COMMUNITY FOCUSED HEALTHCARE

PATIENT RESOURCES

Over 50 years as the safety net provider for all.

Attention Patients:

Beginning January 1, 2022, you have the right to request a “Good Faith Estimate” (GFE) explaining how much your appointment may cost.

  • Under the law, those who don’t have insurance or need financial assistance paying their bill have the right to request a Good Faith Estimate for the total expected cost of any items or services associated to your visit at our centers.
  • Upon request, a Good Faith Estimate can be provided to you in writing at least 1 business day before your medical service or item. You can also ask your health care provider for a Good Faith Estimate before you schedule an item or service.
  • If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
  • Make sure to save a copy or picture of your Good Faith Estimate.

The total cost of your service may consist of the following fees: office visit, procedure(s), prescriptions, labs, podiatry injections.
Please download a schedule of estimated fees for 2023. (Estimated Fee Information Spanish)

Disclaimers:

  • GFE is an estimate and subject to change.
  • Patient’s right to initiate dispute resolution process.
  • May be additional services.
  • GFE is not a contract.

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or email [email protected].

WHAT TO BRING

In order to provide you with the best and most efficient healthcare possible, we ask that you bring all of the following information with you during your first visit to one of our Centers:

  • Current medications
  • Names of other medical providers caring for your health
  • Recent hospital or emergency room discharge paperwork
  • Any reports or letters from other medical providers
  • Forms to be completed by medical provider
  • Insurance card
  • Insurance copay (if applicable)

PAYING FOR YOUR VISIT

For Individuals with Health Insurance

We accept Medicaid (Access), Medicare, CHIP and most other forms of health insurance, including but not limited to the following:

CHIP Health Plans

  • Aetna Better Health Kids
  • Keystone Health Plan East CHIP
  • Health Partners KidzPartners
  • United HealthCare Community Plan CHIP

Commercial Insurance Carriers

  • AARP
  • Aetna Plans (includes HMO, PPO, EPO plans)
  • AmeriHealth Administrators
  • BlueCross/BlueShield
  • Cigna
  • Coventry
  • Devon
  • Independence Administrators
  • Independence Blue Cross
  • Keystone Health Plan East HMO
  • Local Health and Welfare
  • Personal Choice
  • Teamsters Local Welfare Fund
  • TUFTS
  • United HealthCare

Medicaid

  • Access (Medicaid / Select Plan for Women)
  • Access (Medicaid / Select Plan for Men)
  • Geisinger
  • Health Partners HMO
  • Keystone First (formally Keystone Mercy Health Plan)
  • Medicaid ( Access / Select Plan)
  • PA Health & Wellness
  • United HealthCare Community Plan
  • UPMC

Medicare/Medicare Advantage

  • Aetna Medicare
  • Ambetter
  • Cigna HealthSpring
  • Gateway Health Plan
  • Health Partners Medicare Plans (Basic, Prime, Prime Plus)
  • Keystone VIP Choice
  • Medicare (Red, White and Blue Card)
  • UPMC for Life

Dental

  • AARP
  • Access (Medicaid)
  • Aetna (DMO, PPO)
  • Aetna Medicare
  • Ambetter
  • AmeriHealth Administrators
  • AmeriHealth Caritas PA
  • Assurant
  • Aflac
  • BlueCross/BlueShield
  • BlueCross/BlueShield (Also accepted for each state)
  • Cigna
  • Cigna Health Spring
  • Coventry
  • DeltaDental (Multiple)
  • Dentemax
  • Dominion Dental
  • Encore Dental
  • Excellus
  • FCE Benefit Administration
  • GEHA
  • Geisinger
  • Guardian Insurance
  • Health and Welfare Fund
  • Health Partners
  • Health Partners Kids
  • Health Partners Medicare
  • Humana
  • Independence Administrators
  • Keystone First
  • Keystone Connect
  • Keystone VIP
  • Medicaid (Access)
  • MetLife
  • PA Health & Wellness
  • Scion Dental
  • United Concordia
  • United Concordia CHIP
  • United Concordia FEP
  • United Concordia Plus
  • United HealthCare
  • United HealthCare Community Plan
  • UPMC
  • UPMC for Life

If your insurance company is not listed here, please call our Central Billing department at 215-235-9610 if you would like to know if we can bill your insurance.

Co-pays, deductibles, co-insurances and fees for non-covered services are expected to be paid at the time of your service.

For your convenience we accept cash, personal checks, Visa, MasterCard, American Express and debit cards.

For all other billing questions, please contact Central Billing at 215-235-9610. We appreciate the opportunity to meet your healthcare needs.

How to Qualify for Sliding Fee Scale

Our services are not free, however they are comprehensive, high quality medical services that are provided regardless of a person’s ability to pay for them at the time of service.

Once you arrive, you will be directed to our Patient Account Counselor who will walk you through our sliding fee program. We use a scale based on family size and income to determine patient’s share of the cost of care.

To be placed on the sliding fee program, please bring proof of your income (a pay stub, W2 or letter from your employer). Your fee level is assessed and based on your family size and yearly income.

The total cost of your service may consist of the following fees: office visit, procedure(s), prescriptions, labs, podiatry injections.  Please download a schedule of estimated fees for 2023. (Estimated Fee Information Spanish)

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