Insurance & Forms

Insurance & Forms

We accept the following insurance carriers & plans. Please toggle your carrier for the plans included:

 

Aetna (through 7/25/2017)

  • CA) Aetna Whole Health℠ – SCCIPA
  • (CT) Aetna Whole Health℠ – Connecticut Preferred Health Network
  • (ME) Aetna Whole Health℠ – Maine
  • (VA) Aetna Whole Health℠ – Coastal Virginia Health Partners
  • (VA) Aetna Whole Health℠ – VA Preferred – Roanoke
  • NAP (National Advantage Plan)
  • Aetna Choice® POS II (Aetna HealthFund®)
  • Aetna Choice® POS II (Open Access)
  • Aetna DC Bronze, Silver and Gold OAMC
  • Aetna MD Bronze, Silver and Gold OAMC
  • Aetna Open Access® Elect Choice® EPO (Aetna HealthFund®)
  • Aetna Open Access® Managed Choice® POS (Aetna HealthFund®)
  • Aetna Select℠
  • Aetna Select℠ (Open Access)
  • Aetna Value Performance Network℠
  • Aetna Voluntary Plans
  • Elect Choice® EPO
  • Elect Choice® EPO (Open Access)
  • Joplin (KS & MO) Preferred Aetna Choice POSII
  • Joplin (KS & MO) Preferred Managed Choice (Open Access)
  • Joplin (KS & MO) Preferred Managed Choice POS
  • Joplin (KS & MO) Preferred Open Choice (PPO)
  • Managed Choice® (Open Access)
  • Managed Choice® POS
  • Open Access Aetna Select℠ (Aetna HealthFund®)
  • Open Choice® PPO
  • Open Choice® PPO (Aetna HealthFund®)
  • Springfield Premier Managed Choice (Open Access)
  • Springfield Premier Managed Choice POS
  • Wichita Preferred Managed Choice (Open Access)

Blue Cross (through 8/23/2017)

Medical (Individual & Families):

Please Note: Due to Blue Cross’ decision, we are not in network with many of their individual purchased plans (Platinum, Gold, etc). We have applied on several occasions to get into these networks and were denied. We encourage you to contact Blue Cross and express your frustration with the fact that you have a doctor willing to take your plan, but is unable to get into this network. Please check with your plan to see if were are in your particular network. 

  • Blue Cross PPO (Prudent Buyer) – Individual-CA
  • National PPO (BlueCard PPO Basic)
  • National PPO (BlueCard PPO)

Medical (Employer-Sponsored)

  • Advantage PPO-CA
  • Blue Cross PPO (Prudent Buyer) – Large Group-CA
  • Blue Cross PPO (Prudent Buyer) – Small Group-CA
  • Bronze PPO (Prudent Buyer PPO/ Small Grp)-CA
  • Core DirectAccess Plus (Prudent Buyer PPO/ Small Group)-CA
  • Core DirectAccess Plus w/Dental (Prudent Buyer PPO/ Small Group)-CA
  • Core DirectAccess w/HSA (Prudent Buyer PPO / Small Grp)-CA
  • Essential DirectAccess (Prudent Buyer PPO / Small Grp)-CA
  • Essential DirectAccess Plus (Advantage PPO Network / Small Grp)-CA
  • Essential DirectAccess Plus (Prudent Buyer PPO / Small Grp)-CA
  • Essential DirectAccess w/ HRA (Prudent Buyer PPO / Small Grp)-CA
  • Essential DirectAccess w/HSA (Prudent Buyer PPO / Small Grp)-CA
  • Gold Advantage PPO Plus (Advantage PPO Network/ Small Grp)-CA
  • Gold PPO (Prudent Buyer PPO/ Small Grp)-CA
  • Lumenos Plans-CA
  • MemorialCare Custom PPO-CA
  • National PPO (BlueCard PPO Basic)-
  • National PPO (BlueCard PPO)-
  • Preferred DirectAccess (Prudent Buyer PPO / Small Grp)-CA
  • Preferred DirectAccess Plus (Advantage PPO Network / Small Grp)-CA
  • Preferred DirectAccess w/HRA (Prudent Buyer PPO/ Small Group)-CA
  • Silver Advantage PPO Plus (Advantage PPO Network/ Small Grp)-CA
  • Silver EPO Plus (Prudent Buyer PPO/ Small Grp)-CA
  • Silver PPO (Prudent Buyer PPO/ Small Grp)-CA
  • UCSHIP-CA

Blue Shield (through 5/15/2018)

