Insurance

Insurance

The Northeast Georgia Diagnostic Clinic accepts Medicare and contracts with various preferred provider organization (PPO) plans, point of service (POS) plans and health maintenance organization (HMO) plans. We ask that you bring your insurance card(s) with you to every appointment.

At the time of your visit, we require payment for insurance copayments, coinsurance and deductibles.  A staff member will advise you of the total amount required for your visit. We accept cash and personal checks in addition to VISA, MasterCard, American Express and Discover cards.

As a convenience to our patients, we will file a claim with your insurance company. For participating insurance plans, we will accept assignment of payment directly from your insurance company. Following receipt of payment from your insurance company, we will send you a statement for any unpaid balance. We require payment of any unpaid balance within 30 days.

NGDC currently accepts the following insurance plans in 2017-2018:

 
Aetna:  All products including Medicare PPO

Alliant Health Plan:  Including Health Market Exchange plans

Blue Cross Blue Shield of Georgia:  PPO, POS, HMO, & Open Acess
                                                    Athem/Georgia & other state & national plans
                                                    (Not Pathway)

ChampVA

Choice Care PPO Network

Cigna

Cigna Healthspring

Consumers Life

Covenant - Legacy Link

Conventry: Excluding Coventry One HMO & Coventry One Hall

Cresent PPO

Health Access Initiative:  ** See below for special notes 

Health Exchange Plans through the Affordabel Care Act:  Alliant 

Health Partners

Humana:  All Products including Medicare

Kaiser: with Multiplan/PHCS logo - if not HMO plan

Medicaid: Georiga only.  No PPO or HMO products.  Medicare must be primary. (not aid category 661/662/664)

Medicare:  Standard - Red, white & blue card

Medicare Advantage plans: (No HMO's) We will file all MA plans, but out of network benefits may apply (Not on EON Health)

Medicare Supplements: Only if standard Medicare is primary 

Multiplan PPO

PHCS:  Private Healthcare Systems

PPONext

Railroad Medicare

Tricare: Standard and Tricare For Life - Not Prime

United Healthcare: No HMO's

United Healthcare Medicare Advantage PPO

**Health Access Initiative (HAI):

Appointments for these patients must be made by an HAI representative. If the appointment is for a NGDC physician that is not listed below, we request the referring physician fax over medical records to the physician for review. The NGDC physician/nurse will respond to HAI as to appointment scheduling, etc.

 

NGDC HAI Participating Physicians as of 02/07/2013

     Oncology

     Pulmonology

  Internal Medicine

Kallab

Murray

Sumner

Nadella

Head

Blatt

Tanna

Brown

Cook

Saurel

West

Archer

 

 

 

 

 

                 

updated 11/2017