Insurance/Forms

Insurances We Accept:

• Aetna PPO
• Aetna Better Health of Ohio
• Aetna Medicare HMO (Primary Care must do Referral before scheduling)
• Anthem Blue Cross Blue Shield PPO
• Buckeye Healthplan
• Buckeye (Medicare HMO) (Primary Care must do Referral before scheduling)
• Bureau of Workmans Compensation (BWC)
• Caresource
• Caresource Just 4 Me
• Cigna (Out of Network, Please verify benefits with your plan)
• Healthspan
• Humana
• Humana Medicare Gold HMO (Primary Care must do auth before scheduling)
• Medical Mutual (Out of Network, Please verify benefits with your plan)
• Medicare Part B
• Molina Healthcare Of Ohio
• