Financial Information

Beginning January 1, 2022, patients have a right to an estimate of the cost of services they will receive during a procedure or surgery, called a Good Faith Estimate, and more protection from unexpected, or surprise, bills when they receive care from out-of-network providers at in-network facilities. These protections are part of the of Consolidated Appropriations Act of 2021 which includes the No Surprises Act.

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.

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
Person putting coin into Piggy Bank
  • AARP
  • Accountable Health Plan (S/B under networks – PHO physicians)
  • Aetna
  • Aetna (Aexcel Designated Provider)
  • Aetna Medicare *excludes Assure (HMO D-SNP)
  • American Medical Security (UHC)
  • APWU (secondary only)
  • AvMed
  • BCBS (not including MyBlue and BlueSelect) 
  • ChampVA
  • Cigna (with the exception of some HMOs)
  • Cigna BayCare (Open Access Plus only)
  • Cigna Great West
  • Choice Medical Management
  • Coventry Health
  • Definity HP (UHC)
  • Empire Plan (UHC/BCBS)
  • Evercare
  • Evolutions
  • Freedom Health – Medicare
  • GEHA
  • GHI (must have Multiplan Logo)
  • Golden Rule
  • Harvard Pilgrim (UHC)
  • HealthSmart (accountable)
  • Humana
  • Integrated Health Plan
  • MailHandlers (Coventry/Aetna)
  • MCM Maxcare (PHO physicians only)
  • Medicare
  • Medicare Railroad
  • Medi-Share Christian Care Ministry
  • Meritain Health (Aetna Network) *excludes SMH group
  • NALC (Cigna Network)
  • Optimum Health – Medicare
  • Oxford
  • School Insurance of Florida (must supply chain form)
  • Secure Horizons (UHC)
  • Senior Care Plus (secondary only)
  • Student Insurances (must supply claim form)
  • Student Resource
  • Tricare for Life
  • UMR
  • United Health Care *excludes individual exchange HMO plan
  • UHC NHP Access HMO (Neighborhood Health Partnership)
  • ValuePoint (Multiplan)
  • 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.)
  • Beech Street
  • CCN
  • Coventry
  • First Health
  • Multiplan
  • One Health Plan
  • PHCS
  • Prime Health
  • South Care
  • Three Rivers
  • WEBTPA: Gulf Coast Provider Network
  • Aetna Medicare Assure (HMO D-SNP) Plan ID: H6109-40
  • All Medicaid HMO products
  • Armor
  • Baycare Plus (OON Benefits may be available)
  • BCBS Blue Select (Out of Network benefits accepted)
  • BCBS My Blue
  • Bright Healthcare
  • Christian Healthcare Ministries
  • Cigna Baycare (Exclusive Network)
  • Cigna Healthspring (Medicare)
  • Devoted Health Plan
  • Gulf Coast Select
  • Harvard Pilgrim (Stride)
  • Meritain (SMH plan through Gulf Coast Provider Network, excludes extended medical plan)
  • MVP
  • Naphcare Correctional
  • Oscar Health
  • Preferred Health HMO (previously Medica)
  • Providence Health Plan (PHP)
  • Physicians United Plan (PUP)
  • Samaritan Ministries (Excluding the Giving Plan- EDI SM325)
  • Tricare East (OON benefits accepted)
  • Tricare Prime
  • UPMC Community Health Choices
  • United Healthcare Individual Exchange HMO Plan
  • VA through HealthNet, TriWest, or Optum VA
  • Veterans Administration
  • WEBTPA: Basic and Select Plan (OON benefits available, requires a referral)
  • WellCare Medicare (OON benefits may be available for PPO plans)

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/Authorizations

You may need a referral and/or authorization prior to your visit or procedure. If you are having a procedure at one of our surgery center, we must receive the referral/authorization in our office no later than 12 p.m. on the day prior to your surgery. The Insurance Authorization fax number is (941) 757-5658.