What Insurances Do We Participate with?

• Anthem PPO
• Medicare
• Tricare

 **If you have a MEDICARE REPLACEMENT, please see the below section**

Dr. Smith DOES NOT accept Passport or Medicaid as a form of insurance. As a result, we are unable to provide services to patients with either of these insurances, regardless of whether they are listed as the primary, secondary, or tertiary insurance. 

If you have Medicaid prescription coverage, you will not be able to obtain any medications prescribed by Dr. Smith, as he is not a Medicaid-approved provider. You will need to pay the full cost of any prescribed medications out of pocket. 

WHAT IF I JUST WANT TO PAY CASH FOR MY SERVICES?

We cannot accept cash from any patient who has a Medicaid policy.

• HMO Plans, including Medicare Replacement HMO plans
• Aetna
• Cigna
• Humana
• United Healthcare
• Any other commercial health plan not listed in the In Network section

**If you have a MEDICARE REPLACEMENT, please see the below section**

Patients who are out of network will need to pay for their services at the time of their appointment.   

I AM OUT OF NETWORK BUT I STILL WANT TO SEE DR. SMITH?  

If you are out of network and still want to see Dr. Smith, we can provide you with an estimated cost for the services you will receive before any procedures are performed on the day of your appointment. Please note that the final cost may vary based on the specific services provided and any additional costs that may arise during your visit.  

WHAT WILL MY FINANCIAL RESPONSIBILITY BE?

The cost of the services provided by Dr. Smith can vary depending on the specific procedures being performed. We are unable to provide price quotes over the phone, but we can provide an estimate of the costs you can expect during your visit. Please note that the final cost may vary based on the specific services provided and any additional costs that may arise during your visit.  

 We are not considered part of any Medicare Replacement Plan network, but we are part of the Medicare network. This means that you can visit us and we will bill your insurance for the visit. You will receive the full benefits of Medicare's fee schedule and any discounts that apply. If you have an out-of-network deductible, any outstanding balance after Medicare has paid its portion may be applied towards fulfilling that deductible. Once the deductible is met, your insurance will usually start covering Medicare's portion of the fees, leaving you with a copayment or cost-sharing responsibility. 

** If you have a Medicare Replacement HMO plan, we are completely Out of Network with these plans. **