With all the changes occurring in the insurance industry, there are more questions than ever. It is a good idea to know and understand your coverage. If you have questions about your coverage it is recommended that you call your insurance carrier for answers. They can explain your coverage, financial responsibilities and answer all of your questions. All insurance agreements/terms are between you and your insurance carrier. Remember you have one insurance coverage plan to understand and we would have dozens if it was the physician’s office's responsibility.
Please keep in mind that you have agreed to your insurance carrier's arrangement/terms and that we are required by contract/legal obligation to collect them. You have agreed (with your insurance plan) to meet your financial obligations spelled out within it. We have agreed to provide truthful information to your carrier about the services rendered, our patient’s condition, and our true charges for the services. It is also necessary to understand that a quote of benefits is not a guarantee of coverage.
As a courtesy to our valued patients that have insurance plans, our office will file insurance claims for reimbursement for all rendered services. Actual benefit payments are determined only when the claim is processed by your insurance company. Therefore, it is the insurance company that makes the final determination of benefits. If the insurance payment does not fully reimburse for the treatment rendered, the financially responsible person is responsible for the remainder of the balance. We are required by the insurance carriers to collect all copays and deductibles at the time of your visit.
Every patient in our clinic is equally important to us regardless of the treatment. In order to serve you better and inform you of all medical options, your initial consult is billed as an office visit regardless of the choice to proceed with treatment. We accept almost all insurances and are happy to bill for this consult. Patient deductibles, co-pays, coinsurance, and balances are the responsibility of the patient and are owed each time a physician sees you.
Click here to review our Financial Policy.
As a courtesy, we are happy to bill your insurance company for you. We accept most major insurance plans including the following:
- Blue Cross Blue Shield
- Including BCBS Senior Plan/Centennial Plan
- Champ VA
- Cigna Health Insurance
- GEHA Network
- Humana Network
- Medicare & Supplemental Plans
- Molina Health Plan
- NM Medicaid & Centennial Plans
- Presbyterian Health Plan
- Including Presbyterian Senior Plan/Centennial Plan
- Railroad Medicare
- Tricare-Health Net Services
- Tricare for Life
- TriWest Network
- TriWest WPS-VAPC3
- United Healthcare
- Including UHC Senior Plan
- Western Sky Community Care
For answers to your billing questions, please call the office where you were seen.
Pan American office: 505-880-1000
Westside office: 505-872-3333