MultiPlan PHCS Health Insurance – New York Urology Specialists

Our policy is to make available excellent urology care to all patients without regard to their insurance policy.  For patients with health insurance policies that cover our fees, your costs will depend on your copay, deductible, and co-insurance policy of your insurance plan.  For patients with insurance policies that do not cover the fees for care provided by New York Urology Specialists, discounted self-pay rates are available for a patient who prepay for their care in full at the time of visit.

New York Urology Specialists accepts patients with MultiPlan PHCS commercial health insurance plans.

New York Urology Specialists is not an in-network provider; this means that we do not have a contractual agreement; as a result, we submit all claims as an out-of-network provider.  Typically, there may be higher deductible/copay/coinsurance when you see an out-of-network provider.

Laboratory tests (blood tests, urine tests) can be performed at one of the laboratories that are in-network with your insurance. We typically use Labcorp, Bioreference and Quest Labs.

Radiology studies (CT scans, X-rays, ultrasounds) can also be done at one of the in-network facilities with the insurance plan of your choice.

Where to Find Top Urologist in NYC?

At New York Urology Specialists, we offer same-day appointments, diagnostic evaluation, and treatment for men and women. 

Call/text today: 1-646-663-4477 or make an appointment online.  

We perform blood and urine testing, ultrasound of the kidneys, bladder ultrasound, prostate ultrasound, and testicular ultrasound.  Our office is equipped with the latest equipment to perform a cystoscopy, urodynamic testing, no-scalpel vasectomy, Botox injections in the urinary bladder, genital wart removal, circumcision, Rezum, and Urolift procedures.  Our experienced urologists perform genital wart removal, adult circumcision, no-scalpel vasectomy, penile implants, Urolift procedure as well as many other surgeries.  We treat sexual and erection problems and offer comprehensive STD testing for infections. We offer confidential appointments. Our prices are affordable with or without insurance. We offer free insurance verification.

by Alex Shteynshlyuger MD

If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-4477.

We have excellent reviews from patients and their partners.  Information for out-of-state and international patients.  We offer affordable prices for treatment by a top urologist with or without insurance.

PPO Plans:

If your health insurance plan from MultiPlan PHCS has out-of-network benefits, all or part of your costs of care at New York Urology Specialists for medically-necessary care will be covered subject to terms and conditions of your health insurance policy (including copays/deductibles/coinsurance).

Some tests and procedures done at New York Urology Specialists may be considered not medically necessary by MultiPlan PHCS or non-covered by MultiPlan PHCS.  This determination is a business decision based on terms of your agreement with MultiPlan PHCS.   When you are offered or prescribed a course of treatment at New York Urology Specialists, our advice is based on best-available science and extensive experience treating patients with a given condition.

HMO Plans:

Most HMO plans do not have out-of-network benefits and your care at New York Urology Specialists will not be covered by your MultiPlan PHCS  HMO plan.

If you have an emergency and cannot find an in-network urologist who can see you in an urgent manner, you may be able to appeal to MultiPlan PHCS to have your full or part of your bill covered.

At New York Urology Specialists, we require that you prepay your care. We can submit insurance forms (CMS 1500 form) with billing codes to your insurance plan on your behalf; if you prefer you can submit the forms on your own.

Health Exchange (Obamacare) Plans

New York Urology Specialists is not in-network and does not accept Exchange plans as a payment method for our services.  If you have an Obama Exchange plan, you can see our physicians but you would have to pay out-of-pocket.   MultiPlan PHCS has offered rates that are too low for us to see patients with Obama Exchange plans.

Why are you not in-network with MultiPlan PHCS?

We understand that many patients with MultiPlan PHCS are looking for high-quality urology care but have difficulty finding urologists who accept their plan in-network in New York City, Brooklyn, Queens, Long Island, Westchester, and surrounding areas.

If your plan has no out-of-network benefits or you cannot afford the higher fees for out-of-network care imposed by your insurance plan, please contact MultiPlan PHCS and request that they authorize out-of-network care at New York Urology Specialists.

Just as there are inexpensive drive-by fast-food restaurants and more expensive sit-down restaurants with chef-prepared means, medical care is offered by a variety of providers.

MultiPlan PHCS has offered New York Urology Specialists rates that are far below the market rates that it and other plans pay for high-quality care in the New York area to other providers of urology care.  As adequate payments are necessary to provide high-quality urology care for complex urological problems we have made a decision not to compromise our commitment to quality.

We understand that health care is expensive.  While the quality of care is a paramount consideration, the costs of care are important to consider as healthcare costs can be considered for patients with significant medical and urological problems.  

We encourage you to compare our prices to comparable in-network providers with your plan.  You will often find that our fees are comparable and are often lower than the fees that your insurance company has negotiated with other providers.  New York Urology Specialists is an independent physician-owned and physician managed practice.  As such we are free to refer you to the highest quality and fairly priced independent providers of ancillary services.  Most urology practices in the New York area are owned and operated by hospitals; these mandate that the employed physicians refer you to high-cost hospital-based testing, including hospital laboratories, hospital radiology centers, and hospital-based surgical centers. You may also be subject to hidden ‘facility’ fees for seeing hospital-employed physicians as well as other hospital-based providers for office visits.

There are many hidden fees in healthcare. You should be aware that physician fees will typically comprise a small fraction of your total costs of care. 

Many hospital-based tests, procedures, and surgeries can be provided at a fraction of the cost by independent laboratories, testing centers and surgical centers with equal or better quality and lower cost.

We encourage our patients to compare prices. We are confident that when the overall costs of care (physician fees, testing, laboratory as well as surgical facility fees) are compared, many patients will discover that the care provided at New York Urology Specialists is not only of higher quality but at a lower cost than what comparable care costs at some in-network facilities.

I cannot afford to pay my out-of-network deductible and copay. What can I do?

Please contact MultiPlan PHCS and tell them that you want New York Urology Specialists to be an in-network provider.  If your coverage is through your employer, contact your human resources department and tell them that you’re not happy that New York Urology Specialists is not part of the network.

Why Choose New York Urology Specialists for Treatment of Urological Problems?

• All treatment is performed by a board-certified urologist experienced in the treatment of urinary problems, sexual problems as well as cancers affecting the kidneys, urinary bladder, prostate, and the testis.
• We are one of the few practices in the region to offer a full range of options for the treatment of urological problems in men and women.
• We offer diagnostic testing in our office which avoids hospital costs.
• Extensive Experience: Thousands of men and women of all ages have treated successfully using medical therapy, surgery, and office procedures.

Scheduling Appointments with a Top Urologist in NYC at New York Urology Specialists

If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-4477.

We have excellent reviews from patients and their partners.  Information for out-of-state and international patients.  We offer affordable prices for treatment by a top urologist with or without insurance.

We offer affordable, highest-quality urology care with or without insurance.   We offer weekday, weekend and evening office hours.   We also speak Spanish & Russian languages.