INSURANCES ACCEPTED

Participating Provider List

We are participating providers with the following insurance companies. If you do not see your insurance listed, please call the office and/or your insurance company for verification.  This list can change, so to be most cautious, you may want to contact your insurer to see if we are a participating provider and to see if any referrals or prior authorization is required.

  • AARP
  • Aetna
  • Assurant Health
  • Blue Cross/Blue Shield – Highmark, etc
  • CHAMPVA
  • Coventry Commercial (Carelink, Coventry National, First Health (leased)​ – Switching over to Aetna currently
  • Coventry Medicare – Advantra WV ​
  • Carelink
  • CIGNA
  • Direct Care
  • Choice Care
  • First Health (Commercial Only)
  • GEHA
  • Geisinger
  • Golden Rule
  • Health Plan
  • Health Scope
  • Health Smart
  • Humana
  • Large Self Funded
  • Medicare Advantage
  • Medicare Palmetto GBA
  • Multiplan
  • PEIA
  • PPO USA/GEHA
  • Private Health Care Systems
  • Railroad Medicare
  • State Farm
  • Tricare, including Tricare Prime
  • UMR
  • UMWA
  • United
  • UPMC
  • We do not participate in Medicaid or Workers Compensation Cases.

 

INSURANCE VERIFICATION PROCEDURE & POLICY  (updated May 2017)

Our computer system is now capable of verifying your insurance REAL TIME.  This includes verification of coverage as well as estimation of out of pocket cost for your visit.  At this time, we will be using the patient cost estimation feature for surgical excisions only.

However, we will be performing insurance verification PRIOR to your visit.  If we are unable to verify your insurance, we will attempt to call you prior to your appointment.   Please attempt to resolve any coverage concerns with our staff prior to your visit.  Please BRING YOUR INSURANCE CARD TO EVERY VISIT just in case.

If we are unable to verify your insurance at the time of your visit, you will be asked to pay a $75 deposit at the time of your visit.    This will be refunded to you if your insurance pays in full.  If your insurance deems your responsibility to be greater than $75, you will be billed for the remainder of the cost of the visit.

Please understand that our goal is to help you and us understand your insurance coverage prior to your visit.  We want to help you avoid any unexpected out of pocket costs.  Most importantly, we want your visit and time in the office to be positive, so we will be working to resolve any insurance concerns prior to your visit.