INSURANCE & REFERRALS

Insurance Plans

We currently accept the following insurance plans (we accept all product lines unless noted):

  • BCBS all plans
  • Aetna
  • Cigna
  • United Healthcare
  • Humana
  • Tricare
  • PHCS network
  • Kaiser (PHCS only)
  • Multiplan
  • ChampVA
  • Medicaid
  • Peachstate HealthPlan
  • CareSourse (Please see Important Update Below).

Please be advised that effective 1/1/2027, we will no longer participate with CareSource insurance.

If you are covered by one of the following plans, we are happy to serve you:

  • Peach State Health Plan
  • Medicaid (Fee-for-Service)

To continue receiving care at our office with in-network benefits, you may wish to contact Georgia Medicaid to discuss whether you are eligible to enroll in the Peach State Health Plan.

If you are unsure which plan you have or have questions about your insurance coverage, please contact our office before your appointment. Our staff will be happy to help verify your benefits and discuss your available options.

Thank you for your understanding and allowing us to care for you.

Please call us to see if your insurance plan may have been added to this list.

We currently do not take these insurance providers:

  • Amerigroup
  • Ambetter
  • Humana HMOX
  • Kaiser HMO
  • Any insurance on the Marketplace website (BCBS Pathway X Plan is the only exception)

Referrals

Many insurance plans require that your primary care physician make a written referral before you undergo certain diagnostic tests or receive care from a subspecialist. Some insurers will not pay for these services if they have not been pre-approved. We are happy to assist with these “referral” and “prior approval” issues as they arise. Your Patient Advocate will assist you with referrals. The physician will alert the Advocate of the referral and they will contact you with the information. You may also stop by their desk on the way out. If you have not heard from the Patient Advocate within 48 hours please call 404-252-4611 and ask for your Patient Advocate.
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