Patient Information:
Welcome to our Practice!
On behalf of our staff, we welcome you to our office.
We are pleased that you have selected us to care for your Medical / Dental needs and we Thank you for your initial visit. We want you to know that we are committed to provide you with the highest quality of health care in the most gentle, efficient, and enthusiastic manner possible. Our emphasis is to work with you on early preventive care, but we also provide episodic and same-day services for you when necessary. Our primary goal, whenever possible, is the retention, and improvement of your health. We want to work with you in making Betances Health Center your medical home of choice.
To keep us honest and true about our dedication to you, I invite you to join us in our New Patient Chat and Chew. I would like to have an opportunity to meet you personally and to speak with you regarding your visits, access and use of our services.
Our goal in this meeting is to do three things:
Better acquaint you with who we are and what we offer.
Find out from you how we are doing.
Find out how we can serve you better.
Please join us in Manhattan on the 4th Tuesday of Every month and in Bushwick on the 3rd Tuesday of every month at 4pm. If you can attend a Chat and Chew session please RSVP to Tina @ 212-227-8401 ext. 116. If you cannot make this event and would prefer a telephone conversation please EMAIL ME A DATE AND TIME THAT WORKS BEST FOR YOU.
We thank you for partnering with us in your health care and look forward to meeting with you,
Sincerely,
Tina J Horton,
Director of Marketing & Outreach
Tina Horton
Director of Marketing & Outreach
You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost
Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.
· You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
● Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
● If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
● Make sure to save a copy or picture of your Good Faith Estimate.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 212-227-8401 to speak with one of Betances’ representatives.
Tiene derecho a recibir un "estimado de buena fe" que explique cuánto costará su atención médica.
De acuerdo con la ley, los proveedores de atención médica deben brindarles a los pacientes que no tienen seguro o que no utilizan un seguro una estimación de la factura por artículos y servicios médicos.
• Tiene derecho a recibir una estimación de buena fe del costo total esperado de cualquier artículo o servicio que no sea de emergencia. Esto incluye los costos relacionados, como pruebas médicas, medicamentos recetados, equipos y tarifas hospitalarias.
● Asegúrese de que su proveedor de atención médica le proporcione un Estimado de buena fe por escrito al menos 1 día hábil antes de su servicio o artículo médico. También puede pedirle a su proveedor de atención médica, y a cualquier otro proveedor que elija, una estimación de buena fe antes de programar un artículo o servicio.
● Si recibe una factura que es al menos $400 más que su estimación de buena fe, puede disputar la factura.
● Asegúrese de guardar una copia o una imagen de su estimación de buena fe.
Para preguntas o más información sobre su derecho a una estimación de buena fe, visite www.cms.gov/nosurprises o llame al 212-227-8401 para hablar con uno de los representantes de Betances.
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Privacy
Your Patient Health Information is protected under the Health Insurance Portability and Accountability Act (HIPAA), a Federal law which increases consumer control over the use and disclosure of their medical information. It also establishes appropriate safeguards that must be followed to protect the privacy of patients' health information as described in Betances’ Notice of Privacy Practices.
If you are obtaining care or are transferring care from another facility to Betances, we request you provide us a copy of your entire medical records so we can better coordinate your care. You will be asked to fill out an Authorization for Release of Health Information form so our Medical Records Department can request your records from the external facility.
Should you want to transfer your care to another facility from Betances, please notify us and fill out an Authorization for Release of Health Information form, provide the information where you are transferring your care to, and we will transfer your records within 30 days, as per Federal guidelines.