Patient Information
New Patient Forms and Notices
We Accept:
- Aetna (Choice PPO, Choice POS II, Innovation, Foreign Service Benefit Plan, Advantage Medicare Supplement, Coventry. HMO might require referral.)
- BCBS (Anthem, CareFirst, Federal Employee, Open Access, GEHA, Illinois, Healthy Blue, Premera, Advantage, Medicare Advantage)
- United Health Care (Compass Rose, Choice Plus. HMO might require referral.)
- PHCS Multiplan
- Medicare (AARP Medicare Supplement and Mutual of Omaha)
- Tri-Care (referral needed for most plans)
- Cigna: Open Access Plus, ChoiceFund OA Plus with CareLink, Choice Fund PPO, Teamsters Local, Medicare Advantage. HMO might require referral.)
- Any plans that are HMO, please contact insurance to verify and if a referral is required or not.
We do NOT accept:
- Aetna (Better Health)
- BCBS (Anthem Health Keepers)
- United Health Care (MediPlus, Compass, Commonwealth Coordinated Care, Dual Complete, InTotal Health)
- Cigna (Connect and EPO)
- All Medicaid plans (even if combined with other plans; ie Aetna Medicaid)
- Magellan
- Kaiser
We cannot accept patients whose secondary insurance is not in network with the practice. Patients who schedule a telehealth appointment are required to email or fax their insurance card and intake forms. If you are self-pay, we will NOT provide a claim. $200 initial visit, $100 follow-up.
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