New Plans are being added regularly so please check back for updates!
Advent Health - Health First
Ambetter *requires referral for certain plans*
Baycare Plus Medicare Advantage HMO
BCBS - Blue Options PPO
BCBS - Network Blue PPO
BCBS - Florida Blue PPC
BCBS - Horizon PPO
BCBS - Independence PPO
BCBS- Anthem PPO
BCBS - Traditional PPS | PHS
BCBS - Federal PPO
BCBS - Empire
BCBS - Advantage 65 Supplement Plans
Cigna - Baycare Share
Cigna - Open Access Plus
Cigna - PPO
Cigna - Healthgram
Cigna - HMO - POS *requres referral*
Cigna - HMO Open Access
Cigna - HMO Open Access POS
Cigna - Samba Health
Cigna - Allegiance
Cigna - Emi Health
Devoted - Medicare
Evolutions Healthcare Systems
Florida Health Solutions
Humana HMO *requres referral*
Humana MCR PPO
Humana MCR POS
Humana MCR HMO *requires referral*
Medicare & Palmetto Railroad Medicare
Multiplan | PHCS | Beechstreet
Oscar - PPO
Oscar - POS *requires referral*
Oscar - EPO
Oscar - HMO
Simply - CHA
Simply - Healthy Kids
Simply - Medicaid
Simply - Medicare
Sunshine - Medcaid
Tricare for Life
Tricare Humana Military West
Tricare Humana Military East
*If you are unsure if a provider is in network with your plan, you can contact your insurance company for a list of in network providers on your plan!*
It can be uncomfortable to talk about our health in terms of cost, but we must. Health insurance is becoming more complex and confusing. So, it can be hard to keep up!
Often our healthcare is paid through a combination of insurance reimbursement (the portion paid by our insurance) and direct out-of-pocket responsibilities (the portion paid by us as individuals).
“In Network” vs. “Out of Network”
Your insurance coverage and benefits are a contract between you and your insurance company. Therefore, all disputes must be handled between you and your insurance company
We are contracted with insurers to accept assignment of benefits. If you have insurance coverage under a plan with which we do not have a contract, you will be treated as a “Out of Network” patient.
We are required to file with your primary insurance carrier only. As a courtesy to our patients, we will file a claim with your secondary insurance. The medical insurance you supply to our office must be accurate and up to date
"Deductibles" are a set dollar amount that must be spent by us before our health insurance will begin to cover expenses. For example, if you have a $500 deductible, your insurance requires you to spend $500 on your healthcare first. Only after you have spent this amount will they begin to pay for services. Be aware, plans with low deductibles often have higher monthly premiums while plans with high deductibles often have lower monthly premiums.
"Copays" are a fixed dollar amount you pay for your healthcare services. For example, an office visit may cost $50, but if you have a copay of $20, you will only ever pay $20.
"Co-Insurance" is a certain percentage of cost you pay for your healthcare services. For example, if you have a health plan with 20% co-insurance, then you would pay $10 for an office visit that costs $50.
Choose an insurance plan wisely because that determines how much your direct out-of-pocket expenses will be.
Unfortunately, just because we accept reimbursements from your insurance does not mean we have ready access to all of the details of your insurance benefits.
Feeling surprised by a cost can be upsetting and we very much want to help you avoid surprises as best as we can!
Although we will do our very best to guide you, we also encourage you to reach out to your insurance ahead of time to clarify any questions or concerns you may have. They should be an excellent resource for your specific benefits! We are also happy to provide you with common codes billed.