Dear Patients & Family,
The mission of our practice is to care for as many children as possible and remain in business while doing so – no easy feat in today’s world.
The UnitedHealth Group has always reimbursed the lowest of all the insurances we accept, but we stayed in network to provide our much needed services to the children and families of our community. Our recent attempt at good faith negotiation went nowhere. Unfortunately, it is no longer possible for us to continue participating in their network.
Effective September 1, 2019 we will no longer be seeing UnitedHealth Group members.
We hope you will decide to stay with our practice. If you do, there are options available:
If you have out-of-network benefits you can pay for the visit and we will submit the claim on your behalf.
Our self-pay fees are very reasonable. We charge $100 for a routine follow-up, $150 for an annual follow-up that includes refraction and fundus exam, and $300 for an initial consultation.
You can transfer your care to a practice that accepts your insurance. We will, of course, provide all records as requested. The phone number for the Pediatric Clinic at the New York Eye & Ear Infirmary is (212) 979-4375.
Also, please feel free to contact United/Oxford to express your opinion on this matter. Why is one of the most profitable companies in the world restricting access to pediatric specialty care by paying so little to doctors? If enough people complain, they might come back to negotiate in good faith.