John M. Garofalo, M.D.
Insurance plan participation
Dr. Garofalo participates in many managed care plans and sees patients with government as well as traditional insurance. Some insurance plans may require that you obtain a referral from your regular doctor (PCP) before you visit us if we are not your designated gynecologist. To learn if Dr. Garofalo participates with your plan, please contact our office or your insurance company.
We participate with the following major plans:
- Anthem Blue Cross and Blue Shield / Wellpoint
- CIGNA Healthcare
- First Health / Coventry Health care
- Harvard Pilgrim Health Care
- Multiplan / PHCS / Emblem Healthcare
- Northeast Health Direct / Consumer Health Network PPO / ChoiceCare Humana
- Oxford Health Plan
- United Healthcare
WHC participates in the following CT Health Insurance Exchange health plans:
- United Healthcare
Note: Given the fact that there are multiple benefit designs being offered and different eligibility requirements, we would recommend that you either go on the AccessHealthCT website at accesshealtct.com or call 1-855-805-HEALTH (1-855-805-4325) for more information and to enroll for health insurance coverage
About insurance and payments
You are responsible for learning the details of your coverage from your insurance plan, including all deductibles, co-payments and/or any referrals that may be required by your insurance company. Your co-payment is expected at the time of service, and payment in full is expected at each visit for services not covered by your insurance. Additionally, if you do not have an insurance card available, and/or our physicians do not participate with your health plan, full payment also is expected at the time of service.
For your convenience, we accept cash, check, MasterCard, VISA, and Discover. All returned checks will be assessed a $25.00 service charge. If you are an existing patient with a balance due, you can also pay your bill online.
With the vast number of insurance plans, it is the patient's responsibility to understand their insurance coverage. Please call our office at (203) 272-1990 if you have any additional questions and we will be happy to assist you.
If you have any questions regarding billing, please call our central billing office at (800) 889-3333 during regular business hours.