Billing & Insurance

A patient's health insurance policy is a contract between the patient and his or her health insurance company. However, all patient charges, regardless of coverage, are the patient's responsibility and patients are ultimately responsible for any unpaid balances. As a courtesy to our patients, Foothills Medical Group bills patients' health insurance companies and makes every effort to ensure that claims are promptly and correctly processed. Foothills Medical Group also bills patients' secondary health insurance when patients provide complete information.

Patient co-payments are expected at the time of service, and any remaining balances are due in full within 30 days of receiving an initial statement from Foothills Medical Group. Foothills Medical Group accepts cash, checks, money orders, debit cards, and credit cards (VISA and MasterCard).

If patients cannot pay balances within 30 days, they are asked to please contact McKesson Revenue Management Solutions at (716) 692-2160 ext 240 or 260.

If you are in need of financial assistance, we will work with you to determine if you are eligible for financial assistance.

Past Due Balances

A past due balance is any amount due after a patient’s health insurance company has paid the contracted portion of a bill, but where Foothills Medical Group has not received the full patient balance within ninety (90) days. Patients who have a previous collection agency balance and wish to receive service are required to pay any new charges at the time of service.

Payment Plans

Payment arrangements may be made on patient accounts based on a review of circumstances and approval by the Billing Office.  Foothills Medical Group generally does not extend payment plans to patients who have failed to make timely payments in the past.

Financial Hardship Determinations

For indigent, uninsured, or underinsured patients, Foothills Medical Group may reduce or eliminate the patient's financial responsibility for medically necessary and appropriate treatment on a case-by-case basis where the patient qualifies under our financial hardship guidelines.

Financial hardship determinations are based upon a review of household income, assets, and liabilities in relation to current Federal Poverty Income Guidelines. As part of the process, we generally evaluate income levels, net worth, employment status, other financial obligations, the amount and frequency of healthcare bills, and other circumstances. Insured patients who choose not to have their claim filed with their insurance company are not eligible for our financial hardship assistance program.

The determination of financial hardship is applicable to the current episode of care. To waive or reduce future payments, the patient must again prove financial hardship. The patient and the billing office representative shall sign a statement detailing that the practice has reviewed proof of financial hardship, and the discounted amount being reduced or waived.

Applying for Financial Hardship Assistance

Please contact our Patient Financial Liaison at (716) 375-6080 in New York or (814) 362-8588 in Pennsylvania for free, confidential assistance. You will need to submit an application provided to you by our Patient Financial Liason, as well as any supporting documentation (e.g., W-2s, Federal tax return, pay stubs, etc.) to our Billing Office for review.

We will review your application and contact you if additional information is required. Applications will not be approved for financial hardship assistance when required forms are incomplete or necessary documentation is missing.

We will contact you regarding your application, generally seven business days after we receive your complete application and all required attachments. The representative will inform you of our decision regarding your request for financial assistance and, if applicable, the level of discount for your outstanding Foothills Medical Group bill.

Plan Participation

We participate in the following health insurance plans:

In New York State:

  • Blue Cross/Blue Shield
  • Empire
  • GHI
  • Health America
  • Highmark
  • Humana
  • Independent Health
  • Magna Care (Aetna)
  • Medicaid
  • Medicare
  • Multi-plan/PHCS
  • Nova
  • Pa Medicaid
  • Tricare Standard
  • Tricare Prime
  • United Healthcare
  • Univera

In Pennsylvania:

  • AmeriHealth Mercy
  • BC/BS of WNY Community Blue/Traditional Blue
  • Community Care
  • Devon Health Services
  • Gateway Health Plan
  • Health America-Health Assurance (Coventry)
  • Highmark
  • Humana
  • Independent Health
  • Intergroup
  • Multi-plan/PHCS (Aetna)
  • Nova
  • Pa Medicaid (Promise)
  • Pa Medicare
  • Today's Options
  • Tricare
  • United Healthcare
  • Univera/RMSCO
  • UPMC Health Plan