Insurance

Note: Piedmont Clinic (our PHO) is NOT accepting any insurance plans that have been purchased on the exchange.

UrogynecologyAt Peachtree Gynecology we would like you to have a clear understanding of your financial obligations before your appointment. Below is a list of the plans that we participate with.

For office visits and office services, we can only file insurance plans that we have a current contract with. We are unable to file Indemnity Plans for these services. However, should you require surgery, we will file Indemnity or Non-Managed Care plans providing that the coverage is verifiable and that they remit payments to us.  We cannot file Out of State HMO plans or International Plans.  Our managed care contracts are negotiated through the Piedmont Medical Care Foundation/Piedmont Clinic. We respectfully ask that you do not contact us about joining your insurance carrier, should we be non-participating.

For your convenience, we will verify your insurance at your visit, and we ask that you bring your insurance card to each visit. Additionally, we will collect all applicable co-pays and deductibles at the time of service. Once your claim has been processed by your insurance, we will send you a balance due statement (if applicable) that will become payable upon receipt.

Did you know that all plans do not cover routine labs, blood work, STD screening or contraceptive management? For this reason we strongly suggest that you call your insurance carrier to verify coverage prior to your visit, if you are thinking about having any of these things done. You may need our Tax ID Number (TIN): 20-2631928.

Peachtree Gynecology Insurance Participation List:

 

  • Aetna All Plan
  • BCBS PAR Plans
  • BCBS Open Access
  • BCBS Direct Plans
  • BCBS Out of State Plans
  • BlueChoice HMO
  • BlueChoice PPO
  • BlueChoice POS
  • Beechstreet PPO
  • Cigna All Plans –
    (Wellstar & Emory-you will be out of network here)
  • Coventry/First Health
  • Coventry PHCS PPO
  • Evolutions PPO
  • First Health PPO
  • Greatwest Healthcare
  • Highway to Health
  • Humana All Plans
  • Humana Champus (Not Tricare Prime)
  • Lifewell PPO
  • Medical Resource Network PPO
  • NovaNet PPO
  • PHCS PPO
  • State (GA) Health Benefit Plan
  • SuperMed PPO (Medical Mutual of OHIO)
  • United Healthcare of Georgia Plans



Please Note: Peachtree Gynecology has Opted-Out of Medicare effective January 1, 2011. However, we do continue to see Medicare patients and offer them a 50 % discount off our customary fees.

We hope this information has been helpful. The lower half of your Patient Registration Form contains our full financial policy. Please do not hesitate to contact our office manager, Yvonne Sumlin, if you have any questions or concerns regarding this information. She will be more than happy to assist you.