Zusammenfassung der Ressource
Insurance Plans
- PPO IN NETWORK
Anmerkungen:
- PPO Plans are Deductible based plans wherein the DED must be met unless blanketed by a copayment.Once DED is met Coinsurance kicks in. if OOP is ever met do not collect only cc auth
- Anthem Blue Cross Blue Shield
- Blue Shield of Cali
Anmerkungen:
- ** Covered California DED applies charge $160
- United Health Care
- Aetna
- Cigna
- PHCS/ Multiplan
- Tricare
Anmerkungen:
- Tricare Standard and Prime are accepted. Tricare West, East and Tricare for life (medicare sup)
are included. Specify which region, refer to attached resource
- Americas Choice Provider(ACPN)
- Great West
- Healthsmart/Interplan
- Healthnet
- Medex
- Networks by Design
- UMR
- GEHA
- Prime Health Services
- Coventry/ First Health
- Humana
- Medicare
Anmerkungen:
- (1-800-633-4227) provider line- cannot release details, only veiryf pt is active.
*** Verify Medicare is primary/ Secondary/ replacement
- EPO IN NETWORK
Anmerkungen:
- Anthem EPO
Anmerkungen:
- *** unless Pathway/ EPO Select
**** Northgate collect copay
- Aetna EPO
Anmerkungen:
- "non urgent services no covered" if not deemed urgent, EPO may deny claim altogether
- HMO IN Network
Anmerkungen:
- HMO plans are non deductible based plans that only charge a copay at time of service. Virtually all HMOs require a Referral for any specialist
- Monarch Healthcare
Anmerkungen:
- (888) 767-2222 or (949) 923-3200 Provider line if Monarch is not updated w new pt info
- Molina
- Mercy Physicians Medical HMO
- Scripps Physicians Medical Group
Anmerkungen:
- Use PO box 7250
*** DO NOT ACCEPT SCRIPPS HEALTH PLAN/ CLINIC. CONSIDERED OON. $137 AND CC AUTH APPLIES
- Community Health Group
Anmerkungen:
- *** USE PO BOX 210100
COMMNITY HEALTH CHOICE/ COMMUNITY HEALTH PLAN NOT ACCEPTED. OON PLANS AND $137 APPLIES
- Sharp Community Medical
Anmerkungen:
- *** NOT ACCEPTED: Sharp Reese Steely
- Rady's
- UCSD
- Travel Insurance
Anmerkungen:
- *** Must have US claims Address NOT of of country
*** may accept fax Auth or payment via phone