Many people are used to their provider billing insurance directly and understandably have questions about our model. After practicing within the insurance system for almost 2 decades, we have made the difficult decision to leave it. We do help you navigate your reimbursement for our visits (see below).
Did you know that the average length of time spent with a physician in a regular visit is 10 min, and that includes both the patient and doctor communication and exam?
This is because insurance companies are more concerned about managing their costs - they dictate what services are covered and what the coverage will be. This has led to a healthcare system that relies on a quick, assembly-line type of medicine where physicians are seeing often over 30, even 40 patients a day. We believe that healthcare is not about high volume, brief encounters - healing requires attention, time, and the sharing of expertise and advice that in most instances cannot happen in a 10-minute time frame. It may be enough time to do a pap smear, but when is the last time your annual GYN exam meant a discussion of how to improve your sleep, or proactively reduce your breast cancer risk using food and lifestyle choices? We believe we can provide you with more healthcare (including the care in healthcare!) through our system, saving healthcare costs in the end.
We are in-network with one specific UMR/UHC plan. We participate on an in-network basis with only one plan, a United Healthcare Top Tier plan specific to Mount Sinai employees in New York, our academic and hospital “home base.” We are NOT in-network providers for other UHC plans.