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Insurance Companies & HMOs
- Choosing an insurance plan or health maintenance organization can be very confusing. Managed care plans, such as HMOs, PPOs, POS plans, etc., have become the major choice for employers and patients.
- We recognize that health insurance premium costs are very high for our patients, and we will do our best to participate in the major plans offered in our area. However, there are some plans in which we do not participate so be sure that you check with our office before choosing a plan.
- Occasionally, we will terminate participation with a plan for various reasons. We will do our best to notify you of any changes, but you should contact our office periodically to be sure that we are still network providers for your plan. You can find a list of our more commonly accepted plans below. If we do not accept your plan, you will be responsible for the entire amount.
- You must decide which company best meets your needs based on the cost of the plan, range of benefits, reliability of the company, and the options given to you by your employer. We encourage you to choose carefully, since not all companies are the same.
- We also encourage you to become very familiar with your particular plan's requirements concerning eligibility, referrals, co-payments, deductibles, and covered services. Each plan may cover different types of services, and it is your responsibility to know what is covered by your insurance. There are far too many plans available for us to know the exact requirements of each plan.
- Many insurance plans do not cover checkups for children or they cover only a certain number of checkups. If these services are not covered, then you are responsible for payment.
- Your insurance policy is a contract between you and your insurance company for the company to provide benefits if an illness or injury meets conditions set by the company. Your insurance policy is not a contract between your insurance company and us. Our agreement is between you as our patient and us as your physician provider. You are responsible for knowing the obligations and requirements of your insurance plan.
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PAA’s Pediatricians
James G. Straub
M.D., F.A.A.P.
Barnett W. Lewis
M.D., F.A.A.P.
John P. Riley
M.D., F.A.A.P.
Sharon D. Menkus
M.D., F.A.A.P.
Charles G. Ison
M.D., F.A.A.P.
W. Robert Revelette
PhD., M.D., F.A.A.P.
Katrina M. Hood
M.D., F.A.A.P.
Michelle L. Bennett
M.D., F.A.A.P.
Brian S. Gillispie
D.O., F.A.A.P.
Daphne T. Hosinski
M.D., F.A.A.P.
Jennifer L. Wilson
M.D., F.A.A.P.
Bradley K. Gore
M.D., F.A.A.P. |
