Billing and Insurance

Just as it’s critical to understand your condition and treatment plan, it’s important to understand our fees and your payment responsibility and insurance coverage.

Our Fees

At Albany Gastroenterology Consultants, we work hard to keep our costs low while still providing you with the highest quality gastroenterology care. We are confident you’ll find the fees for our services are comparable to those charged by similar specialists in the area. Our fees are based on the services provided to you and a list of service fees is available upon request.

Your Insurance

We participate in many insurance networks to provide as much coverage as possible for the services you need. However, insurance coverage varies by person and each patient is handled individually. So, it is important that you understand what your plan covers and how much of the payment you are responsible for at the time of service.

For example, sometimes an insurance company will not cover an office visit prior to a procedure when the patient comes to the doctor with no symptoms and is requesting a screening procedure. Denial of payment by your insurance company does not mean that you do not need to visit with the practitioner beforehand. Our doctors may recommend an office visit prior to the performance of a procedure, in order that the patient’s general health may be evaluated and so that the patient is well informed about any recommended procedure.

Participating Insurance Plans

Albany Gastroenterology participates in the following health plans:

  • Aetna
  • Blue Shield of Northeastern NY
  • Cancer Services Program
  • Capital District Physician Health Plan (CDPHP)
  • Cigna (MVP, PHCS networks only)
  • Emblem Health (GHI/HIP)
  • Empire Blue Cross Blue Shield
  • Blue Cross (All out of area plans)
  • Empire Plan/NYS
  • Excellus
  • Fidelis
  • Great West
  • HTH Worldwide
  • Humana (All Medicare Advantage Plans)
  • Martin’s Point
  • Medicaid (NYS only)
  • Medicare
  • Multiplan
  • MVP Health Plan
  • National Health Administrators, Inc.
  • PHCS
  • Railroad Medicare
  • Today’s Option
  • Tricare
  • United Healthcare
  • Univera
  • Wellcare
  • WTC Program

Some plans that are part of a larger plan may not be listed. Please contact your employer benefits department for detailed information.

Our participation continues to grow, so check this page for updates.  

HIPAA Privacy Policy

Learn more about your protected health information through the Health Insurance Portability and Accountability Act (HIPAA).

Resources for a Healthier You

Senior Portrait

As the leading digestive specialists in upstate New York, patients look to Albany Gastroenterology to better understand and manage digestive conditions. So we developed educational resources for a variety of GI conditions, treatment options, diets and healthy living.

Colon Cancer Screenings

Many insurers cover colorectal cancer screenings. Once you confirm your coverage, schedule your screening online and without a referral.

Questions about Billing?

Questions regarding fees, payments or financial concerns? Please use our secure patient portal to send us a message.

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