Find top medicaid-approved gastroenterologists in NY for quality GI care.
February 19, 2024
Medicaid is a vital public health insurance program that provides coverage to eligible individuals and families across the United States. In New York, Medicaid plays a crucial role in ensuring that residents, including the elderly and those with low incomes, have access to affordable healthcare services.
Medicaid is a joint federal and state program designed to assist those with limited income and resources to access necessary medical care. It covers a broad range of services, including hospital stays, doctor visits, long-term medical care, and other healthcare costs. The program is tailored to serve various groups, including children, pregnant women, parents, seniors, and individuals with disabilities.
In New York, Medicaid is administered by the New York State Department of Health and offers one of the most comprehensive coverage plans in the nation, ensuring that residents receive the care they need without the burden of unmanageable costs.
Eligibility for Medicaid in New York is determined based on income, household size, age, and disability status. The state has expanded its Medicaid program to include a wider range of income levels, allowing for increased access to healthcare services for a greater number of residents.
Household Size | Maximum Annual Income Level (as of latest guidelines) |
---|---|
1 | $17,609 |
2 | $23,792 |
3 | $29,974 |
4 | $36,156 |
5 | $42,339 |
6 | $48,521 |
7 | $54,703 |
8 | $60,886 |
*For households with more than eight people, add $6,182 for each additional person.
It's important to note that certain individuals, such as pregnant women and the elderly, may qualify for Medicaid with slightly higher income levels. Additionally, assets and resources are considered when determining eligibility for some groups, particularly for those seeking coverage for long-term care services.
Residents of New York who believe they may qualify for Medicaid can apply through the New York State of Health Marketplace or directly through their local Department of Social Services. Understanding the eligibility requirements is the first step in accessing Medicaid coverage and the comprehensive healthcare services it provides, including consultations with medicaid-approved gastroenterologists in NY.
Maintaining gastrointestinal health is crucial for overall well-being, especially in the elderly population. The digestive system is responsible for the absorption of nutrients and the elimination of waste, playing a vital role in maintaining the body's homeostasis.
As individuals age, they may encounter various gastrointestinal issues that can significantly impact their quality of life. Some of the common conditions affecting the elderly include:
These conditions can lead to further complications if not addressed promptly. It is therefore imperative for the elderly and their caregivers to be aware of these potential issues and to seek expert advice from medicaid-approved gastroenterologists in NY when symptoms arise.
Preventative measures are key to avoiding the development or worsening of gastrointestinal problems. Some recommended actions include:
By understanding the importance of preventive care and seeking routine medical advice, the elderly can ensure better gastrointestinal health. Partnering with knowledgeable medicaid-approved gastroenterologists in NY will enable access to essential services and screenings, providing peace of mind and contributing to a healthier life.
For individuals on Medicaid, locating a gastroenterologist who accepts this form of insurance can be a challenging task. In New York, where the healthcare landscape is vast and varied, it is important for Medicaid recipients to understand the obstacles they may face and the steps required to secure specialized gastrointestinal care.
One of the primary challenges faced by Medicaid recipients is the limited number of specialists who are enrolled as Medicaid providers. This can lead to longer wait times for appointments and a reduced choice of healthcare providers. Furthermore, some gastroenterologists may limit the number of Medicaid patients they accept, which further restricts access.
Another difficulty is navigating the complex healthcare system, which can be particularly daunting for the elderly and their caregivers. Identifying providers who accept Medicaid and are experienced in treating age-related gastrointestinal issues requires persistence and knowledge of the system.
Transportation and mobility issues also pose significant barriers, especially if the available providers are located far from a patient's home. This can discourage regular check-ups and timely treatment, potentially exacerbating health issues.
To ensure that a gastroenterologist accepts Medicaid, patients or their caregivers should:
It is beneficial to perform this verification process ahead of time to avoid any confusion or delays when seeking care. Ensuring that the provider is informed about the patient's Medicaid status prior to the visit can facilitate a smoother experience for both the patient and the healthcare team.
Finding a qualified gastroenterologist who accepts Medicaid in New York can be a daunting task. To assist you in your search, here is a list of 10 reputable gastroenterologists based on the Zocdoc directory:
Dr. Sam Weissman is a distinguished gastroenterologist based in Brooklyn, NY, with a medical degree from the Albert Einstein College of Medicine of Yeshiva University. He completed his residency in internal medicine and a fellowship in gastroenterology at Long Island Jewish Medical Center. Board-certified in gastroenterology by the American Board of Internal Medicine, Dr. Weissman is affiliated with Interfaith Medical Center and New York Methodist Hospital.
