Patient Information

Insurance and Payment Information

Allergy and Immunology on Madison, P.C., is a provider for most health insurance plans. Please contact us to verify coverage. The carriers we accept include:

  • Aetna/USHealthcare
  • BlueCross/BlueShield (BCBS)
  • Benesight
  • Cigna HMO/PPO
  • Empire
  • GHI
  • Great West
  • Guardian
  • Healthnet
  • HIP
  • Horizon Healthcare
  • Magnacare
  • Medicare
  • MultiPlan
  • Nipon
  • Oxford
  • PCHS
  • PHS
  • Pomco
  • Prudential
  • Unicare
  • United Health Care

Prescription Assistance

Hospital Affiliations

What to Bring to Your Appointment

  • Information about your medical and surgical history
  • List of prescriptions and/or over-the-counter medication, including dose and frequency
  • Recent x-rays or relevant records
  • Physician referral forms, if required by insurance
  • Your insurance card
  • Completed Patient Registration Form

Patient Forms

New patients: Please complete our Patient Registration Form prior to your initial visit.

Our Notice of Privacy Practices describes how we use and protect your personal health information.

Patient Responsibility

Patient is responsible for all referrals, co-payments, coinsurance, deductibles and all approved, covered and non-covered charges, whether paid or not paid by the insurance company on the day of service.

24-hour cancellation policy in effect—$75 fee