
Billing & Insurance
Understand your coverage
Billing Department
- Hours
- Mon – Fri: 8:30am – 4:30pm
- Phone
- (845) 342-5199
- Fax
- (845) 343-3295 · (845) 343-8741
- Address
- 2142 Route 302, Circleville, NY 10919
Know Before You Go
Key Questions to Ask Your Insurer
To learn the details of your policy, visit your insurer’s website, review your member booklet, or contact customer service — the phone number and website are usually on the back of your insurance card.
- Is my doctor's visit covered completely? If not, do I have a copay or deductible to meet?
- If I need tests, will they be covered? If not, how much will I be expected to pay?
- If I need a procedure or surgery, how much will my insurance cover?
- Will I need authorization before my visit?
Accepted Insurance
We accept most major insurance plans. Participating providers are subject to change without notice — call our offices for the most current information.
Flexible Payment
We Accept CareCredit®
CareCredit® is a health, wellness, and personal care credit card that helps patients get the care they want and need without delaying appointments or treatment.
Cardholders can use CareCredit promotional financing to pay over time for deductibles, copays, and treatment not covered by insurance.
Billing FAQs
Common Billing Questions
What is a deductible?
What is co-insurance?
What is a co-payment?
What types of insurance does Middletown Medical accept?
Who is responsible for paying my bill?
Helpful Definitions
Insurance Terms, Explained
- Beneficiary
- A person who receives the benefits of an insurance plan or policy.
- Claim
- A request for payment for services submitted by the provider.
- Co-insurance
- A specified percentage of covered expenses the beneficiary pays toward eligible medical bills.
- Co-pay
- A set dollar amount contracted between the insurer and beneficiary, paid before services are rendered.
- Covered Services
- Services for which an insurance policy will pay.
- Deductible
- A specified dollar amount of medical expenses the beneficiary must pay before the policy pays.
- Explanation of Benefits (EOB)
- A statement from an insurer showing how a claim was processed.
- Medically Necessary
- Treatments or services an insurance policy will pay for as defined in the contract.
- Non-Covered Services
- Services an insurance policy will not pay for. These are paid by the patient at the time of service.
- Pre-Certification / Authorization
- A requirement that your insurer's approval be obtained before a medical service is provided.
Questions About a Bill?
Reach Our Billing Department
Our team is available Mon – Fri: 8:30am – 4:30pm to help with billing and payment arrangements.