Insurance Coverage
Unlike in-network medical practices, our team of specialists can take the time necessary to listen to patient concerns in order to treat the root of the problem and not just the symptoms. Please contact us to determine your coverage and any out of network benefits you may have.
At Maze Men’s Health, we take pride in the time and care we give to each patient. Network insurance plans severely limit the time a practitioner can spend with a patient; therefore, we do not participate in network plans.
However if your insurance plan provides out-of-network benefits, a portion of your treatment costs may be covered. Additionally, we offer payment plans for your convenience.
Please contact our billing specialists at 646-380-2600 for more information. Our team will directly review your health insurance plan to determine your coverage and any out of network benefits you may have, as well as estimate the fees you will be responsible for.
Frequently Asked Questions
What are out-of-network benefits?
Unlike in-network doctors, out-of-network doctors are not contracted with health insurance companies. Doctors contracted with insurance companies follow insurance company “reasonable and customary” guidelines that determine the type of coverage they provide for different types of services.
Though there are cases where health insurance companies will help cover the cost of your out-of-network doctor’s visit, in many cases they pay less for treatment with an out-of-network doctor, depending on what is being treated.
Why is Maze out-of-network?
In-network doctors are limited to treat only what health insurance companies deem “reasonable and customary.” This often leaves patients with 10-minute visits and a prescription to treat symptoms.
As an out-of-network practice, our team of specialists can take the time necessary to listen to patient concerns in order to treat the root of the problem and not just the symptoms. At Maze, we take a holistic approach, addressing both physical and psychological issues, without “reasonable and customary” restrictions by insurance companies.
How do I find out if I have out-of-network benefits?
Our team of billing specialists will do an immediate insurance check and thorough benefit review online. Our specialists take the time to contact your insurance company and verify your out-of-network benefits for you. All we need is the provider’s phone number on the back of your insurance card, your ID number and date-of-birth.
Note, primary insurance with EPO or HMO plans and secondary insurance through Medicaid/Medicare do not carry out-of-network benefits.
What if I don’t have insurance or my insurance isn’t accepted?
You can still be seen at our practice as a self-pay patient, even if you do not have out-of-network benefits or don’t have any health insurance at all.
What if I have billing questions after becoming a patient?
We take the time to review the claims until everything is finalized to help resolve any nonpatient related insurance issues, including filing appeals.