Below is the list of the insurances that I will be taking. I joined with a group of local primary doctors (13 total) to increase the number of insurances we can offer. We are fully physician owned and physician operated. I anticipate insurance contracts will be completed during October 2021).
ACCEPTED INSURANCES STARTING MID OCTOBER 2021:
Medicare: We are a Medicare provider and accept the Medicare allowable for covered services. We take 9 different Medicare "advantage" plans. If we do not take your Medicare "advantage" plan, you will be responsible to pay the deductible (if it has not already been met for the year) AND the 20% Medicare co-payment if you do not have a secondary insurance. ** Note that it is in your best interest to stay within your health insurance network for best coverage. Contact your insurance company to verify.
Cigna: Regular PPO, Regular HMO, Health exchange EPO plan. (I do not take Cigna Connect). No Cigna Medicare plans.
Humana: Regular PPO, Regular HMO, Medicare PPO. No Medicare HMO. No Health Exchange plans.
BCBS: Regular PPO, Regular HMO, Medicare PPO, Medicare HMO - Some plans. Health Exchange Blue Select. No MyBlue.
UHC (United): Regular PPO, Regular HMO, Medicare PPO, and Medicare HMO. No Platinum or Navigate.
Neighborhood Health Partnership (NHP): Regular PPO, Regular HMO, Medicare PPO, and Medicare HMO.
Aetna: Regular PPO, Regular HMO, Medicare PPO. No Medicare HMO.
Coventry: Regular PPO and Regular HMO.
Avmed: Regular PPO, Regular HMO, Medicare PPO. No Medicare HMO.
Oscar Health: Regular PPO.
We do not take auto insurance. We do not take workman's comp insurance.
** Please be advised that if we are a non-participating provider with your health insurance, you will be required to pay the entire balance at the time of your visit.
** Please note that it is in your best interest to stay within your health insurance network for best coverage. Contact your insurance company to find a provider in your network.
** If you have a PPO, EPO, POS, etc, you generally do not need referrals. If you have an HMO, you might need referrals for some specialists, procedures, studies, etc. If I am not in your HMO network, your insurance company will not allow me to process any referrals for you.
** Please remember that your insurance policy is a contract between you and your insurance carrier. It is the patient's responsibility to know if our office is participating or non-participating with their insurance plan. We will bill your insurance and help you receive the maximum allowable benefits under your policy. I recommend you learn your insurance plan well. Patients who are involved with their claims process are more successful at receiving prompt and accurate payment services from their insurance carrier. We do expect patients to be interactive and responsible for communicating with your insurance carrier on any open claims. It is your responsibility to provide all necessary insurance eligibility, identification, authorization, and referral information and to notify our office of any information changes when they occur. Even a preauthorization of services does not guarantee payment from your insurance carrier. We also require photo identification when accepting insurance information. Failure to provide all required information may necessitate patient payment for all charges. When insurance is involved, we are contractually obliged to collect copayments, coinsurance, and deductibles, as outlined by your insurance carrier. Please be aware that out-of-network Insurance carriers often prohibit assignment of benefits and may try to limit their financial liability with arbitrary limits, exclusions, or reductions such as reasonable and customary or usual and prevailing reductions. Our fees are well within such ranges and although we will assist in the filing of an appeal if these limitations are imposed, you as the guarantor are responsible for all out-of-network fees. If we are not contracted with your carrier, we will not negotiate reduced fees with your carrier.