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Health Insurance

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Health Insurance

At High Risk Pregnancy Consultants, we accept most major insurance plans. It is important that patients review the provided list, as well as confirm individual plan coverage directly with the insurance company. Insurance plan guidelines can change, affecting authorizations, deductibles, co-pays and other vital aspects.

Presently, High Risk Pregnancy Consultants accepts the following health insurance plans:

Insurance Provider Plan Type
Aetna

EPO (Elect Choice)

MC (Managed Choice)

PPO (Open Choice)

Select Choice (HMO)

AvMed

HMO

POS

PPO

BlueCross BlueShield (BCBS)

Advantage 65 Select

Blue Care/HO

Blue Choice/PPC

Network Blue/Blue Options

PPS

Cigna

CIGNA HealthCare of Florida

Open Access Plus

POS Open Access

PPO

Community Care Network

 

Evolutions

 
Florida Hospital Care Advantage
(All Plans)

All Plans

First Health Network

 

Fortified 

PPO
Humana 

Commercial

EPO

POS

PPO

SmartNet PPO

National Preferred Provider Network (NPPN)

PPO

Coalition America 

UnitedHealthcare

Evercare HMO

HMO

Medicare Secure Horizons

POS

PPO

WellCare/Staywell

WellCare/Staywell  (Medicaid)

WellCare Health Plan (Medicare)

WellCare HealthEase (Medicaid)

Filing Claims

A member of the High Risk Pregnancy Consultants medical team will gladly file a health insurance claim if the plan is one that our practice currently accepts. It is very likely that any PPO plans that are considered out of network will be filed at a higher out-of-pocket rate. Any additional balances remaining after filing the insurance claim will be due upon completion of services (an invoice from High Risk Pregnancy Consultants or Florida Hospital Medical Group will be sent directly to the patient once the insurance provider covers their amount).

It is the patient’s responsibility to provide High Risk Pregnancy Consultants with current insurance plan information prior to services rendered in order for accurate billing of services to be filed. As a health care provider, our relationship is with our patients and as a team; we will continuously follow up on outstanding claims. At times, we may require the patient’s intervention to assist us and we appreciate the patient working with us in this regard.