Financial & Insurance Information
Insurances Accepted
Coastal Orthopedics accepts most major health plans available throughout Manatee & Sarasota Counties. For specific questions regarding your insurance coverage, please contact our office at (941) 792-1404.
As of January 2017, our list of participating insurances includes the following:
- AARP
- Accountable Health Plan (S/B under networks – PHO physicians)
- Aetna (not including Aexcel)
- Aetna Medicare Value Plan (Coventry)
- American Medical Security (UHC)
- APWU (secondary only)
- Armor
- Avmed
- BCBS
- Blue Medicare Preferred HMO (Alignment Healthcare)
- Champus
- Cigna (with the exception of some HMOs)
- Cigna Great West
- Coventry Health
- Choice Medical Management
- Definity HP (UHC)
- Golden Rule
- Empire Plan (UHC)
- Evercare
- Evolutions
- Freedom Health – Medicare
- GEHA
- GHI (must have Multiplan Logo)
- Harvard Pilgrim (UHC)
- HealthSmart (accountable)
- Humana
- Integrated Health Plan
- MailHandlers (Coventry/Aetna)
- MCM Maxcare (PHO physicians only)
- Medicare
- Medicare Railroad
- Meritain Health (PHO physicians only)
- NALC
- Optimum Health – Medicare
- Oxford
- Secure Horizons (UHC)
- Senior Care Plus (secondary only)
- Student Insurance
- Tricare for Life
- UMR
- United Health Care
- ValuePoint (multiplan)
- Veterans Administration
- All Florida MVA Insurance
- All Workers’ Compensation (with exception of Ohio and California Workers’ Compensation; any out-of-state plan must pay Florida W/C Fee Schedule and accept DWC-25.)
As of November 2018, our list of participating insurance networks includes the following:
- Beech Street
- CCN
- Coventry
- First Health
- Multiplan
- One Health Plan
- PHCS
- Prime Health
- South Care
- Three Rivers
- WEBTPA: Gulf Coast Provider Network
- WEBTPA: SMH Extended Plan Only
PLEASE NOTE:
- NOT ALL PROVIDERS ARE PAR WITH EACH INSURANCE PLAN
- NOT ALL PLANS ARE ACCEPTED BY OUR PHYSICAL THERAPY DEPARTMENT
- NOT ALL PLANS FROM THE MARKETPLACE ARE ACCEPTED
We are currently non-participating with the following insurances:
- All Medicaid HMO products
- BCBS Blue Select (Out of Network benefits accepted)
- BCBS My Blue
- Gulf Coast Select
- MVP
- Preferred Care Partners
- PUP = Physicians United Plan
- Tricare Prime
- Tricare East (OON benefits accepted)
- VA through HealthNet (Veteran’s Choice)
- WEBTPA: Basic and Select Plan (OON benefits available, requires a referral)
- Wellcare Medicare
Financial Arrangements
All co-pays, deductibles and co-insurance are due at the time of your visit or procedure, unless prior arrangements have been made with our office.
We accept cash, checks, MasterCard, Visa, Discover, American Express and Care Credit. As a courtesy to you, we will bill any insurance company. However, the assurance of payment for services is a patient responsibility. We will help in any way we can to assist you in handling claims.
Referrals
If you have an HMO or POS plan, you may need a referral and/or authorization prior to your visit or procedure. If you are having a procedure at one of our (2) surgery centers, we must receive the referral/authorization in our office no later than 12 p.m. on the day prior to your surgery. Our office fax number is (941) 761-0712 and surgery fax number is (941) 761-9703.