We participate in most major insurance plans including, but not limited to:
· Aetna
o Aetna Choices POS II (Aetna HealthFund)
o Aetna Choice POS II (Open Access)
o Aetna Open Access Elect Choice EPO (Aetna HealthFund)
o Aetna Open Access Managed Choice POS (Aetna HealthFund)
o Aetna Select (SM)
o Aetna Select (SM) (Open Access)
o Elect Choice EPO
o Elect Choice EPO (Open Access)
o Managed Choice POS (Open Access)
o NYC Community Plan (SM)
o National Advantage Program
o Open Access Aetna Select (SM) (Aetna HealthFund)
o Open Choice PPO
o Open Choice PPO (Aetna HealthFund)
o Aetna Workers’ Comp Access (AWCA)
· Blue Cross & Blue Shield
o Blue Cross & Blue Shield, Blue Traditional Network
o Blue Cross & Blue Shield, Blue Choice Network
o Blue Cross & Blue Shield, Blue Works Network
o Blue Cross & Blue Shield, Blue Plan65 Select Network
o Blue Cross & Blue Shield, Blue Card
o Blue Cross & Blue Shield Federal Employee Program
Cigna
Cigna Open Access Plus
Cigna Open Access Plus with CareLink
Cigna Network POS
Cigna FlexCigna POS Open Access
CorVel
CorVel CorCare Network
Coventry Health Care
Coventry Direct
Coventry Health Care National Network
First Health Network (a Coventry Health Care Company)
Healthchoice
Humana
Humana Choice Care Network
Humana Medicare Advantage PPO Plan
Humana Choice PPO
Humana Medicare Advantage PFFS Plan
Humana Gold Choice
Humana Medicare Advantage HMO Plan
Humana Gold Plus
Humana Military Health Plan-TriCare Standard
Humana Military Health Plan-TriCare Prime PCM
The Mail Handlers Benefit Plan
Oklahoma Health Network (OHN)
Preferred Community Choice (PCC)
TriCare Standard
TriCare Prime PCM
United Healthcare
We also accept:
Medicare (Part B) on patients age 65 and older
Railroad Medicare (Part B) on patients age 65 and older
The above list of plans is provided as a courtesy. The patient should always verify our participation with their particular insurance plan by contacting their plan's customer service department prior to being seen in our office.
We are not accepting new patients with Soonercare/Medicaid healthcare coverage.
We are not accepting new Workers Comp appointments unless we have an existing contract with the employer and/or the Workers Comp insurance company.
We do not submit claims to third-party insurance/payors and/or primary health insurance for Motor Vehicle Accidents (MVA). Patients who receive care in our office as a result of motor vehicle accident are responsible for paying in full on the date of service. We will provide receipts to the patient to allow the patient to submit a claim to their insurance/another payor on their own behalf.
We do not participate in most Health Maintenance Organizations (HMOs) and Medicare Advantage Plans (plans that replace Medicare coverage).
For your convenience, we file an insurance claim on your behalf. If we do not currently participate in your insurance plan, you will be responsible for your charges. Patients should clarify this with their insurance company prior to being seen in our office. It is ultimately the patient's responsibility to ensure that our office is "in-network" with their insurance plan at their time of service and to fully understand their plan's benefits. Some insurance plans pay nothing towards a visit for "out-of-network" services and some will pay a portion of the cost of the visit regardless of the physician's "out-of-network" status. As a courtesy, we will file claims for plans which may consider us "out-of-network"; however, any unpaid portion of the claim is the responsibility of the patient/guarantor.
Each carrier (insurance plan) can have several different plans under their umbrella. We may contract with that carrier on one of their plans, but not the others. Therefore, the patient should always check with their specific plan to confirm our status under their specific plan before scheduling an appointment. The scheduling of your appointment does not imply that we are contracted with or "in-network" with your specific plan.
We are always happy to explore the possibility of participation in other plans as needed.
