Our Doctors are participating providers in several insurance plans and networks. The link to the side provides a list of some of those Insurance plans we currently participate it. Note that the information might change without notice; Please make sure to ask our staff for final confirmation of our current network and participation status.

Policy Types

Please note that every insurance is different and policies vary in coverage.

IF YOU HAVE AN INSURANCE THAT IS IN ANY OF THOSE NETWORKS, PAYMENT WILL BE DUE AT THE TIME OF SERVICE. FOR REIMBURSEMENT VERIFY IF YOUR POLICY HAS ANY OUT OF NETWORK BENEFITS.-----------------

PPO Plans usually provide the highest level of coverage when visiting a network doctor. This type of policy tend to be more flexible when it comes to receiving tests and treatment at the doctor's office. For the most part with a PPO plan you can visit any network provider without having to get authorization from your insurance. Most times this policy type has a small Co-Pay which is required at the time of service. Other variations of this policy type have a percentage based patient responsibility. This last one is indicated at the time the claim is processed by the insurance. Note that if you see an out of network doctor your insurance might limit the benefits and or provide no benefits at all. Be sure to call your insurance to verify the intricacies of your particular policy, also verify by calling our office our current network status.--------------

Managed Care Plans: usually policies which provide services that are monitored by the insurance plan. This policy type is generaly more network dependent. It usually revolves around a Primary Care Provider (PCP). In case of HMO policies, the patient will normally have to get a referral or authorization from his PCP to visit a specialist doctor, like our doctors. Other than that the patient might need to get an authorization from the insurance itself. For this kind of policy, in office services are usually limited. The insurances might have designated Imaging Providers as well as Laboratory Providers for its HMO policy holders. Any of these services MUST usually be authorized by the insurance in order for the specialist to perform them. Once those pre-requisites are met the patient is liable only for a co-payment at the time of service. Out of network benefits are normally minimal with this policy type. Note that the patient is responsible for getting the necesary referrals or authorization. Failure to do so will result in a delay of the appointment until the insurance requirements are met or if the patient choses, he/she can have complete financial responsibility for the services. A variation of the HMO policy reffered to as POS allows patients to see specialists without getting referrals or even see some out of network Doctors. There is a trade-off, the patient will then be liable for deductibles and/or co-insurances. Be sure to call your insurance to verify the intricacies of your particular policy or reffer to your policy manual, also verify by calling our office our current network status. ---------------------------------------

Indemnity policies are not usually bound by network restrictions. The insurance will normaly pay a predetermined percentage of the allowed fee. In case of network Doctors, the patient will be liable for a lower percentage after his deductible has been met for the year. When in network, our office will abide by the contract rules as with any other policy type that we might belong to. Indemity policies have more freedom for the patient as well as a higher patient out of pocket responsibility. This policy type generaly does not require authorization for most in office procedures.Be sure to call your insurance to verify the intricacies of your particular policy or reffer to your policy manual, also verify by calling our office our current network status. ---------------------------