HEALTH INSURANCE
IN NETWORK *
IN NETWORK *
AETNA *
ALIGNMENT *
ANTHEM BLUE CROSS
BEECH STREET
BLUE CROSS
BLUE CROSS BLUE SHIELD
BLUE SHIELD
GEHA
HEALTHNET *
Out of Network with PPO
HMO open to Established patients only
HUMANA *
MEDICARE * (part B)
SCAN *
SCRIPPS
TRICARE *
Out of Network with Prime/HMO
UMR *
UNITED HEALTHCARE *
UNITED HEALTHCARE *
* indicates plans that are closed to New Primary Care patients (still open for our Established patients and Aviation/Immigration)
* indicates plans that are closed to New Primary Care patients (still open for our Established patients and Aviation/Immigration)
* PLAN TYPES
* PLAN TYPES
PREFERRED PROVIDER ORGANIZATION (PPO) PLANS
PREFERRED PROVIDER ORGANIZATION (PPO) PLANS
With PPO plans, no Primary Care Provider (PCP) is mandated, however it is important to have a PCP for optimal quality care. With PPO plans you can self refer and if you do, inform us so we can coordinate care and exchange information with the specialist.
We are closed to New patients for some plans so please see above for details. For Aviation or Immigration medical examinations, if we are contracted with your insurance then we will still bill them on your behalf. If you are already established with us, we are loyal and will continue you care no matter what plan you choose.
HEALTH MAINTENANCE ORGANIZATION (HMO) PLANS
MANAGED CARE
HEALTH MAINTENANCE ORGANIZATION (HMO) PLANS
MANAGED CARE
CLOSED TO NEW PATIENTS
We have been closed to new managed care patients since 2020. If you have an HMO health plan were inadvertently assigned to us after 2020 and have never been here, please change your provider to a Primary Care Provider who is accepting New patients. You may do so via the insurance website or insurance telephone. If you need help urgently, Perlman Clinic offers both urgent care and primary care.
OPEN TO ESTABLISHED PATIENTS
Managed Care health plans such as Health Maintenance Organizations (HMOs) require that you designate a Primary Care Provider (PCP) in an affiliated medical group. If you are our established patient and have changed insurance with automatic assignment to another doctor, you may switch back to us. As soon as you get your new insurance, call them because it takes time to for a PCP change to be effective. If you call before the 15th of the month it will be effective the following month and if you call after the 15th of the month you have to wait until the 1st in 2 months. For example, if you call 14 August it will be effective 1 September and if you call 15 August it will be effective 1 October. Plan in advance because we do not accept same month transfers. PCP = Dr. Sunita Shailam in Mercy Physicians Medical Group.
NO/OTHER INSURANCE
NO/OTHER INSURANCE
If you have Medi-Cal or Kaiser you should go through their network (however we still evaluate patients for Aviation or Immigration). Otherwise, many others can still be a patient here. If you have other insurance with Out of Network benefits, we provide an estimate (see below Fees) and we charge at the time of visit and provide a receipt. Depending on the plan, we may still bill the insurance and if we receive payment, we will refund you. Many of our patients visiting from out of the country have traveler's insurance that will reimburse the traveler after the traveler provides them a receipt.
FEES
FEES