Billing

Our billing office is available to assist you in any billing concerns that you may have. It is very important to be aware of your individual health plan benefits, including any co-pays, deductibles, and/or any needs for referrals.

If you have any billing questions, please contact the billing department.

Make an online payment here

Understanding Insurance Language

To help with some of the common insurance lingo, we have listed several of the most common definitions that we feel are important to be aware of.

Copay

The amount an insured person is expected to pay for a medical expense at the time of the visit.

Coinsurance

More generally, a sharing of risk between the insurer and the insured. Also called copay.

Maximum benefit

An annual maximum benefit amount is the maximum dollar amount that an insurer has to pay for all healthcare services for the insured during a year.

Deductible

A portion of a claim to be paid by the insured before any payment is made by the insurer.

Coordination of Benefits

Benefits under one plan are coordinated with benefits from another insurance plan (that covers the same benefits), so payments won’t be duplicated. All families must submit COB information annually, if using benefits, in order to expedite the claims paying process.

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Insurance Plans

Our office accepts most major medical plans. Please call our office to confirm your coverage as plans can often change.

Most Common Insurance Plans we Accept

Aetna/PPOM
Alliance Health/Life
American Health Group
American Medical Security
American Public Life
Assurant Health
Beechstreet
BEHP Beaumont Employee Health Plan
Blue Care Network
Blue Cross Blue Shield – Traditional
Blue Cross Blue Shield – Marketplace (Various Metal Products)
Blue Cross Blue Shield – Marketplace – EPO
Blue Cross Blue Shield – PPO
Blue Care Network – HMO/POS
Blue Care Network – Marketplace
Beaumont Employee Health Plans (BEHP, OHScare)
Celtic Insurance
Cigna
Cigna Preferred HAP – EPO, POS, PPO
Cofinity
Connecticut General Life
Corporate Benefit Service
Coventry healthcare – national network – (commercial only)
Definity Health
DMC Care
First Health
Golden Rule
Greatwest
Guardian
HAP HMO
HAP – Marketplace (Various Products)
HAP AHLIC – EPO, POS, PPO
Hap Alliance – Marketplace (Various Products)
HAP PHP
Health Net
Health Plus HMO
Humana
Liberty Union
Mail Handlers
McLaren Health Plan – HMO, POS
McLaren Health Plan – Marketplace (Various metal products)

MedBen
Medica
Medicaid – Fee for service
Medical Mutual
Meridian Health Plan – Medicaid
Midwest Security
Multiplan – POS, PPO
National Provider Network
NGS
Nippon Life Insurance (NPI)
Nova Health
One Health Plan
Paccar
Pacificare
Partnership Health
PHCS
Physicians Health Plan of Michigan
Preferred Choice PPO
Principal
Priority Health – HMO
Priority Health – Marketplace (Various Metal Products)
Priority Health – PPO
Secure One
Selecthealth
Tri-care Standard/Prime
Trinity Health
United Healthcare – EPO, POS, PPO
United Healthcare – HMO – Navigate and Compass
United Healthcare – Marketplace – Compass
United Healthcare Community Plan
United Medical Resources
World Insurance

Medicaid
– MI Health – Fee for service
– Meridian
– United Health Care – Community Plan

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Health Management Organizations (HMO)

Many HMO’s require referrals if you are seeing another physician other than your primary care physician (PCP). Please be aware if your insurance requires a referral. It is important that before you request a referral you have made your appointment for the service that requires a referral. In addition, we require 5 business days to complete your referral. For your convenience you can fill out our on-line form by clicking here or you can click here to download our printable referral request sheet and bring it in person.

HMO Referral Form