At his practice, NYC Medical Plaza, Dr. Weissman is committed to providing focused attention and high-quality care, leading to positive and lasting health outcomes. He is recognized for his expertise in advanced endoscopic procedures and has a strong commitment to colorectal cancer prevention. Dr. Weissman's office has implemented extensive safety precautions to ensure patient safety during the COVID-19 pandemic.
Patients appreciate Dr. Weissman's thorough approach, excellent bedside manner, and the detailed care he provides. His office is located at 2952 Brighton 3rd St, Brooklyn, NY 11235, and he also offers online video visits for patient convenience. Dr. Weissman is in-network with Medicaid - New York and a variety of other insurance plans, ensuring broad accessibility to his services.
Languages Spoken: English
Provider's Gender: Male
NPI Number: 1922083880
Patient reviews reflect Dr. Weissman's reputation as a caring and skilled physician, with an overall rating of 4.68. His ability to listen to concerns and provide comprehensive care is highly valued by his patients.
Dr. Yuriy Pertsovsky is a dedicated gastroenterologist practicing at Lifelong Medical PC in Brooklyn, NY. His medical education was completed at Belarusian State Medical University. Dr. Pertsovsky's facility is AAAHC approved and known for its state-of-the-art technology and highly skilled nursing staff. The center prides itself on efficient case turnover and advanced medical equipment, ensuring high-quality patient care.
The administrative staff at Lifelong Medical PC is committed to providing safe and cost-effective endoscopic procedures. Anesthesia services are overseen by a board-certified director of Anesthesiology, with all care delivered by board-certified or board-eligible anesthesiologists. Dr. Pertsovsky and his team focus on personalized patient needs, offering a comfortable and supportive environment from reception through recovery.
Patients benefit from pre-admission and insurance pre-approval, streamlining the process and minimizing delays. The New York State accreditation of the center guarantees that it meets hospital standards for surgical care, with a medical staff that adheres to stringent requirements.
Dr. Pertsovsky is in-network with Medicaid - New York and accepts a wide range of other insurances, making his services accessible to a broad patient base. His practice is located at 2569 Ocean Ave, Brooklyn, NY 11229.
Languages Spoken: English, Russian
Provider's Gender: Male
NPI Number: 1326085168
Dr. Konstantin Vaizman is a board-certified gastroenterologist with a comprehensive practice across Brooklyn and Staten Island, NY. He earned his medical degree from St. George's University School of Medicine and completed his residency in internal medicine at Maimonides Medical Center. Dr. Vaizman further specialized with fellowships in hepatology at The Mount Sinai Hospital and gastroenterology at Maimonides Medical Center.
Dr. Vaizman treats a wide range of conditions including celiac disease, hepatitis, cystic fibrosis, gallstones, jaundice, and offers screening and treatment for colon cancer. His practice is equipped with the latest medical technology and follows strict safety precautions, including mask requirements for all patients.
Fluent in both English and Russian, Dr. Vaizman is accessible to a diverse patient population. He is in-network with Medicaid - New York and accepts a variety of other insurance plans, ensuring that a wide range of patients can receive care.
Dr. Vaizman's multiple office locations in New York are:
Specialties: Gastroenterologist
Board Certifications: Gastroenterology (Internal Medicine)
Languages Spoken: English, Russian
Provider's Gender: Male
NPI Number: 1639268105
Please note that the availability of these doctors may vary, and it is recommended to verify their current Medicaid acceptance status and schedule an appointment in advance.
Selecting a healthcare provider is a critical decision, especially when it pertains to specialized care such as gastroenterology. For those covered by Medicaid in New York, there are several factors to take into account when choosing a gastroenterologist that will ensure high-quality care that meets their specific needs.
The gastroenterologist's experience, particularly with elderly patients, is fundamental. It is advisable to inquire about their expertise in the field, as well as the specific conditions they specialize in treating. Some gastroenterologists may focus on particular gastrointestinal diseases, making them more suited for certain medical issues.
Specialization | Description |
---|---|
General Gastroenterology | Broad focus on digestive system disorders |
Hepatology | Specialized in liver diseases |
Inflammatory Bowel Disease | Focus on conditions like Crohn's and ulcerative colitis |
Gastrointestinal Endoscopy | Specialized in diagnostic and therapeutic procedures |
The location of the gastroenterology practice is another crucial consideration. Accessibility is key for elderly patients who may have mobility challenges. It is beneficial to choose a provider that is conveniently located and easily reachable via public transport or has parking facilities.
