Insurance

Do I still need health insurance if I enroll with you?

Yes. Your annual fee only pays for the non-clinical, non-covered amenities and benefits. Neither the fee nor the amenities take the place of general health insurance coverage. You are advised to continue your Medicare or other health insurance program coverage.

Will you be a provider on my insurance plan?

I intend to remain an in-network provider for many major PPO insurance plans and will bill your insurance directly for professional services that are covered by those plans.

Accepted Insurances lists:

• Any Blue cross / Blue shield insurances: including premera, regence and Anthem. 
• Aetna 
• United Health Care
• Humana 
• Cigna
• Medicare
• Coordinated care
• Ambetter

If the terms of your insurance plan require a co-pay, I am obligated to request payment at the time of service. Even if I am not a provider for your insurance plan, you may still see me as an out of network provider. I will attempt to refer you to in-network physicians for any necessary consultations and to in-network facilities for diagnostic tests and hospitalizations as medically indicated.

Will you be a participating provider for Medicare?

Yes. My office will file your claims with Medicare as well as with your supplemental insurer on your behalf, as required by law. Office visit fees that are not reimbursed by insurance will be the responsibility of the patient.

What about labs, X-rays, specialists’ fees, and hospitalization?

All medical procedures and services, whether performed in my office or by other providers or health care facilities, will be billed by the performing physician and/or entity.

Will my private insurance or Medicare reimburse my annual fee?

No. The annual fee is not covered by private insurance or by Medicare.