Insurance
We will file claims for all your office visits and in-office procedures with us on your behalf, and send you a monthly statement to keep you informed.
If you do not have insurance, someone from our billing department will work with you to set up a payment schedule and give you information about organizations that offer assistance. Please let your physician know of your situation so that he or she might be able to obtain help with the cost of the medications needed to treat you.
Our billing department will file your insurance claims. If your insurance plan requires a referral, you will be responsible for obtaining one before we can provide your medical services.
As participating providers, we are contractually obligated to collect co-pays at the time of service. At times there may be treatment opportunities available that are not covered by your insurance provider.
It is the patient’s responsibility to contact their insurance company to determine if Arthritis Consultants of Tidewater is a participating provider with your specific plan. Below is a list of our accepted insurance plans at this time. This list can change, so please confirm prior to scheduling. (Last update: Nov 8, 2022)
ACCEPTED INSURANCES
- AARP
- AARP Medicare Advantage PPO
- Aetna
- Aetna Premier OA Care, Network Plus
- Aetna OA Managed Choice
- Flex Plan Open Choice PPO/NAP
- Medical Mutual Traditional Plan Open Choice PPO
- Aetna Medicare (Prefix is typically MEB)
- Anthem BCBS
- Anthem Medicare Preferred (Prefix usually VAY)
- Anthem Mediblue PPO
- Anthem Healthkeepers
- Anthem Healthkeepers PLUS (Medicaid, prefix typically YTP)
- Anthem HK CCC PLUS (Prefix usually VAQ)
- Blue Cross Blue Shield
- Federal BCBS
- ChampVA
- Cigna
- APWU-Cignas OAP, PPO
- GEHA
- Golden Rule
- Humana HMO, PPO, and Gold Plus
- Medcost
- Medicaid (Commonwealth of VA)
- Medicare
- Optima
- Optima “select” plans
- Optima CCC PLUS
- Optima Family Care (Medicaid)
- Optima Medicare Plans
- Optima Community Complete Medicare DSNP
- Optima Medicare HMO
- Optima Medicare Prime
- Optima Medicare Salute
- Optima Medicare Value Plus
- Optima Medicare Value PPO
- Tricare Standard
- Tricare Select
- Tricare for Life
- United Healthcare
- United Healthcare CCC PLUS
- United Healthcare Choice Plus
- United Healthcare Dual Complete RP (Regional PPOD-SNP) *Some treatments may be out of network
- United Healthcare Group Medicare Advantage PPO
- Rail Road Medicare
- Sentara Pace (Needs authorization from your primary care provider listed on your care prior to being seen)
NON-PARTICIPATORY INSURANCES
- AARP Medicare Advantage Plan 1 & 2 (HMO)
- Anthem Healthkeepers Coordinated Care/Complete Care (Prefix typically YRC)
- Anthem Healthkeepers Mediblue Medicare Advantage (Prefixes: YTW, JKW, JQB, VOA)
- Aetna Better Health of VA
- Aetna CCC Plus
- Coventry Healthcare
- Aetna Medicare Assure Value
- Cigna Preferred Medicare HMO
- Humana Coordinated Care
- First Health Network
- Magellan/Molina Complete Care
- Virginia Health Network
- Out of State Medicaid
- PHCS
- Tricare PRIME
- United Healthcare Medicare Dual Complete (HMO D-SNP)
- VAMC Veterans Insurance/VA Veteran’s Administration/Optum VA
- Virginia Premier (No policies accepted)