Billing and Insurance

The New Year is approaching soon and we want to ensure your insurance information is updated in our system. Please contact the office with any changes or additions to your insurance coverage prior to your first appointment in 2017. Remember to bring a copy of your insurance card with you to your first appointment in 2017.

Please Be Aware That GCS Providers Are Not Participating With The Following Plans:

  • Ambetter Peachstate Exchange
  • EON Health HMO/PPO Medicare Advantage
  • Humana HMOx Macon Exchange (exception– accepting patients at our Cumming office)
  • Humana Gold Plus HMO Medicare Advantage
  • Kaiser Exchange
  • Kaiser HMO
  • Kaiser Senior Advantage
  • UHC AARP Medicare Select

Managed Care Affiliations and Insurance Plans

Inclusion in the below list does not guarantee participation or payment of service.

AARP Medicare Complete Plan 1&2 HMO/POS

Advantra Preferred & Platinum  (Medicare Advantage) HMO/POS

Aetna (Indemnity/EPO/PPO/POS/OA/HMO)

Aetna Medicare  (Select/Connect/Essential/Preferred )Medicare Advantage HMO/PPO

Alliant Health Plans PPO

Alliant Solocare Exchange PPO

**AMBETTER (by PeachState) Exchange****NOT PARTICIPATING****

AmeriGroup Georgia Cares Medicaid

BCBSGA(Pathway/Pathway X) HMO

BCBSGA (Indemnity/PPO/EPO/POS/HMO)

BCBSGA MediBlue (Access/Dual/Prime Select/Plus) Medicare  Advantage PPO &HMO

BCBS Medicare Advantage Network Sharing PPO (out of state plans)

BCBSTN BlueCare/TennCareSelect Medicaid CMO

Care Improvement Plus Medicare Advantage

ChoiceCare PPO (Humana Medicare Advantage plan)

CIGNA  (EPO/PPO/POS/HMO)

Cigna ChoiceFund LocalPLus HMO/POS****MACON CLINIC ONLY***

CIGNA HealthSpring  Preferred & TotalCare (Med Adv) HMO

Coventry H’care of GA HMO/POS/PPO/Open Access

Coventry One HMO

**EON Health HMO/PPO **NON-PARTICIPATING**

Evolutions PPO

First Health PPO

GWH-CIGNA (PPO/POS/HMO)

Harken Health (Accesses UHC Choice Plus and Compass Network)

Health One Alliance HMO/PPO

Health Plan Select (AAHPS)

Humana Atlanta HMOx ***EXCLUDES MACON HMOx****

**Humana GOLD Choice/GOLD PLUS Medicare HMO **CUMMING OFFICE ONLY-                                                            

Humana (Indemnity/PPO/POS/HMO)

Humana Nat’l Preferred Exchange POS

HumanaChoice (Medicare Advantage) PPO

**Kaiser HMO/Kaiser Senior Advantage **NOT PARTICIPATING***

Kaiser MultiChoice POS (PHCS tier level 2)

Lifewell Health Partners EPO/PPO/OA

Lifewell Health Plans

MedCost Preferred PPO

Medicaid (GA)

Medicaid (NC)

Medicaid (TN)

Medicare Part B (Railroad)

Medicare Part B

Multiplan PPO/EPO

NavicentHealth Employee Plan

NovaNet PPO

PCIP (First Health PPO) Adminstered by GEHA

Peach State Health Plan (Medicaid & Medicare )

Perdue Farms Network (admin by  Cigna)

PHCS EPO/PPO/POS and Open Choice

Piedmont MyHealth 360 Cigna PPO (Tier 2 benefits)

**Piedmont Wellstar POS/HMO- NOT PARTICPATING**

Prime Health Southern Regional EE Plan (OON-Tier 2 BC PPO Applies)

Pruitt Health Premier ( Med Adv )HMO-SNP

Secure Health Plans of GA (Hawkinsville, Milledgeville, Oconee locations ONLY)

TennCareSelect (BCBST Medicaid CMO)

Tricare for Life (TFL) Medicare supplement

Tricare (Standard/Extra/Prime/Reserve Select) PPO/POS/HMO

United Healthcare (Indemnity/PPO/OA/POS/HMO)

United Healthcare Compass HMO

United Healthcare  Nursing Home Plan (Med Adv)  PPO/HMO-SNP

United Healthcare Dual Complete PPO SNP Medicare Advantage

United Healthcare Heritage Select PPO & POS

United Healthcare MedicareDirect Essential/RX PFFS

VA Choice (OON benefits apply)

Wellcare Medicare Access & Value  HMO

Wellcare-Georgia Healthy Families (Medicaid HMO)

Work Comp (OWCP)

If you have questions, please contact your Patient Financial Advocate (PFA) for further information at 770-491-3610.

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