At this time, we are not accepting new Medicare patients. Those patients already established with our practice with Medicare or established patients who convert to Medicare will continue to be seen. Please note, we participate with traditional Medicare only; our office is not contracted with any Medicare Advantage plan. Frequently, we are asked why we are no longer taking new Medicare patients. There are multiple reasons but briefly, there are medications that we frequently use as rheumatologists that are not available to Medicare patients because of Medicare guidelines. Also, there continues to be an issue with certainty regarding reimbursement.
Our billing department strives to maintain relationships with the third-party payers with whom we participate. Some of these plans may require a referral from your primary care physician. It is important that a copy of your referral is on file with both the plan and our office to ensure continuity of treatment and timely payment. Patients who do not have a required referral may be asked to reschedule their appointment.
If you have questions about your plan’s benefit coverage, please contact the membership department of your plan. Their number should be located on the back of your membership card.
All applicable co-pays are due at the time of service. Please have your co-pay ready when you come for your appointment.
We currently participate with the following insurance plans:
- Medicare Part B
- BlueCross BlueShield
- Cigna Healthcare
- Tricare Standard
- Mail Handlers
- Private Healthcare Systems (PHCS)
- Most plans under Baptist Health Services Group
- Most plans under MetroCare/Health Choice