Insurance

We will gladly file insurance for patients who participate in our managed care plans after we have verified their benefits. In order to file for you, we require proof of insurance prior to the appointment with the physician. Please contact the office to determine if we are providers for your managed care plan.

We must have your valid, current and verifiable insurance card prior to filing charges with your insurance company.

Copays/Co-Insurance

Most insurance companies require that we collect a copay/co-insurance from you each time that we provide services for your child.

If you need to return for the following reasons:

  • to bring back lab work,
  • for hearing and vision screening, or
  • for immunizations on a day other than on the day of the original visit,

you will be required, by your insurance company, to pay your copay/co-insurance both for the day of the original visit and on the day that you return to the office. If for whatever reason, your insurance company does not ask for an additional co-pay/co-insurance, we will credit your account when we receive a complete explanation of benefits from them.

Plan Name

Aetna EPO
Aetna HMO/POS
Aetna PPO
BC/BS HMO/POS
BC/BS Open Access
BC/BS PPO
BC/BS Private
Beechstreet
Choice Care (Humana PPO)
Cigna EPO
Cigna HMO/POS
Cigna PPO
Coventry HMO/POS
Coventry PPO
Evolutions
First Health PPO
1st Medical Network
Galaxy PPO
Great West HMO/POS
Great West PPO
Humana HMO/POS
Life Well Health Partners EPO
Life Well Health Partners PPO
Multiplan
NovaNet
PHCS POS, PPO, EPO (now known as Multiplan)
PPO Next (now known as Viant)
Preferred Plan of Georgia
Southcare PPO (now known as First Health)
United Health Care – UHC HMO
UHC PPO
UHC EPO
UHC POS
Unicare
USA Managed Care

Our practice accepts Georgia Medicaid or Peachcare patients enrolled via Wellcare. Families must be enrolled in the Wellcare CMO, and must choose one of the physicians in our practice as their PCP. For help on how to choose our physicians as your child’s PCP or other questions, please call our office.

We cannot see patients in the Peach State or Amerigroup health plans at this time.

Hospital Affiliations

Scottish Rite Children’s Medical Center

Northside Hospital

 

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