Insurance And Managed Care

Insurance and Managed Care
Vanguard Rheumatology Partners is an in-network provider for many insurance plans.
While we try to maintain the following list updated on a regular basis, please discuss with our staff during appointment scheduling to be able to provide you with the most up-to-date information. The following are insurance plans for which we are an in-network provider:

United Healthcare
Simply Healthcare
Harvard Pilgrim

Oxford Health Plans
Preferred Care Partners
Clear Health Partners
Great West
If our practice does not participate with your particular insurance plan, you still may have coverage subject to the availability of “out- of-network” benefits. Our staff can advise you.

Before Your Appointment
1. Contact your insurance company to make sure you understand your benefits and your plan’s requirements.
2. Confirm that we are a contracted provider for your plan.
3. Obtain a referral if required by your insurance company. Please discuss this with your primary care physician prior to scheduling an appointment with one of our specialists.
4. Know the limitations of the referral and obtain an extension or expansion of the scope of the referral if needed.

At Check-In
1. Bring your driver's license or other form of identification.
2. Bring your health insurance cards.
3. If you are a returning patient, let us know if your personal or insurance information has changed since your last visit.
4. Co-pays, deductible amounts, and co-insurance are expected to be paid on the day of your visit. We accept most forms of payment, including check, Visa, MasterCard, American Express, and Discover cards.

After Your Visit
1. Respond promptly to any requests from your insurance provider to ensure timely resolution of your charges.
2. If you have an out-of-pocket balance due on a bill, please make the payment in a timely fashion.
3. Call us if you have any questions or concerns about a bill or to make arrangements if you cannot pay your balance in full.


About Us
Who we are
Conditions We Treat
Our Physicians
Carlos A. Sesin, MD
Ricardo Garcia Alemany, MD
Luis A. Arias Urdaneta, MD
In-Office Services
Center for Osteoporosis
Infusion Center
MSK Ultrasound
On-Campus Services
Mount Sinai Medical Center
PAH Program
For Patients
Conditions We Treat
New Patients
Same Day Urgent Visits
Get a Second Opinion
International Patients
Insurance and Managed Care
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Policy Forms
For Physicians
Patients Referrals
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