Insurance

**RECENTLY BCBS AND AETNA HAVE REMOVED SOME OF OUR PLANS FROM THEIR NETWORK BECAUSE OF THE SIZE OF OUR OFFICE AND NUMBER OF MEMBERS COMPARED TO LARGER CLINICS. THEY ONLY CREDENTIAL AND CONTRACT WITH A CERTAIN NUMBER OF PROVIDERS PER GEOGRAPHICAL AREA. UNFORTUNATELY, WE ARE A SMALL FISH IN A VERY BIG POND. THE PLANS THAT HAVE RECENTLY BEEN REMOVED BY THESE INSURANCE COMPANIES ARE: BCBS MEDICARE, BCBS HMO, AND AETNA MEDICARE PLANS. THIS IS VERY UNFORTUNATE FOR OUR PATIENTS AND OUR PRACTICE. WE SUGGEST SWITCHING TO UNITED HEALTH CARE, AS WE ARE CURRENTLY COVERED UNDER ALL PLANS WITH UHC. WE HAVE APPEALED THESE DECISIONS TO NO AVAIL AND ARE SORRY FOR THE INCONVENIENCE THIS IS CAUSING EVERYONE.**

Insurance Plans We Do NOT Accept:

AETNA                                        BCBS                                          CIGNA

QVP                                             My Blue                                      EPO

EPO                                             Blue Select                                 Local Plus

Premier Care                             Select Bronze                             Priority Health

Choice POS II                             Medicare replacement             Health and Life Insurance Company

Medicare Replacement            Advantage HMO                        Preferred Savings Medicare

First Health Network*              BCBS HMO plans as of 3/31/25

* We DO accept Aetna First Health which is different from Aetna First Health Network.

HUMANA                                   OTHER                           **NO MEDICAID/MARKETPLACE/OBAMACARE PLANS ACCEPTED**

Gold HMO                                  Emblem                              This includes:

Gold Plus HMO (Medicare)      Gerber                                - Aetna Health Kids (Better Health)

                                                     GH1                                     - Ambetter

                                                     Prestige Health                 - Detego Health

                                                     Staywell                              - Molina

                                                     Wellmed                             - Sunshine

                                                                                                  - Wellcare

**ALL MEDICARE PATIENTS MUST SEE M.D. ON FIRST VISIT**

Any questions, call Billing Office at 239-790-9025, choose Option 3.