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There are many different types of
health insurance coverage.
Your responsibilities as a patient
depend on the contract between you and your insurance company
and whether or not Piedmont Ear, Nose & Throat Associates
(ENT-Specialists) has a contract with your insurance company.
ENT-Specialists has contracts with many but not all insurance
companies. Please check your provider manual to make sure
our physicians are included. Below is an alphabetical listing
of insurance companies with which ENT-Specialists currently
has contracts:
Aetna ( aetna.com )
Amerigroup (Amerigroup.com)
Blue Cross Blue Shield
of Georgia ( bcbsga.com )
CIGNA ( www.cigna.com/health )
Coventry
First Health ( firsthealth.com )
Great West Healthcare ( www.greatwesthealthcare.com )
Humana Government ( humana.com )
Medicaid of Georgia
Medicaid of Georgia
Medicare ( cignamedicare.com )
Medicare Railroad
One
Health/Great West Healthcare ( www.greatwesthealthcare.com
)
PHCS ( Private Healthcare Systems)
Peach
State ( primaryphysiciancare.com )
United HealthCare ( uhc.com )
Wellcare
WellPath ( www.wellpathonline.com )
Co-pays
The majority of insurance plans today require the patient
to pay co-pays for office visits. The co-pay amount is listed
on your insurance card. The co-pay is part of the contract
between the insurance company, the doctor, and the patient.
The doctor is required by the insurance company to collect
the co-pay from the patient. ENT-Specialists, therefore, requires payment
of your co-pay at the time of your visit, and it will be
collected when you check in for your appointment.
Insurance Filing
If ENT-Specialists has a contract with your insurer, ENT-Specialists will file
your insurance claim. If not, you will be required to pay
for your visit. Our staff will provide you with a claim form,
and it will be your responsibility to send the claim to your
insurance company. The insurance company will then reimburse
you. ENT-Specialists will file all insurance claims for surgical procedures
if the procedure is covered by your insurance plan.
If you have any questions regarding your
insurance coverage, please contact your insurance company.
Ther are too many plans that we participate
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