Insurance and self pay

Health insurances we accept are United Health Care, Kaiser Permanente, including Medicare, Medicaid, Cigna, Care source, Amerigroup, Ambetter, and Self Pay . You can call to see if we take an insurance that is not listed. To ensure you get the quality healthcare you deserve, we establish relationships with a variety of health insurance carriers.

Patient registration

All patients must complete our patient registration form every year. Please let the receptionist know if there is a change to your email, demographics or insurance. We believe that a good relationship is based on understanding and open communications. Our staff has been instructed to make every effort available to you to clarify any misunderstanding you have concerning your balance. Before you receive care, it’s always a good idea to contact your insurance carrier to check your coverage and payment responsibilities. Their phone number is listed on the back of your insurance card.

Assistance is given to you with billing concerns and there is transparency with our pricing and low healthcare cost for our self pay patients. After much research we are proud to say our weight management program is lowest in Macon and our physicals and reduced health maintenance.

Please note: List of accepted insurance carriers and network participation may change without notice due to contractual changes.

Medical Insurance is important and we agree with Cigna. Here is why…

Why do you need health insurance?

The reasons why health insurance is important include:

Health insurance helps pay the costs for medical care that you or covered dependents receive. Without it, you may pay the full cost for all your care.
Most health plans provide you with a network of participating doctors, specialists, other health care practitioners, and facilities to choose from. These network doctors, hospitals, and others offer lower rates than those outside the health plan’s network, which helps keep your costs lower.
Having a health plan encourages you to see your doctor for your annual check-up and other preventive care. This helps identify any health issues early before they become serious. And most health plans provide 100% coverage for certain in-network preventive care.

Why have health insurance if you’re young and healthy?

One of the main reasons why health insurance is important is that you want to stay healthy, right? One of the best ways to help you do that is to make sure you see your doctor for your annual check-up, get your flu shot, and other preventive care. It’s covered 100% by most health insurance plans when you stay in-network.

Without health insurance, you may have to pay the full cost of any medical care you receive, including preventive care.

Health insurance is important for other reasons, as well: if you do get sick or suddenly need emergency care, health insurance plans help cover some of those costs. Otherwise you may be on your own paying the high cost for care.

Medicare has annual wellness exams which are different from Physical exams. We love doing annual and physical exams because they help with preventing disease and promote health.

Health and wellness

Whole health is making healthy choices so you can be the best you — in mind, body, and spirit, socially, and culturally.Kaiser Permanente and many medical insurance companies offer high-quality, convenient options to help our patients get relief from chronic pain, injuries, and common aches and pains.

PATIENTS RIGHTS AND RESPONSIBILITIES

YOU HAVE THE RIGHT:

TO be treated with respect, consideration and dignity at all times.
TO receive assistance in a responsible manner
TO receiver information about your health, including associated risks that may be involved in your procedures and medical alternatives including associated risks that may be involved in your healthcare.
TO know the identity and professional status of individuals proving services to you.
TO expect that your medical records and communications will be treated in a confidential manner.
TO refuse treatment and may be advised of the alternatives and likely consequences of your decision.
TO express a complaint to the Practice Manager, Provider, or staff respectfully.

YOU HAVE THE RESPONSIBILITY

TO review and understand your health insurance coverage and benefits
TO learn and understand the proper use of your insurance plan services and procedures for obtaining coverage This is includes knowing the referral process of your plan, laboratory restrictions and outpatient facilities covered by your plan as well as co-pay requirements.
TO always carry your insurance plan identification card and be prepared at each visit. Patient will be required to pay for all services at the times of service if the patient does not provide all the insurance information or the insurance information is inaccurate.
TO treat all office personnel respectfully and with courtesy
TO keep scheduled appointments and to notify the office promptly if you will be delayed or unable to keep an appointment
TO pay all charges for co-pays, deductibles, non-covered services at the time of service
TO ask questions and seek clarification until you fully understand the care you are receiving
TO follow the advice of the medical provider and consider the alternatives and/or likely consequences if you refuse to comply
TO provide honest and complete information to those providing medical care
TO express you opinions, concerns, or complaints in a constructive and appropriate manner
TO understand that there may be times that the physician may require you to return to the office for additional treatment/test to aid in the diagnosis of your exam
TO understand that late arrival for an appointment may result in the need to reschedule that appointment. Every effort will be made to accommodate the patient’s needs without compromising the interest of other patients.

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