1. Tout Island Behavioral Health
  2. Pasyan Enfòmasyon

Pasyan Enfòmasyon

Mande yon randevou

Randevou yo disponib lendi jiska vandredi. Randevou aswè yo disponib nan kèk jou chwazi. Biwo a fèmen nan wikenn ak gwo jou ferye.

Si ou se yon pasyan etabli epi ou ta renmen pran yon randevou, anile oswa chanje yon randevou, tanpri rele (631) 689-5390. Pou pasyan ki vle kite yon mesaj pou founisè yo, ki gen ladan anilasyon, biwo a gen yon mesajri 24 èdtan.

Pou vin yon nouvo pasyan

Si w se yon nouvo pasyan ki gen 18 an oswa plis, ou dwe ranpli Fòm Demann Nouvo Pasyan ak Fòm Istwa Pasyan ki anba a pou w ka kòmanse pwosesis nouvo pasyan an. Fòm yo ka ranpli kòm PDF sou yon aparèy, oswa yo ka enprime ak ekri alamen. Tanpri voye yon imèl oswa fakse fòm ranpli yo avèk yon kopi devan ak dèyè kat asirans ou a (pou pasyan Medicaid, n ap bezwen # ID Medicaid la tou) pou swa. aibh@stonybrookmedicine.edu, oswa faks (631) 689-5395. Yon manm pèsonèl administratif pral kontakte w nan twa a senk jou ouvrab konsènan nouvo demann randevou pasyan w la.

Nouvo Pasyan Annatandan yon Randevou

Si ou te apwouve kòm yon nouvo pasyan, tanpri ranpli Nouvo Pake Pasyan an ak Pake Enskripsyon Pasyan an. Yo dwe ranpli dokiman yo anvan yo pran yon randevou. Tanpri imèl oswa faks yon kopi fòm ranpli yo ak yon kopi lisans chofè w la. Lè w resevwa pake w ak idantifikasyon w, yon manm pèsonèl administratif ap kontakte w pou pran yon randevou. Tanpri rive 15 minit anvan randevou w te pwograme a epi asire w ke w pote yon idantite ki valab ak kat asirans ou. Tanpri rele biwo nou an nan (631) 689-5390 si ou gen kesyon konsènan Nouvo Fòm Pasyan yo.

Nouvo Fòm Pasyan:

Pake nouvo pasyan:

Lòt Fòm:

Estimasyon Bon Lafwa

Si w pa gen asirans, ou gen dwa pou resevwa yon “Estimasyon Bon Lafwa” ki eksplike konbyen swen medikal ou pral koute.

Dapre lalwa, founisè swen sante yo bezwen bay pasyan ki pa gen asirans oswa ki pa sèvi ak asirans yon estimasyon bòdwo pou atik ak sèvis medikal yo.

  • Ou gen dwa pou resevwa yon Estimasyon Bòn Lafwa pou pri total prevwa pou nenpòt atik oswa sèvis ki pa ijans. Sa a gen ladan depans ki gen rapò tankou tès medikal, medikaman sou preskripsyon, ekipman, ak frè lopital.
  • Asire w ke founisè swen sante w la ba w yon Estimasyon Bon Lafwa alekri omwen 1 jou ouvrab anvan sèvis medikal ou oswa atik ou a. Ou kapab tou mande founisè swen sante w la, ak nenpòt lòt founisè w chwazi, pou yon Estimasyon Bòn Lafwa anvan ou pwograme yon atik oswa yon sèvis.
  • Si ou resevwa yon bòdwo ki omwen $400 plis pase Estimasyon Bon Lafwa ou a, ou ka konteste bòdwo a.
  • Asire w ke w konsève yon kopi oswa yon foto Estimasyon Bon Lafwa ou a.

Pou kesyon oswa plis enfòmasyon sou dwa ou genyen pou yon Estimasyon Bon Lafwa, vizite www.cms.gov/nosurprises oswa rele biwo nou an.

Asirans

Tout Sante Konpòtman Island kounye a travay ak plis pase 30 konpayi asirans pi gwo. Anplwaye nou yo toujou ap travay sou akomode pasyan nou yo ak founisè asirans yo. Tanpri rele biwo nou an nan (631) 689-5390 pou chèche konnen si konpayi asirans ou an sou lis kontinyèlman elaji founisè ou yo.

