Insurance and Billing

As a new patient, you will meet with our patient account representatives and complete a patient information form and verify your insurance information. Please bring your insurance identification card (s) with you. A photocopy will be placed in your billing file. If you are covered by more than one insurance company, please let us know which company is the primary carrier. This will help to avoid any delays in receiving benefits. If there is any change in your health coverage, please contact the office to update your records.

We participate with most major insurance companies and will submit claims to your carrier on your behalf. Medicaid patients are welcome. We also accept Medicare assignment — however, you will be responsible for the deductible and your 20% co-payment for Medicare’s allowed charges for physician care, chemotherapy drugs, and laboratory tests. If you belong to an HMO or PPO plan, please verify that our physicians are in the plan before your treatment begins. Also, please inform our office if pre-certification is necessary with your plan.

Some insurance companies require you to use a specific laboratory or to obtain referrals or pre-authorization for office visits, hospital admissions, and treatment. It is your responsibility to obtain the initial referral and bring this with you on the first day of your first visit. If you need assistance with your insurance requirements, our staff will make every effort to help you.

Co-payments are payable at the time of your visit. We accept Visa, MasterCard and Discover. We will be happy to assist you in developing a payment plan.

Please call our patient accounts representative if you have questions or need assistance in coordinating and filing claims with your insurance company. Please be assured that your confidentiality will be respected at all times.

Accepted Insurance Plans

Insurance PlanCommercial PlanMedicare PlansMedicaid PlanMarketplace/Exchange Plan
AetnaYesYesYesYes, Aetna Better Health
Aetna Ohio RiseYes
Ambetter by BuckeyeYes
Amerihealth CaritasNo
Anthem including Blue Cross Blue ShieldYesYesYesYes
CaresourceYesYesYes (No-Urology)
CignaYesYes, effective 3/1/24 NoNo
Christian Health MinistryNo
First Health/Coventry (Aetna)Yes
Medical MutualYesYes
Medicaid (Ohio)Yes
Medigold (Mount Carmel)Yes
MolinaYesYesYes (No-Urology)
Multiplan (Includes PHCS & Beechstreet)Yes
Ohio Health ChoiceYes
Perennial AdvantageNo
Private Healthcare Systems (PHCS)Yes
United HealthcareYesYesYesYes