Insurance, Payment, Forms
You must give 24 hours notice if you cannot keep your appointment to avoid being charged a $50 cancellation fee.
Insurance plansWe participate in:
Open Access & POS plans ONLY (not 'PPO' or 'Exchange' plans).
- United Healthcare:
All plans except 'Oxford,' 'The Empire Plan,' 'Exchange' plans. If your United Healthcare card has 'Oxford' under the logo or 'The Empire Plan' on the front, then Dr. Weiss is out-of-network.
- Workers' Compensation, New York State:
Professional performers only. A copy of your C-2 form is required at the time of your first visit.
- Workers' Compensation, out-of-state:
Accepted on a case-by-case basis – please call.
- Exchange Plans
- No-Fault (motor vehicle accident insurance)
- Other managed care plans
For No-Fault and managed care plans, we will give you a claim form that you can submit to your insurance company so that you can try to obtain reimbursement.
Medicare patients cannot get any reimbursement from Medicare or any other insurance plan, as Dr. Weiss has 'opted out' of Medicare.
For braces and splints, please be advised that even if we bill your insurance, the costs of braces and splints are your responsibility. These charges may be subject to a separate co-payment or a separate deductible.
Payment optionsFor payment we accept:
- Debit Cards
- Credit Cards (Mastercard, Visa, American Express, Discover)
Office formsMedical Records Authorization
This form can be used to request that Dr. Weiss (1) send your medical records to another physician or to any other person that you authorize, or (2) request your medical records from another physician or healthcare facility.
Notice of Privacy Practices
This notice describes how medical information about you may be used and disclosed and how you can get access to this information.
Map of NYU Langone Medical Center
Map of the main campus of NYU Langone Medical Center, including Faculty Practice Radiology in the Schwartz Health Care Center.
Map of NYU Langone sites on the east side of Manhattan, including my office (#7 on map).
Out-Patient Surgery Instructions
These instructions are intended to prepare patients for out-patient surgery at NYU Hospital for Joint Diseases ("Ambulatory Surgery"), Tisch Hospital-NYU Langone Medical Center ("Day Surgery"), and NYU Langone Medical Center Outpatient Surgery. They include pre-operative and post-operative instructions, and information about pre-authorization of surgical procedures.
Patient Information and Medical History Form
You may complete this medical history form (6 pages) before you visit my office for your consultation. Print out a copy (single-sided, please), enter the information (use blue or black pen, please) and bring it to my office at the time of your visit.