Insurance and Payments Accepted

  • Self Pay

  • Christian Sharing Plans (ex: Medi-Share)

  • Aetna

  • Aetna Medicare Advantage HMO-GPG 

  • Aetna Medicare Advantage PPO/POS-GPG 

  • Blue Cross Blue Shield HMO

  • Blue Cross Blue Shield PPO

  • Blue Advantage HMO

  • Blue Cross Blue Shield Medicare Advantage HMO

  • Blue Cross Blue Shield Medicare Advantage PPO

  • Care Improvement Plus

  • Cigna PPO

  • Coalition America

  • Galaxy Healthcare PPO

  • Galaxy Medical Savings Plan

  • Healthcare Highways Commercial 

  • HealthSmart ACCEL

  • HealthSmart GEPO

  • HealthSmart PPO

  • HealthSpring Specialist

  • Humana Choice Care PPO

  • Humana Medicare Choice PPO 

  • Humana Medicare Gold Choice PFFS 

  • Multiplan Complimentary Network (not PHCS)

  • Mutual of Omaha MA 

  • Medicare Part B** see below**

  • UHC-HMO Select

  • UHC-Non-HMO Choice/Options

  • UHC Medicare 

  • USA MCO-GPG

  • Wellcare MedicareHMD-GFG

Medicare "Non-Participating"

We are listed as a non-participating Medicare Provider. 

What does this mean? We accept Medicare, but do not agree to take assignment in all cases (they may on a case-by-case basis). This means that while non-participating providers have signed up to accept Medicare Insurance, they do not accept Medicare's approved amount for health care services as full payment. 

Non-Participating Providers can charge up to 15% more than Medicare's approved amount for the cost of services you receive. (known as the limiting charge). This means you are responsible for up to 35% (20% coinsurance + 15% limiting charge) of Medicare's approved amount for covered services. Limiting charges are not billable to secondary insurance like AARP, Aetna, etc.

If you pay the full cost of your care up front, your provider should still submit a bill to Medicare. Afterward, you should receive from Medicare a Medicare Summary Notice (MSN) and reimbursement for 80% of the Medicare-approved amount. 

Example: If a new patient allowable on Medicare is $140, you would be responsible for 15% additional charge which would be $21, this is not billable to insurance. If you are also responsible for 20% coinsurance you would pay the $28 (20% coinsurance) PLUS $21 for a total of $49.

* This fee does not apply to Medicare Advantage Plans.