Office Information: Insurance Information
Private Companies
Insurance coverage is an agreement between you and your insurance company. You expect your insurance to pay, and we expect you to make sure we are paid. To help you collect from your insurance, we will complete your medical claim form for your insurance and send it in on your behalf so that your insurance company can pay us directly. Any remaining balance that is not covered by your insurance is your responsibility.
We participate in Medicare, and we will file any Medicare supplement plans. When you receive treatment you are responsible for your annual deductible, any items not covered and the percentage not paid by your insurance. It is our policy to file your primary insurance only, if you have a secondary insurance it is your responsibility to file for any cost shares that you have paid us. We will mail you a statement each month showing any payment activity on your account. As a Medicare patient, you should not make payments until Medicare has considered your claim and mailed an EOB (Explanation of Benefits) form to you. Heekin Orthopedic Specialists is a non-participating provider in Medicare HMO Plans and Medicare Replacement Plans. Medicare HMO and PPO Replacement Plans are different from Medicare Supplemental Plans or GAP. If you are unsure of your plan benefits, please contact your insurance company for more information and providers covered in your plan.
HMOs and PPOs
If you are covered by an HMO or PPO, each one has different insurance arrangements and claim procedures. Some require deductibles and co-payments which you must pay. Our staff will work with you to see that you receive your full benefits. Prior to calling for an appointment please verify with your insurance that our practice is participating with your insurance plan. If you are enrolled with a HMO plan it is your responsibility to obtain referrals to specialists from you primary physician. Always check with our office to make certain that the referral is kept updated for your continual care.We currently accept the following major insurance and HMO plans:
 Aetna PPO Aetna HMO Aetna QPOS Blue Cross Blue Shield PPO Blue Cross Blue Shield Option Care Blue Cross Blue Shield Comp Option Blue Cross Blue Shield Network Blues Blue Cross Blue Shield Advantage 65 Beechstreet Cigna HMO Cigna PPO
Evolutions |
First Health Humana PPO Humana HMO (other than Shands) Humana EPO Interplan Medicare PHCS Railroad Medicare Tri-Care Standard United Health Care PPO United Health Care HMO |
