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.

 

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.

 

[top]

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

 

[top]

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