Factor | Consideration |
---|---|
Proximity | Close to home or public transport |
Accessibility | Elevators, ramps, and other facilities for the disabled |
Hospital affiliations of the gastroenterologist are indicative of the quality and range of services they can provide. A well-affiliated gastroenterologist may have access to state-of-the-art equipment and facilities. Furthermore, it's important to consider whether the practice has in-house procedures or if they refer patients to other facilities.
Hospital Affiliation | Facilities |
---|---|
Affiliated Hospital A | In-house endoscopy suite, imaging services |
Affiliated Hospital B | Access to specialized GI procedures, multi-disciplinary teams |
When evaluating potential gastroenterologists, it's important to consider these factors to ensure that one's specific health needs will be met. Medicaid recipients should prioritize finding a gastroenterologist who not only accepts their coverage but also has the necessary experience, is located in an accessible area, and has the right hospital affiliations and facilities to provide comprehensive care.
Navigating the healthcare system can be particularly challenging for the elderly and their caregivers. When it comes to Medicaid and the need for specialist care, understanding the intricacies of referrals and prior authorizations is crucial.
Before an individual can see a specialist like a gastroenterologist, they typically need a referral from their primary care physician. Medicaid recipients must follow this protocol to ensure that the cost of their visit to a gastroenterologist will be covered under the plan.
Prior authorization is another key step in the process of receiving specialty care. This is when Medicaid approves a recommended medical service before it is rendered, ensuring that the treatment is necessary and that the cost is covered. Below is a simple breakdown of the steps involved:
Step | Action Required | Responsible Party |
---|---|---|
1 | Initial assessment | Primary care physician |
2 | Referral to a specialist | Primary care physician |
3 | Prior authorization | Medicaid/Recipient |
Once you have a referral and prior authorization, scheduling an appointment with a medicaid-approved gastroenterologist is the next step. It is advisable to confirm with the gastroenterology office that they accept Medicaid and understand any specific instructions or paperwork that needs to be completed prior to the appointment.
During the appointment, you should expect a thorough examination and discussion of your gastrointestinal health. The gastroenterologist may order tests, prescribe treatment, or recommend lifestyle changes as part of your care plan.
To ensure a smooth experience, keep the following in mind:
By understanding the process of navigating Medicaid for gastroenterological care and preparing for appointments, Medicaid recipients can access the quality care they need for maintaining good digestive health.
For Medicaid recipients seeking quality gastrointestinal care, there are several resources available to assist in finding medicaid-approved gastroenterologists in NY. These resources can simplify the process and provide valuable information.
Online directories and search tools are invaluable for locating healthcare providers, including gastroenterologists, who accept Medicaid. These directories typically allow users to filter by specialty, location, and insurance acceptance, making it easier to find a suitable specialist. Additionally, some tools provide ratings and reviews, helping to gauge the quality of care provided by the gastroenterologist.
Resource Type | Description |
---|---|
Provider Locator | Enables search by zip code or city |
Doctor Ratings | Offers insights into patient satisfaction |
Insurance Checker | Confirms if a provider accepts Medicaid |
State and local health departments often maintain lists of Medicaid-approved providers, including specialists like gastroenterologists. These departments can also provide assistance with understanding Medicaid benefits and navigating the healthcare system. They often have helplines or customer service centers where recipients can ask questions and receive personalized support.
Department Service | Assistance Provided |
---|---|
Provider Listings | Comprehensive lists of Medicaid-approved providers |
Helpline | Answers questions regarding Medicaid coverage |
Application Assistance | Helps with the Medicaid application process |
Support groups and community resources can be a source of recommendations for gastroenterologists who accept Medicaid. These groups often share experiences and can provide insights into the quality of care provided by specific doctors. Additionally, community health centers and nonprofit organizations may offer guidance and support services for those seeking specialized medical care.
Resource Type | Benefit |
---|---|
Support Groups | Peer recommendations and shared experiences |
Community Health Centers | Local healthcare guidance and support |
Nonprofit Organizations | Assistance with healthcare access and advocacy |
By leveraging these resources, Medicaid recipients can more easily identify and access the gastroenterological care they need. It's important to thoroughly research and verify the Medicaid acceptance of any healthcare provider before scheduling an appointment. These resources are designed to empower Medicaid recipients with the knowledge and tools necessary to access quality care.
Maintaining good gastrointestinal health is critical for the elderly population, and early detection of problems can be lifesaving. By seeking preventive care, verifying Medicaid acceptance, and carefully selecting a gastroenterologist with experience in treating age-related gastrointestinal issues, Medicaid recipients can access high-quality care that meets their specific needs.
Understanding the Medicaid system and utilizing available resources can simplify this process and provide peace of mind for patients and their caregivers. With the right healthcare team in place, seniors can continue to enjoy a high quality of life well into their golden years.
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