General Payment Policies

Health Insurance Plans

Tennessee Women’s Care, PC participates with the following insurance plans and managed care programs. These contracts are reviewed frequently and area subject to change. Therefore, prior to your visit, please contact us or your health plan to verify our participation with your plan or managed care program.

In addition, to this listing we encourage you to review our billing-financial policies.

  • Aetna/US HealthCare (HMO, PPO, EPOS, POS)
  • Beech Street (PPO)
  • Blue Cross Blue Shield (Network P and S and M)
  • Bluegrass Family Health
  • Cigna (HMO, PPO, POS)
  • Coventry HealthCare Network (PPO)
  • First Health Network (PPO)
  • GEHA USA (PPO)
  • Great West (HMO/PPO)
  • Humana Choice Care
  • HealthSpring (HMO)
  • Medicare (Traditional)
  • Multiplan/PHCS( PPO)
  • Private Health Care System (PHCS)
  • Signature Health Network
  • United HealthCare
  • USA MCO
 

TennCare (Tennessee Medicaid) - we have limited providers and locations in:

  • AmeriGroup
  • AmeriChoice (United Community Plan)
  • BlueCare (Blue Cross Blue Shield)

Tricare/Champus - we have limited providers and locations participating.

 

General Billing and Insurance Policies

Please bring your current health insurance card with you at the time of service. We are unable to file insurance without your current insurance card; arriving without this could result in us needing to reschedule your appointment.

Your health insurance is a valuable asset to you. We ask that our patients make sure that you are familiar with your own healthcare coverage and limits. Due to the number of insurance companies, plans available and plan design complexities for benefits, we cannot keep track of each individuals plan definitions. For those plans we are contracted with, as a courtesy we submit claims. However, please understand that the basic responsibility for the payment rest with the patient.

For your convenience we provide a variety of payment options Cash, Check, MasterCard, Visa and Discover. Patient liabilities that your insurance coverage requires for us to collect at the time of service such as copayments will be collected at the time of service.

Laboratory/Support Services:

With many regulatory bodies and insurance carriers there are many services or billing aspects defined for the physician. Our physicians may order test or procedures that cannot be performed in our office, even when we have collected the specimens in our office.

Therefore, in addition to our bill, you may also receive a statement from other outside providers for the services they performed such as labs, x-rays, pathology and other charges. If you have any questions about these statements we encouraged to contact the number they have listed on the statement for those services they are billing directly.

Elective Surgical Services:

Our goal is to make the financial aspect of your elective surgery as straightforward as possible. In support of this, we work with your insurance carrier to verify your coverage and benefits before elective surgical services are rendered.  Any of financial liabilities are due in advance of surgery, unless satisfactory payment arrangements have been made in advance.

 
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