Insurance FAQ’S

Billing & Insurance

We participate with most local and many national insurance plans. However, it is your responsibility to understand whether your insurance has limits on the doctors you can see, or the services you can receive. For more information about the insurance plans we participate in, please contact our office.

If you provide complete and accurate information about your insurance, we will submit claims to your insurance carrier and receive payments for services. Depending on your insurance coverage, you may be responsible for co-payments, co-insurance, or other deductible amounts. Some contracts require more than one co-pay on the same date of service if you have two different types of exams or procedures done.

Please speak with our billing staff if you have any questions about your account. We want to work with you to avoid any financial problems and to assure that your account remains in good standing. You can contact our billing office at (757) 481-3366.

Almost Always

To our knowledge we participate with all locally available Insurance except Medicare or Tricare Prime

PLEASE CALL US  757-481-3366  to assure we participate with your Insurance. 

Sentara (all products)
Healthkeepers
Blue Cross Blue Shield
United Healthcare
Cigna
Aetna
Champus Standard
Viacare
Commerical Insurance
Medicaid
Trigon Healthkeepers

REPEAT:  We do NOT participate with Tricare Prime or Medicare

We are very pleased to accept Medicaid

We do NOT accept Medicare at this time
YES!
 
We will be happy to file your Primary AND Secondary insurance.

1. Yourself

2. A Photo ID

3. An Insurance Card 

ALL 3 are necessary for First visits or Insurance Changes

(rare exceptions)

We are compelled by contract with your Insurance company to collect Deductibles and Co-Pays when required

Please, be prepared to pay for any co-pays and deductibles.

Not only does your insurance company require you pay these…

Your Insurance company can penalize us if we fail to collect these Insurance fees

So the answer is:  YES!

New Federal Law may exclude certain preventative visits from having Co-Pays or Deductibles

Visa, MasterCard, Cash or Checks 

We do NOT barter chickens or bales of hay!

Please contact our billing department at 757-481-3366 to personally discuss payment arrangements

Consideration is given to longstanding patients in challenging situations

There are resources in the community for patients needing free or deeply discounted services from the start 

Public Health Department
EVMS Medical School/Residency Training Program
Government Subsidized Hospital Emergency Room 
And other subsidized caregivers.
 
We are not subsidized by the Government like the local Hospital Emergency Room Is.

PLEASE CHECK YOU INSURANCE CARD OR CALL YOUR INSURANCE COMPANY

Some insurance cards list this information  – or
You can call the phone number on your Insurance Card to verify your Co-Pay or Deductible.
 
You may also call us prior to your appointment and we can assist you with this information.

Each insurance policy is different

You may contact your insurance company and ask (recommended) or…

Call our office and we will be happy to assist you (as best we are able).

NO !

In the state of Virginia it is illegal for an insurance company to require a referral to see your Obstetrician Gynecologist

In this state women have direct access to their OB-GYN Physician.

Nope

We will contact your insurance in company
We will secure prior authorization ahead of time
(for all hospital and in office procedures).

Our bill does NOT include lab or path specimen processing.

Your Insurance company generally tells us where (we must) send your lab and pathology specimens.
 
You will be billed separately by Lab and/or Pathologist’s site that processes your lab and path specimens.