  • 1199SEIU Fon Benefis Nasyonal (atravè Aetna Health Plans)
  • Aetna Health Inc.
  • Affinity Molina/Medicaid, Child Health Plus
  • Affinity/Molina Medicaid
  • Plan AgeWell New York
  • Carelon Behavioral Health, Inc. (Beacon Health)
  • Beech Street, yon rezo MultiPlan
  • MagnaCare PPO /Direct Plus (Plan Sante Brighten)
  • Magnacare Northwell Direct (rezo wrap-around)
  • CenterLight Healthcare
  • Anblèm Sante-Somos
  • EmblemHealth Plan, Inc., (GHI)
  • Patnè Swen Sante (Espesyalis sèlman)
  • Emblemsante Plan (HIP)
  • Empire HealthChoice HMO, Inc.-Prefiks - R4R, ZTO, PYO, S8Q, KCH, YXF, AZL, J2H, C4D, YKH, HPP, D9U, PTQ, EQV, VRH, VYW, L4P
  • Empire HealthChoice HMO, Inc.-Pwogram Federal Anplwaye (Prefiks R)
  • Empire HealthChoice HMO, Inc.-EmpireBlue _ Northwell Direct Tier 2
  • Empire HealthChoice HMO, Inc.-Blue Cross Blue Shield Global Core
  • Empire Blue Cross (konfime plan ak Empireblue.com)
  • Plan HMO Empire Medicare Advantage (pa Plan Chwazi)
  • Empire BlueCross BlueShield HealthPlus Medicaid/ Child Health Plus (Prefiks JLJ)
  • Empire Plan, Pwogram Asirans Sante Eta New York (NYSHIP)
  • Excellus Health Plan, Inc.
  • Fidelis Medicaid, Child Health Plus, HealthierLife
  • Healthfirst Medicaid, Child Health Plus, Essential, Byennèt pèsonèl
  • MultiPlan PPO/PHCS/Plan Limite
  • Optumhealth Solisyon Konpòtman
  • Libète Oxford
  • Libète Oxford
  • Plan Sante Partners
  • UnitedHealthcare Community Plan-Medicaid, Child Health Plus, Wellness4Me
  • UnitedHealthcare of New York, Inc.-All Savers
  • UnitedHealthcare of New York, Inc.-Bind Health Insurance
  • UnitedHealthcare of New York, Inc.-Choice Plans
  • UnitedHealthcare of New York, Inc.-Compass Plans
  • UnitedHealthcare of New York, Inc.-Doctors Plan
  • UnitedHealthcare of New York, Inc.-The Empire Plan/NYSHIP
  • UnitedHealthcare of New York, Inc.-Heritage Plans
  • UnitedHealthcare of New York, Inc.-Navigate Plans
  • UnitedHealthcare of New York, Inc.-NexusACO Nivo 1
  • UnitedHealthcare of New York, Inc.-Plan Opsyon
  • UnitedHealthcare of New York, Inc.-Passport Connect Choice Plans
  • UnitedHealthcare of New York, Inc.-Select Plans
  • UnitedHealthcare of New York, Inc.-Signature Value Plans
  • UnitedHealthcare of New York, Inc.-W500 Emergent Wrap
  • UnitedHealthcare Nursing Home Plan 1 (PPO I-SNP)
  • United Healthcare Assisted Living Plan (PPO I-SNP)
  • VA Community Care Network

 

Sèvis Telesante pou Pasyan yo

At Tout Island Behavioral Health, sante w ak sekirite w se pi gwo priyorite nou. Nou te ajoute yon sèvis Telehealth nan pratik nou an pou si sa nesesè, nou ka kontinye sèvi bezwen medikal ou nòmalman.

Platfòm nou an se HIPAA an sekirite ak doktè ou ka fè egzamen ou a nan yon an sekirite, anviwònman vityèl. Tanpri rele biwo nou an nan (631) 689-5390 pran randevou pou vizite telemedsin ou.

Pou aprann plis sou fason pou prepare ak kisa pou atann de vizit randevou w lan:

www.stonybrookmedicine.edu/patientcare/telehealth/your_telehealth_visit

Dènye Mizajou
12/12/2022