Information Your Doctor And Other Health Care Professionals Must Give You

Your doctor and other health care professionals, including a group practice of providers, a diagnostic and treatment center, and a health center must give patients and prospective patients the following information:

  • Health Plan Networks. The names of health plans in which your provider is in-network. This must be given to you in writing or through a website before you receive non-emergency services and verbally when you schedule an appointment.
    • FemStrong is not IN-NETWORK with these plans but we accept them as an OUT of NETWORK provider:
      • Horizon BCBS
      • BCBS
      • Aetna
      • Cigna
      • United Healthcare
      • Meritain
      • GHI (NY)
  • Hospital Affiliations. The hospitals that your provider is affiliated with or that could admit you. This must be given to you in writing or through a website before you receive non-emergency services and verbally when you schedule an appointment.
    • We don’t have a transfer agreement to any hospital.
  • Cost of Services. If your provider is not in-network with your health plan, your provider must tell you the estimated amount your provider will bill you for services if you ask.
    • We provide this info upon patient’s request.
  • Providers Scheduled by Your Doctor. If your doctor schedules anesthesiology, laboratory, pathology, radiology or assistant surgeon services to be provided in your doctor’s office or refers you for these services, your doctor must tell you:
    • The provider’s name, if your doctor schedules a certain provider in a practice.
    • The name of the provider’s practice.
    • The provider’s address.The provider’s telephone number.
  • When Your Doctor Schedules Your Hospital Services. If your doctor schedules any other doctors to treat you in a hospital your doctor must tell you:
    • The doctor’s name.
    • The doctor’s practice.
    • The doctor’s address.
    • The doctor’s telephone number.
    • How to determine whether the doctor is in-network with your health plan.
      • FemStrong does not schedule anything in a hospital setting.