Ansonya Family Care

A PCMH recognized practice

Office Policies

Emergency/After Office Hours:
If you have an emergency after office hours, during lunch hours, on a weekend, or a holiday, please call at 732-727-5110. Follow prompts the doctor will be paged and will return your emergency call as soon as possible. For medical emergencies requiring immediate treatment, please dial 911. For an emergency appointment and other inquires do not use online request form.
Appointments Scheduling:
Please call us during regular office hours or fill up the online appointment form to schedule your appointment. Our friendly staff members are available to assist you in making an appointment. We will try to schedule your appointment at the most convenient time possible. We have extended office hours and weekend appointments are available. If you schedule an appointment or submit any other information online, all your information is transmitted and cached securely, adhering to HIPAA guidelines and protecting your privacy.

Proof of Insurance:

Ansonya Family Care accepts most insurance plans.  If you have a question related to your insurance plan, please call 732-727-5110.  All patients must complete our patient information form before seeing the doctor. We must obtain your demographic information and a copy of current valid insurance card to provide proof of insurance. If you fail to provide us with the correct insurance information in a timely manner, you may be responsible for the balance of a claim. If your insurance changes, please notify us before your next visit so we can make the appropriate changes to help you receive your maximum benefits. If your insurance company does not pay your claim in 45 days, the balance will automatically be billed to you.


Your co-payment is due at the time of service. We are unable to discount or waive co-payment due to our contracts with the insurance companies. All deductibles and outstanding balances are also due at the time of your visit. We accept cash or checks only. There is a $25 returned check fee.  If you are not insured by a plan we do business with or if you are uninsured, payment in full is expected at each visit. Our practice is committed to providing the best treatment to our patients. Our prices are representative of the usual and customary charges for our area.

No-Show Policy:

We try to contact every patient to remind them of their scheduled appointment.  If for some reason you need to cancel your appointment, please notify us 24 hours in advance so that we may accommodate other patients who need to be seen. Please arrive 15 minutes prior to your scheduled appointment time.

Because filling out insurance, disability, FMLA or any other type of forms that require physician’s input can be time intensive, we require you to fill out as much of the form as possible prior to bringing it in. Please give us 7-10 days for completion of paperwork. If required you may also be asked to schedule an appointment for these.

Prescription Refills:
In order to provide quality care, medication refills are best addressed at the time of your visit. This allows you to update the physician and to plan any necessary change in your medication or to schedule any testing that may need to be done. However, when this is not possible we encourage you to call your pharmacy directly and they will contact us. There is also an online prescription refill form available for your convenience. Please allow 48-72 hours for the refill request processing.

Notification of Test Results:

You will be contacted by the physician or a staff member by phone or mail for all non urgent test results. Please allow 7-10 days for us to notify you. You will however receive a prompt phone call for all urgent abnormal results. If you do not hear from us within 14 days of a test please contact the office.

Specialty Referrals:
Once the physician has made a referral, our office staff will guide you in setting up an appointment with the specialist recommended. Referrals work pretty much the same for all patients, with one exception: If you are in an HMO, we can generally refer you only to specialists who participate with your HMO. To check, simply call your health plan’s customer service line or consult its current provider directory. You may be required to make an appointment for certain services that require a referral.

Health Insurance Portability & Accountability Act 1996 (HIPAA):
We are required by law to maintain the confidentiality of health information that identifies you. We also are required by law to provide you with this notice of our legal duties and the privacy practices that we maintain in our practice concerning your personal health information. This notice is available at our office and on our website in forms tab.

Patient Termination Policy:
Ansonya Family Care values physician-patient relationships and your faith in us. However this relationship may be terminated under rare circumstances at the discretion of the physician. This could be based on, but not to limited to a refusal to undergo recommended care resulting in circumstances that may jeopardize the patient’s health, abusive behavior towards staff and physician, use of foul language or nonpayment of medical charges despite multiple reminders. If this is to occur you will be notified by regular and certified mail that you have 30 days to find alternative medical care. During that 30 day period we will only be able to treat you on an emergency basis.