Payment & Insurance Tips

Payment & Insurance Tips

To see our current payment and insurance tips please visit this page.

For PPO information, please see below:

PPO

Listed below are some of the major insurance plans that former MOS providers are “In-Network” with. It is the patient’s responsibility to be aware of their insurance coverage, policy provisions, and authorizations requirements. It is always a good practice to check with your insurance carrier to verify coverage prior to being seen. This can eliminate any surprise bills after you receive treatment.

In-network insurance plans:

  • Affinity Medical Group (AMG)
  • Aetna HMO (through AMG, BTMG, HPMG or JMPN)
  • Aetna EPO & PPO
  • Anthem Blue Cross (Out of State BX/BS Plans)
  • Beech Street PPO – MULTIPLAN
  • Blue Cross of CA HMO (through AMG, BTMG, HPMG or JMPN)
  • Blue Cross of CA PPO (Anthem)
  • Blue Shield of CA HMO (through AMG, BTMG, HPMG or JMPN)
  • Blue Shield of CA PPO
  • Brown & Toland Medical Group (BTMG)
  • Canopy Health – HPMG, JMPN or Mertiage
  • CHAMPVA
  • Choice Care Network – Humana PPO
  • Cigna HMO (through AMG, BTMG, HPMG or JMPN)
  • Cigna PPO
  • Contra Costa Health Plan (CCHP)
  • Coventry/First Health WORK COMP
  • GEHA (Government Employees Health Association) – Aetna
  • Golden State HMO (Medicare HMO – HPMG Only)
  • Great West Healthcare Now CIGNA
  • HealthNet HMO (through AMG, BTMG, HPMG, JMPN, Canopy – Meritage)
  • HealthNet POS must use HMO portion (through AMG, BTMG, HPMG or JMPN)
  • HealthNet EPO & PPO
  • Hills Physicians Medical Group (HPMG), can be Hill East Bay Alliance (NO PT)
  • Humana PPO
  • Humana HMO (AMG, HPMG or JMPN)
  • John Muir Physician Network (JMPN)
  • Medicare
  • MultiPlan (Beech Street, PHCS) PPO
  • MultiPlan Work Comp
  • Pacific Foundation for Medical Care – PPO ONLY
  • Private Health Care System (PHCS) – MultiPlan
  • TriWest (TriCare Select/Standard)
  • TriWest (TriCare Prime or Prime Remote)
  • United Healthcare PPO (UHC)
  • United Healthcare HMO (through AMG, BTMG, Canopy, HPMG or JMPN)
  • United Healthcare HMO Advantage Plan – JMPN Canopy Health
  • United Healthcare EPO
  • Veterans Administration (VA)
  • Western Health Advantage HMO (Canopy)

Out-of-Network Plans

Patients may have higher out-of-pocket expenses with the following insurance plans:

  • Coventry/First Health PPO
  • Interplan PPO and W/C
  • Stanford Health Care Alliance (Aetna)
  • Sutter Select PPO thru UMR
  • UMR – United Medical Resources