It is Abundant Health’s goal to guide our patients through today’s complex world of medical billing.  Our office will prepare and file your insurance claim forms for you based on the information you provide to us.  To process your claim, it is essential that you provide us with accurate and complete insurance information.  It is for this reason that our office will frequently request updated copies of your insurance card(s) and ask that you complete a new patient registration form.

Medicare

We are a participating provider with Original Medicare and accept assignment of all Medicare claims.  We also participate with a number of Medicare Advantage plans.  We will file your Medicare claim for you and Medicare will then send the payment directly to Abundant Health.  At the same time, a Medicare Explanation of Benefits (EOB) will be mailed to your home address.  We will also file supplemental policies on your behalf.  Any deductible or co-insurance amount is your responsibility at the time services are rendered.

Managed Care

Please inform us at the time your appointment is scheduled if you are in a PPO or HMO managed care plan.  Any co-payment required by your insurance plan is due at the time services are rendered.  Abundant Health participates in many major plans, but because we consider many factors before joining a plan, we do not participate in every plan available on today’s insurance market.  If we do not participate with your plan, and you choose to see our providers outside the plan, your benefits may be reduced or eliminated completely.  Listed below are some of the managed care plans in which Abundant Health participates.  Check with our office if you have further questions.

Patient’s Responsibility

Although Abundant Health gladly files your medical insurance claim on your behalf, medical insurance is ultimately a contract between the patient and his/her insurance company.  It is the patient’s responsibility to monitor the processing and payment of claims.  After payment is received from the insurance carrier, any outstanding balances will be transferred to a patient responsibility status.  If your insurance company is not one with which our office participates, any balance remaining on the account for sixty days from the date the insurance is filed becomes the patient’s responsibility.

Payment Policy

Payment for all rendered services is requested when you receive a statement indicating a balance due.  Insurance payments sent directly to your home address should be forwarded to our office as payment for services rendered.  We accept cash, Master Card, Visa, or Discover as payment for services rendered.

Commercial and Medicare Plans Abundant Health Participates in:

Aetna Healthcare

• Aetna (POS, EPO)
• Aetna (PPO)

Americhoice  (TennCare)

Beech Street Corporation  (PPO)

BlueCross BlueShield

• Network P  (BluePreferred/PPO)
• Network S  (BlueSelect POS – includes CoverKids & Access TN)
• Network V (CoverTN)
  
• BlueAdvantage LPPO
• BlueCare & TennCare Select 

Bluegrass Family Health

Cariten Healthcare  (Preferred Health Partners)

• Cariten Select   (POS)
• Cariten Preferred  (PPO)
• Cariten Choice  (HMO)
• PHP – Cigna
• Network Leasing Excluding Cigna
• Cariten Senior Health (HMO/PPO) (transitioned to Humana)

Coventry   (HMO, PPO, OPM Governmental Health Benefit)

First Health  (Lease networks, including Mail-Handlers)

GEHA  (Government Employee Hosp Assoc) (PPO)

• PPO USA