Insurance and billing
Medicare, Kaiser with an approved referral, and selected PPO plans are accepted. Coverage and referral requirements are verified before scheduling.
Acceptance depends on your exact plan and current network eligibility. Please call our office to verify coverage before your appointment.
The required referral must be received and verified before an appointment can be confirmed.
Medicare Advantage PPO plans must be reviewed with our office before scheduling. These are primary insurance plans, not Medicare supplemental plans, and may have more restrictive coverage and payment requirements.
Important: PSUMG does not accept HMO plans, including plans with a Point-of-Service option.
PSUMG is currently out of network with:
Patients with these plans may still request an appointment, but they may have a higher deductible, coinsurance, copayment or other out-of-pocket costs. Out-of-network benefits should be confirmed before treatment.
Insurance participation and individual benefits can change. PSUMG verifies eligibility, referrals and expected patient responsibility before scheduling.
Acceptance of an insurance plan does not mean that every procedure is covered. Benefits are confirmed for each service before it is scheduled.
Patients are responsible for confirming their benefits and for charges not paid by their insurance plan.
Please have your photo ID, insurance card and referral information available. If possible, also bring relevant medical records, imaging and recent laboratory results.
Our team is happy to help you understand what information is needed before your visit. Please have your insurance card available when you call.
The fastest way to confirm is to call our office with your insurance card available. Our team will review your exact insurance company and plan information.