SERVICES
THE HANOVER INSURANCE GROUP
TRANSAMERICA LIFE INS
TRICARE
TUFTS BENEFIT ADMIN, TUFTS HEALTH PLAN
UGS-GLOBAL CARE
UHC MEDICARE MASTERPIECE PLUS PLAN
UMR
UNICARE STATE
UNIFIED GROUP SERVICES
UNITED HEALTHCARE
UNITED HEALTHCARE STUDENT RESOURCES
UNITED MEDICAL RESOURCES
UNITED PARCEL SERVICE
UNIVERA PPO
UNIVERSAL BENEFITS INC
UNIVERSAL HEALTH CARE INS CO
UPMC HEALTH PLAN
US FAMILY HEALTH PLAN AT MARTINS PT
VA HEALTH ADMINSTRATION CENTER
WAUSAU INSURANCE
WEB-TPA
WELLCARE
WELLPOINT, INC.
WELLS FARGO TPA
WISCONSIN PHYSICIANS SERVICES
WPS
WPS/TFL-TRICARE FOR LIFE
EWBC Non-participating Insurances
Arnot Ogden
Beech St.
Catholic Charity
CDPHP EPO
Charity Care
Coventry One
Essence
Free Lancers
GHI Family Health Plus
Humana HMO
Infinity
Magnacare
Metro Plan
Seneca Nation Health
Total Care
Univera Essential Plan 2
Blue Cross Blue Shield of Western NY = BWE with prefix EST has county restrictions
United Healthcare NEXUSACO R (needs a referral to come here)
PLEASE NOTE: A surprise bill form will need to be signed in order to receive care from Elizabeth Wende Breast Care with one of the insurances above.
