Insurance/Referrals/Authorizations

Insurance Plans Accepted
We accept Medicare and most PPO insurance plans.  In addition, we are providers for Hill Physicians IPA.  If it is determined that we do not have a contract with your insurance company, you may wish to explore whether your plan’s out-of-network benefits  might allow you to consult with Dr. Gardiner.

Insurance Referral Requests
Please check with your insurance plan to see if you need a referral request. Since Dr. Gardiner is a specialist, your insurance plan may require a referral from your primary care physician prior to consulting with Dr. Gardiner.

Authorizations
Authorization from your insurance provider is usually needed for tests and surgical procedures. To obtain authorization, our staff must contact your insurance company and make a formal request. This process takes time and we ask for your patience. We can usually request authorization within five working days following your appointment for routine requests and immediately for emergent requests. Each insurance company's response time varies. If you do not hear from our office concerning a request for authorization in the time frame you expect, please call us to inquire about the status of the request.

New Conditions
If you are a current patient with a new condition, please notify our staff.  New conditions often require prior authorization to be treated. Without authorizations, your appointment may be delayed.

Insurance Co-Payments
Co-payments are due at the time of each office visit. 

Payment Options
Please make payments with cash or a personal check.   Our office currently does not accept debit or credit card payment.