FOLLOW-UP PATIENTS
We happily accept most insurance plans, including Medicare. If you do not see your insurance provider listed here, please contact our office to verify acceptance and eligibility.
Aetna Update
We are currently not accepting any new Aetna or new Aetna medicare advantage patients. Only established Aetna patients may pay out of pocket.
My practice cannot provide services as an in-network Aetna or Aetna Medicare Advantage provider. Many of you will be impacted through no fault of your own.
We can see patients with aetna in follow-up as long as out of network fees are paid as below. We are not accepting new patients with Aetna.
If you have aetna, please note this policy before your visit. If you have aetna and cancel with less than 24 hour notice, you will be subject to our standard $100 no show fee.
To those who wish to transition care to a different provider:
If you wish to transition care, consider the following:
Penn Medicine
Multiple locations and telemedicine
215-316-5145
https://www.pennmedicine.org/request-an-appointment
If you have any questions regarding your coverage, please reach out to your insurance carrier, or you can speak to someone in our billing office (267-831-0591) to determine our network status with your insurance plan. If we are out of network with your insurance carrier, the charge amounts listed below will be due from you at the time of service. We will provide you with documentation that you can submit to your insurance carrier to get reimbursement directly from your insurance carrier.
Here is our out-of-network fee schedule.
New patient: $160
Follow-up: $140
Home sleep study: $250
In Network | Out of Network |
---|---|
Amerihealth | Aetna Commercial Plans |
Amerihealth Administrators | Aetna Medicare Advantage |
Cigna | Keystone first (medical assistance) |
Primary Medicare with any secondary or supplement, including Aetna. | United community plan (medical assistance) |
GEHA | Coventry |
Health America/Coventry | Humana |
Highmark BCBS | |
Independence Administrators | |
Independence Blue Cross | |
Keystone Health Plan East | |
Medicare | |
Multiplan | |
Railroad Medicare | |
Tricare Prime | |
United Healthcare | |
United medicare advantage | |
UPMC | |
Any commercial Blue Cross from any state |
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