  • 0 Cost Share EPO AI-AN
  • 0 Cost Share PPO AI-AN
  • Active Choice
  • Active Choice Plans
  • Base PPO 30
  • Base PPO 40
  • Base PPO 50
  • Basic Full PPO for HSA for Core Accounts 5500
  • Basic Full PPO for HSA for Small Business 3500
  • Basic Full PPO for HSA for Small Business 5500
  • Basic Full PPO for Small Business 4500
  • Basic PPO (Bronze level)
  • Basic PPO for HSA (Bronze level)
  • Blue Shield of California PPO Network
  • Bronze 60 EPO
  • Bronze 60 EPO AI-AN
  • Bronze 60 HSA EPO
  • Bronze 60 HSA EPO AI-AN
  • Bronze 60 HSA PPO
  • Bronze 60 HSA PPO AI-AN
  • Bronze 60 PPO
  • Bronze 60 PPO AI-AN
  • Bronze 60 PPO Mirror
  • Bronze 60 PPO SHOP
  • Bronze Full PPO 4500
  • Bronze Full PPO HSA 3500
  • Bronze Full PPO HSA 5500
  • Enhanced Full PPO for Core Accounts 1250
  • Enhanced Full PPO for HSA for Small Business 2000
  • Enhanced Full PPO for Small Business 1250
  • Enhanced Full PPO for Small Business 1700 (previous 2000)
  • Enhanced PPO (Silver level)
  • Enhanced PPO 15
  • Enhanced PPO 25
  • Enhanced PPO 30
  • Enhanced PPO 35
  • Enhanced PPO 40
  • Enhanced PPO 45
  • Get Covered PPO (Catastrophic)
  • Gold 80 EPO
  • Gold 80 EPO AI-AN
  • Gold 80 PPO
  • Gold 80 PPO AI-AN
  • Gold Full PPO 0
  • Gold Full PPO 750
  • Minimum Coverage EPO
  • Minimum Coverage PPO
  • PPO
  • PPO HSA
  • Platinum 90 EPO
  • Platinum 90 EPO AI-AN
  • Platinum 90 PPO
  • Platinum 90 PPO AI-AN
  • Platinum Full PPO 0
  • Platinum Full PPO 150
  • Preferred Full PPO for Core Accounts 0
  • Preferred Full PPO for Core Accounts 750
  • Preferred Full PPO for Small Business 0
  • Preferred Full PPO for Small Business 750
  • Preferred PPO (Gold level)
  • Premier PPO 15
  • Premier PPO 20
  • Premier PPO 25
  • Premier PPO 35
  • Premier PPO 45
  • Premier PPO 5
  • Shield PPO
  • Shield PPO Combined Deductible 25-250 90/60 Foundation
  • Shield PPO Combined Deductible 35-500 90/50 Foundation
  • Shield PPO Combined Deductible Value 25-2500 80/50
  • Shield PPO Combined Deductible Value 35-3500 80/50
  • Shield PPO Plans
  • Shield PPO Savings Plus Aggregate 1250/2500
  • Shield PPO Savings Plus Individual Member Deductible 2600
  • Shield PPO Savings Plus Individual Member Deductible 3000
  • Shield PPO Savings Plus Individual Member Deductible 3500
  • Shield PPO Savings Plus Plans
  • Shield Saver
  • Shield Savings Plus 2400
  • Shield Savings Plus 4000
  • Shield Secure
  • Shield Spectrum PPO 0/500- 90/70 Premier
  • Shield Spectrum PPO 0/500- 90/70 Standard
  • Shield Spectrum PPO 0/500- 90/70 Standard Foundation
  • Shield Spectrum PPO 1000- 80/50
  • Shield Spectrum PPO 1000- 80/60 Premier
  • Shield Spectrum PPO 1500 – 80/50
  • Shield Spectrum PPO 1800 – 80/50
  • Shield Spectrum PPO 250- 80/60
  • Shield Spectrum PPO 250- 80/60 Foundation
  • Shield Spectrum PPO 250- 80/60 Standard
  • Shield Spectrum PPO 250- 90/70 Premier
  • Shield Spectrum PPO 250- 90/70 Standard
  • Shield Spectrum PPO 2500 Value
  • Shield Spectrum PPO 500- 90/70
  • Shield Spectrum PPO 750- 80/60
  • Shield Spectrum PPO Plan 1000 Value
  • Shield Spectrum PPO Plan 1500 Value
  • Shield Spectrum PPO Plan 2500 Value
  • Shield Spectrum PPO Plan 750 Value
  • Shield Sprectrum PPO Savings Plus
  • Shield Wise
  • Silver 70 EPO
  • Silver 70 EPO AI-AN
  • Silver 70 PPO
  • Silver 70 PPO AI-AN
  • Silver 73 EPO
  • Silver 73 PPO
  • Silver 87 EPO
  • Silver 87 PPO
  • Silver 94 EPO
  • Silver 94 PPO
  • Silver Full PPO 1250
  • Silver Full PPO 1700
  • Silver Full PPO HSA 2000
  • Simple Savings
  • Simple Savings 2500/5000
  • Simple Savings 3400/6800
  • Simple Savings 3500/7000
  • Simple Savings 4500/9000
  • Simple Savings 5500/11000
  • Small Business Enhanced PPO
  • UC Care Plan (Blue Shield Preferred)
  • Ultimate Full PPO for Core Accounts 150
  • Ultimate Full PPO for Small Business 0
  • Ultimate Full PPO for Small Business 150
  • Ultimate PPO (Platinum level)

Cigna (through 10/25/2017)

  • PPO
  • Choice Fund PPO
  • Open Access Plus
  • ChoiceFund Open Access Plus
  • ChoiceFund Open Access Plus with CareLink
  • HMO/Network-Southern CA Open Access Network (commercial)

United (through 10/30/2017)

  • UnitedHealthcare Options PPO
  • UnitedHealthcare Core
  • UnitedHealthcare Compass
  • UnitedHealthcare Select

Multiplan (through 8/25/2017)

  • Multiplan
  • PHCS
  • PHCS Savility

Tricare

We would like the thank veterans and their families for their sacrifice and service.

HealthNet

Despite applying for 2 years in a row, HealthNet has elected to not include us in their network. If this decision on their part in making you unable to come to this practice, please call them to complain and perhaps they will change their mind.