Financial And Insurance Information

Insurance

  • You must provide proof of current insurance at every visit as well as update your demographics.
  • You must provide a referral if required by your insurance company prior to your visit or pay cash.
  • Medicaid and Medicaid Managed Care patients cannot be seen without a referral.
  • You are responsible for any co-pays, deductibles and coinsurance as required by your insurance company at the time of service. A $10 processing fee will be added if the co-pay is not provided.
  • We cannot get involved in family disputes. The parent that brings the child for the visit is responsible for payment.
  • Your insurance policy is a contract between you and your insurance company; therefore it is your responsibility to know your benefits.
  • All fees generated are the responsibility of the patient.
  • Insurance plan participation is subject to change.
  • If we are not contracted with your insurance company, we do not accept their fee schedule as payment in full. Any balance is the patient's responsibility.
  • Your Rights and Protections Against Surprise Medical Billing
  • Good Faith Estimate for Health Care Items and Services

Diagnostic Scopes

  • Diagnostic endoscopy is an important tool used to diagnose naso-sinus and other ENT conditions.
  • Your insurance company may consider diagnostic endoscopy a "surgical procedure" for billing purposes.
  • The charge may be subject to additional deductible or coinsurance according to your surgical plan benefits.
  • As with all healthcare services, you can decline this endoscopy, but your physician may feel it is optimal for proper diagnosis and treatment.

Fees

Missed appointments require 24 hours prior notice. If proper notice is not given, the fees are as follows;

  • Missed physician appointment $50
  • Missed VNG $100
  • Missed audiology test is $50
  • Missed in office procedure $50
  • Missed allergy testing appointment $100

Collection Agency

All patient accounts that become 60 days delinquent may be sent to an outside collection agency, or attorney. This will result in dismissal from the practice and all accounts turned over to collections will be assessed with a 35% administrative fee.

Price Transparency

Did you know that your healthcare spending is increasing at a rate 2 times faster than your wages? In this era of growing out of pocket costs with health insurance, when making health care decisions you should consider physicians’ pricing, care quality and financial experience. Coastal wants to help you navigate this issue. We are committed to being transparent regarding all expenses you may incur as a patient. We go the extra mile to verify your insurance benefits and get you the best estimate we can to let you know in advance what you may owe from your visit. Our fees are free on our website for your review as we strive to provide quality care at a fair price. Our billing department is here on site to answer any questions you may have. Care Credit

CareCredit? for Hearing Health

To hear the world around you is an important part of life. Now the opportunity to improve your hearing health is made affordable with CareCredit®, the leading patient payment program. With CareCredit, you can get the hearing instrument you need — then conveniently pay for it over time with low monthly payments that fit easily into your budget. If hearing loss has affected your quality of life, hear what you’ve been missing with the help of CareCredit.

Your Healthcare Credit Card

CareCredit is the credit card exclusively for healthcare services. With no up-front costs and no pre-payment penalties, CareCredit lets you pay over 12 months and frees up cash and credit cards for the other things you want or need. CareCredit offers low monthly payment plans for healthcare procedures not commonly covered by insurance, including hearing aids. It’s time to improve your hearing health and capture the sounds you’ve always enjoyed with CareCredit. For hearing care, CareCredit offers:

  • Low minimum monthly payments
  • Low, fixed interest financing
  • No up-front costs or pre-payment penalties

Learn more by visiting CareCredit.com or contacting our office. Ready to apply? Apply online for your CareCredit card today. It’s the convenient way to improve your hearing health. Care Credit

CENT Participating Insurances

  • 1199 National Benefit Fund
  • Aetna – excludes Aetna Prime HMO, Aetna Medicare Elite PPO, Aetna Aexcel
  • Aetna Premier Network-Call your insurance to ensure the provider you are seeing is in-network
  • Aetna CVS Health-Call your insurance to ensure the provider you are seeing is in-network
  • Aetna Better Health of NJ
  • Aetna Signature
  • Allegiance Benefit Plan
  • Allied Benefits
  • Ambetter of NJ
  • American Plan Administrators
  • Amerigroup Medicaid of NJ
  • Amerihealth Administrators
  • Amerihealth of NJ
  • Amerihealth Medicare
  • Amerihealth Value Network
  • APWU Health Plan
  • Banker’s Fidelity
  • Banker’s Life & Casualty
  • Bricklayers Insurance Welfare Fund
  • ChampVA
  • Charity Care through JSUMC
  • Cigna
  • Division 1181 ATU NY Fund
  • First Health
  • GHW- Cigna
  • Horizon BCBS of NJ All Commercial and OMNIA Plans
  • Horizon Federal
  • Braven Health
  • Horizon NJ Health
  • Insurance Administrators of America
  • International Benefits Administrators
  • Iron Workers Locals 40, 361 & 417
  • Local 164 (BCBS)
  • Local 472 & 172 (Meritian)
  • Local 863 (BSBS)
  • Local 400 (I.E. Shaffer)
  • Magnacare
  • Mail Handlers Benefit Plan
  • Manhattan Life
  • Medicaid
  • Medicare
  • Meridian Health
  • Meritain
  • MVP Health Care underwritten by Cigna
  • NALC Health Benefit Plan
  • National Automatic Sprinkler Industry Welfare Fund
  • Nippon Life Benefits
  • Palmetto GBA Railroad Medicare
  • Samba
  • Total Plan Concepts
  • Tricare for Life
  • Trustmark Health Benefits
  • United Healthcare Community Plan of NJ
  • United Healthcare Dual Complete of NJ
  • United Food & Commercial Welfare Fund
  • Wellcare
  • Wellpoint
  • CSC Participating Insurances 

Medicare Supplemental Plans

  • AARP Medicare Supplement Plans
  • Aetna Senior Supplemental
  • AMA Insurance
  • American Continental
  • American Progressive
  • Celtic Insurance
  • CHCS Nationwide
  • Chesterfield Resources
  • Cigna Medicare Supplemental
  • Continental Benefits
  • Continental Indemnity
  • Equitable Life Insurance
  • Family Life
  • ForeThought Life
  • Genworth Life
  • Gerber Life Insurance
  • IE Shaffer
  • Insurance Design Administrators
  • IUOE Local 14-14B
  • Liberty Bankers Life
  • Mutual of Omaha
  • Pension Hospitalization and Benefits of the Electrical Industry
  • Philadelphia American Life
  • Physicians Mutual
  • Polish Falcons of America
  • The Tennessee Plan
  • Principal Life Insurance Plan
  • Sheet Metal Workers Health Fund
  • Stirling Benefits
  • Stone Bridge Life Insurance Company
  • Transamerica
  • Unified Life
  • United American Insurance
  • USAA Life Insurance Company

Supplemental Insurance Plans

  • Administrative Services Only
  • AFLAC
  • Alicare
  • AmeraPlan
  • American Public Life
  • BMI Benefits
  • Bollinger
  • Comprehensive Benefits
  • J&K Consultants