Insurance Coverage

We accept most major insurance plans but there are some exceptions. It is ultimately the patient’s responsibility to verify that the plan you have selected is in network with our office using the insurance portal or patient line. Please review these insurances and exceptions below and verify with your insurance if you are not certain. The following is a list of some common insurances we accept. Please make note of certain exceptions for each insurer. Patient also required to verify if a referral is required (may apply to certain HMO plans).

-Aetna

*We are not in the Aetna Whole Health Emory and Northside Network

-Alliant simple Care, Alliant Health plans Solo Care

-Ambetter from Peach State Health Plan

*We do not accept Medicaid

-Blue Cross Blue Shield of Georgia

*We do NOT accept: PATHWAY plans / HPN (high performance network) / Anthem Blue Value HMO

-Blue Cross Blue Shield-AL

-Caresource (Marketplace Plans only)

-Cigna

*We are out of network with EPO Connect

*Not in network with Cigna Medicare Advantage

-Cigna + Oscar*

*We are in network with Cigna+ Oscar, but we are NOT in network with Oscar alone.

-Coventry/First Health

-Friday Health Plan

-Humana

-Kaiser HMO and exchange plans only

-Medicare

-Medicare Railroad

-Medicare Advantage

Aetna, Allwell, Anthem BCBS, Clover Health, EON, Humana Medicare Advantage PPO (*Out of network benefits*Humana Medicare Advantage HMO not in network), UHC (Not in network with AARP Medicare advantage), NOT in network with Cigna Medicare Advantage

-MultiPlan PHCS

-Novanet

-Tricare

-United Healthcare

*We are not in network with UHC AARP medicare advantage (We are in network with UHC medicare advantage)

*Not in network with “CORE” or “CHARTER” UHC plans

-Veteran Affairs Community Care Network (Optum VA CCN)

 *Examples of insurance plans we do not accept:

Medicaid Plans

Amerigroup

Liberty Healthshare

Cigna Medicare Advantage

AARP Medicare Advantage

Cigna EPO connect

Oscar (alone)

BCBS (PATHWAY plans, High Performance Network, Anthem Blue Value HMO)

Aetna (Emory Network or Northside Network)

United Healthcare (Core or Charter plans)