Insurance Plans
Each insurance company has many different kinds of plans with many different benefit levels. We are contracted with most major insurance plans. The best source for this is the insurance company themselves. Each company places a phone number on your insurance card for patients to contact them directly with any questions. Another source is the company’s web site which is often your best place to turn for coverage or benefit questions. Please call our office if you need assistance.
Co-Pays and Past Due Balances
We will collect all co-payments and past due balances at the time of service. If you are unable to make payment at the time of service, we will reschedule your appointment.
Pre-payment of Delivery & Procedure Fees
We will contact your insurance company to verify benefits. This will include the cost of a delivery or procedure that will not be covered by your insurance. Payment of your balance in full is required before the delivery or procedure. For your convenience, payment arrangements are available. Call us to set up a payment plan. Remember, the insurance company will only estimate the amount you may owe. This verification of benefits is not a guarantee of payment. Please call your insurance company if you have any questions.
Which Plans are we contracted Somerset Ob/Gyn
Somerset Ob/Gyn Associates establishes and maintains contracts with many insurance companies that do business in our area. The following is a list of the insurers with whom we currently have contracts.
Aetna Insurance Company, www.aetna.com
Gateway Health Plan, www.gatewayhealthplan.com
Geisinger Health Plan, www.geisinger.org/
Health America/Health Assurance, www.healthamerica.cvty.com
Highmark/Blue Cross Blue Shield, www.highmarkblueshiled.com
Medicaid, www.dpw.state.pa.us
Medicare, www.medicare.gov
Penn Highlands Health Plan, www.pennhighlands.com
Preferred Heath Care System, www.phs.ppo.com
Tricare/Health Net Federal Services, www.mytricare.com
Unison Health Plan, www.unisonhealthplan.com
United Healthcare, www.uhc.com
UPMC Health Plan, www.upmchealthplan.com
If you do not see the name of your insurance company in the list, please contact your insurance company to verify that we are participating providers. Many insurance companies are referred to by more than one name.
It is important to be aware, however, that the insurance industry experiences many changes on a daily basis. While every attempt is made to maintain this list you should verify that we are contracted with your insurance company when scheduling an appointment to avoid any unexpected costs.
If we are not contracted with your insurance company you may usually still see our physicians. It is important to note, however, that some insurance companies may pay a lesser benefit for services provided by physicians out of their contracted network. Some insurance companies will not pay at all if you do not choose one of their contracted physicians.