Our office participates with most major insurance providers in the region. However, due to the variances in insurance contracts, please contact our office to verify network status and provider participation.
If we participate with your plan, we will file the claim for you and wait for payment. If we do not participate in your plan, we will file the claim as an out of network provider, which may be at a higher cost to you. Payment will be required on the day services are rendered and can be made by cash, check, or credit card. Proof of insurance, photo ID, and co-payment or co-insurance are requirements for not only the first visit, but also every subsequent visit thereafter.
Insurance guidelines can be confusing; often referrals are required before office visits, labs, physical therapists and similar. We encourage you to make yourself familiar with your plan’s regulations, for management of medical reimbursement is ultimately your responsibility.
Dr. Gazda
Dr. Van Delden
Dr. Neiman
| Accepted Insurance Companies | Plan Type/Notes |
|---|---|
| Aetna | PPO plans if out-of-network benefits available, otherwise, cannot accept |
| Allsavers UHC | Please call office |
| BCBS (BAV) | Blue Advantage HMO; requires referal not code specific |
| BCBS (BCA) | Blue Choice PPO |
| BCBS (HMO) | Blue Essentials HMO |
| BCBS MCR PPO | No new patients; existing patients can continue to be seen by P.A. Mike Vecera |
| BCBS HealthSelect | Requires Referrals; not code specific |
| Cigna | Open Access Plus, Local Plus, HMO |
| Cigna Samba | Please call office |
| Clover Health MCR Adv Plan | Please call office |
| Coventry PPO Plans | Please call office |
| First Health | Please call office |
| GEHA | Dr. Gazda only not P.A. Mike Vecera |
| Golden Rule (UHC Reprice) | Please call office |
| Humana | Choice POS, COT National POS Open Access PPO, EPO PPO Open Access, Humana Preferred PPO, Humana ChoiceCare & ChoiceCare + Network PPO, Humana POS, Humana PPO, Humana Preferred POS OpenAccess, National EPO, National POS OpenAccess & OpenAccess + HMO/PPO, P&G National POS HMO/PPO |
| Maxor Administrative Services | Please call office |
| TML (thru UHC) | Please call office |
| United Healthcare | Choice/Choice +, Options, PPO |
| Wellmed | Please call office |
| Accepted Insurance Companies | Plan Type/Notes |
|---|---|
| Aetna | PPO, POS, Elect Choice EPO, Open Choice PPO, Open Access Managed Choice POS, Aetna TRS Care, if not associated thru Baptist. No EPO through Baptist. If you see EPO on the card and are unsure please call office |
| Allsavers UHC | Must have out-of-network benefits and pay out-of-network prices |
| BCBS (BCA) | Blue Choice PPO |
| BCBS (HMO) | Blue Essentials HMO; requires referral |
| BCBS HealthSelect | Requires referral; not code specific |
| Cigna | Open Access Plus, Local Plus, PPO |
| Cigna Samba | Please call office |
| Coventry | When affiliated through Aetna PPO Plans |
| Greatwest Cigna | Please call office |
| Humana | Choice POS, COT National POS Open Access PPO, EPO PPO Open Access, Humana Preferred PPO, Humana ChoiceCare & ChoiceCare + Network PPO, Humana POS, Humana PPO, Humana Preferred POS OpenAccess, National EPO, National POS OpenAccess & OpenAccess + HMO/PPO, P&G National POS HMO/PPO, |
| Humana MCR Plans | Humana Gold/Gold+, requires referral, code specific referrals for testing |
| Maxor Administrative Services | Please call office |
| Mailhandlers | Please call office |
| Medicare B | With secondary coverage only |
| Meritain Health Plans (Aetna) | Please call office |
| Tricare Select East/Tricare For Life | Tricare for Life is secondary |
| United Healthcare Plans | Only if it has out-of-network benefits; will pay out-of-network prices unless Botox patient |
| Wellmed | Please call office |
| Accepted Insurance Companies | Plan Type/Notes |
|---|---|
| Aetna | PPO, POS, Elect Choice EPO, Open Choice PPO, Open Access Managed Choice POS. No EPO through Baptist, if you see EPO on the card and are unsure, please call office |
| Allsavers UHC | Must have out-of-network benefits |
| BCBS (BCA) | Blue Choice PPO. Please call office for details |
| BCBS HealthSelect | Requires Referrals; not code specific |
| Boon Chapman (Thru PHCS network only) | Please call office |
| Cigna | Open Access Plus, Local Plus, PPO. Please call office for details |
| Clover Health MCR Adv Plan | Please call office |
| Coventry | When affiliated through Aetna PPO Plans |
| Greatwest Cigna | Please call office |
| Group Pension Administrators (PHCS/Multiplan) | Please call office |
| Humana | Choice POS, COT National POS OpenAccess, EPO PPO Open Access, GE Healthcare Preferred, Humana Preferred PPO, Humana ChoiceCare/ChoiceCare + Network PPO, Humana POS, Humana PPO, Humana Preferred POS OpenAccess, National EPO, National POS OpenAccess & OpenAccess+, P&G National POS. Please call office for details |
| Maxor Administrative Services | Please call office |
| Mailhandlers | Please call office |
| Medicare B | Only with secondary coverage also and a referral |
| Meritain Health Plans (Aetna) | Please call office |
| Multiplan / PHCS Plans | Please call office |
| Tricare For Life | Only as secondary to MCR |
| United Healthcare | Only with out-of-network benefits |
| Existing Patients with MCR Replacement Plans | Dr. Neiman has agreed to continue to see. However, if an existing patient changes to a MCR replacement plan he will no longer be able to see them |