
Insurance
Regarding Insurance
A patient’s health insurance is a contract between the patient and their insurance company. As such you are responsible for understanding your policy reimbursement requirements. If your health insurance is with a company with which we participate and you have supplied insurance information we will bill your insurance carrier for you. Patient co-payments and deductibles are due at the time of your visit. Please supply updated insurance information if your insurance changes. An administration fee of $5.00 will be charged to your account if it becomes necessary to re-submit claims to a new carrier or it becomes necessary to mail a statement to you for unpaid office visit co-payments. If your insurance carrier has not paid your claim in forty-five days the balance will automatically be billed to the patient.
Many Health Maintenance Organizations (HMOs) require a patient to have a referral form their primary care physician prior to receiving specialist treatment. HMO patients are responsible for obtaining and monitoring their referrals.
In the event we do not participate with your health insurance company, payment in full will be expected at the time of your visit.
2017 PARTICIPATING INSURANCE COMPANIES:
NEW! WE ARE NOW PARTICIPATING WITH CAREFIRST BLUE CHOICE (ALL PRODUCTS)
AETNA – All NON-HMO products*
*some plans require valid referrals
BLUE CROSS/BLUE SHIELD
- Anthem (VA) – preferred provider all product
- except Healthkeepers (HMO/POS)
- Carefirst (DC) – preferred provider all products
- NEW!! Carefirst Blue Choice (DC) — All products****HMO requires referral***
- BlueCard/BCBS of most states – some managed plans restricted
CHOICECARE
CIGNA every product – PPO, POS*, & HMO*
COVENTRY HEALTH CARE (ONLY Non-HMO products)
COMPASS ROSE if administered by UMR/UNITED HEALTHCARE
FIRST HEALTH (Aetna)
GEHA if administered by UMR/UNITED HEALTHCARE
GREAT-WEST HEALTHCARE =GWH CIGNA PLAN
MULTIPLAN (an out-of-network coverage option)
MEDICARE
ONE NET administered by UNITED HEALTHCARE
PHCS – PRIVATE HEALTH CARE SYSTEMS
SOUTHERN HEALTH SERVICES, INC
TRICARE STANDARD
UNITED HEALTHCARE – all non-HMO (non-Gated) products
VIRGINIA’S PHYSICIAN NETWORK
*May require valid Referrals