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.

 

 PARTICIPATING INSURANCE COMPANIES:

AETNA – All NON-HMO products*

        *some plans require valid referrals

 

BLUE CROSS/BLUE SHIELD

• Anthem (VA) – preferred provider all products
  • except Healthkeepers (HMO/POS)      
• Carefirst (DC/MD) – preferred provider all products
• Carefirst  Blue Choice(HMO)*
• BlueCard/BCBS of most states – some managed plans restricted

 

CHOICECARE

 

CIGNA – PPO, POS*, & HMO*
every product except: CIGNA CONNECT NETWORK,
SUREFIT, and LOCALPLUS

 

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 SELECT/ STANDARD

 

UNITED HEALTHCARE – all non-HMO (non-Gated) products

 

VIRGINIA’S PHYSICIAN NETWORK

 

*May require valid Referrals