Diagnostic Center Accepting Insurance in West New York, NJ

At the Advanced Imaging Center, we strive to make high-quality diagnostic imaging accessible to all our patients. We accept a wide range of insurance plans, including major providers such as Aetna, Cigna, Horizon Blue Cross Blue Shield, UnitedHealthcare, and Medicare. In addition, we may participate with Medicaid and numerous managed care and commercial insurance plans.

Because insurance coverage and networks can change, and benefits may vary depending on your specific plan or imaging service, we strongly recommend that you contact our office directly or speak with your insurance provider to verify current participation and coverage details prior to scheduling your appointment.

We want to ensure your experience is as smooth as possible, including helping you navigate insurance requirements for your imaging procedure. Whether you need a referral from your doctor for your imaging test to be covered by insurance depends on several factors, such as your specific insurance plan, the type of imaging exam you need (like MRI, CT scan, or ultrasound), and the medical reason for the test.

Many insurance providers—including most Health Maintenance Organizations (HMOs) and some Preferred Provider Organizations (PPOs)—require a referral from your primary care physician before they will cover specialized imaging services. This referral process helps confirm that the imaging test is medically necessary for your condition.

Before you book your exam at Advanced Imaging, we recommend contacting your insurance company to determine if a referral or prior authorization is required. You can usually check this information on your insurer’s website or by calling customer service. Your referring physician’s office may also be able to assist with obtaining and submitting the necessary paperwork.

Please note: If you proceed with an imaging procedure at our facility without obtaining the required referral, your insurance company may decline coverage, and you could be responsible for the full cost of the test.

Tips for a Smooth Process:
● Confirm referral and authorization requirements with your insurance provider.
● Ask your physician’s office for assistance with submitting necessary forms.
● Contact our team if you have any questions about the process—we’re here to help! 

By taking these steps, you’ll help ensure your test is covered and avoid unexpected expenses, allowing you to focus on your health. If you have any questions about referrals or insurance requirements, please don’t hesitate to call us

When you schedule an imaging test—such as an MRI, CT scan, or X-ray— it’s important to understand the costs you may be responsible for, including your copay, coinsurance, and deductible.

Copay:
Your copay is a fixed amount you pay at the time of your imaging service. This amount can vary depending on your insurance plan and whether Advanced Imaging of New Jersey is an in-network provider for your insurance.

Coinsurance:
Coinsurance is the percentage of the total cost you are responsible for after you have met your deductible. For example, after you meet your deductible for the year, you may pay a percentage of the remaining costs for your imaging procedure, with your insurance covering the rest.

Deductible:
The deductible is the amount you must pay out-of-pocket during your insurance policy period before your insurance begins to cover more of your medical expenses. The specific deductible amount for your imaging exam will depend on your individual insurance plan.

The exact amounts for your copay, coinsurance, and deductible at Advanced Imaging of New Jersey depend on several factors, including your insurance policy, the type of imaging ordered by your doctor, and whether our facility is in-network with your plan.

How to Get an Accurate Estimate:

To ensure you are fully informed about your financial responsibility before your imaging appointment at Advanced Imaging, we recommend:

Contacting your insurance company: Provide them with the details of your upcoming imaging test and verify your plan’s coverage, your current deductible status, and your estimated out-of-pocket costs. 

Reaching out to our office: Our team can assist you by providing a cost estimate based on your insurance information. We strive to help our patients understand their benefits and any potential costs prior to their appointment. 

To ensure a smooth experience, it’s important to verify your insurance coverage before your appointment. Start by locating your insurance card, which contains crucial information such as your policy number, group number, and the customer service phone number for your insurance provider.

Call your insurance company using the number on your card, or log in to your insurer’s online portal. Let them know that you are scheduling a diagnostic imaging appointment. Ask if Advanced Imaging is considered an in-network provider under your plan, as this can significantly affect your out-of-pocket costs.

Be specific about the type of imaging service you are scheduled for, such as MRI, CT scan, X-ray, or ultrasound. If you know the procedure code (CPT code), provide it to the insurance representative for the most accurate information. Ask about your deductible, copayments, coinsurance, and whether your plan requires a referral or pre-authorization for imaging tests.

You can also call us directly and provide your insurance details. Our experienced staff can help confirm your benefits and coverage for your specific imaging exam and assist with any required paperwork, such as prior authorizations or referrals.

Document the details of your conversations with both your insurance company and the imaging center. Write down the names of representatives you spoke with, the date, and any reference numbers provided. Having this documentation can help resolve any billing or coverage issues that may arise after your appointment. For more information, contact us today or schedule an appointment online We serve patients from West New York NJ, North Bergen NJ, Union City NJ, Guttenberg NJ, Weehawken NJ, Hoboken NJ, Fort Lee NJ, Englewood NJ, East Rutherford NJ, Jersey City NJ, and the surrounding areas!