HEALTH INSURANCE
IN NETWORK
IN NETWORK
AETNA
ALIGNMENT
ANTHEM BLUE CROSS
BEECH STREET
BLUE CROSS
BLUE CROSS BLUE SHIELD
BLUE SHIELD
GEHA
HEALTHNET (HMO ONLY)
HUMANA
SCAN
SCRIPPS
TRICARE (PPO ONLY)
UNITED HEALTHCARE
WORKERS' COMPENSATION
(ESTABLISHED PATIENTS ONLY)
PPO PLANS
PPO PLANS
Typically, no Primary Care Provider (PCP) needs to be designated, however it is better quality care to have a PCP. If you refer yourself to a specialist, inform us so we can exchange information to coordinate your optimal care.
​MANAGED CARE / HMO PLANS
​MANAGED CARE / HMO PLANS
CLOSED TO NEW PATIENTS
OPEN TO OUR EXISTING PATIENTS EVEN IF YOU CHANGE HEALTH PLANS
We are loyal. If you are our established patient and have changed insurance with automatic assignment to another doctor, you may switch back to us by calling your health plan as soon as possible (PCP change is effective the 1st of the next month if you call before the 15th of the month and if you call after the 15th of the month you have to wait until the 1st in 2 months) and informing them you are already established with us and they are welcome to contact us for verification.
Managed Care health plans such as Health Maintenance Organizations (HMOs) require that you designate a Primary Care Provider (PCP) in an affiliated medical group.
PCP = Dr. Sunita Shailam in Mercy Physicians Medical Group
NO / OTHER PLANS
NO / OTHER PLANS
In most cases, you can still be a patient here. If you have insurance with Out of Network benefits, you may submit your receipt to them.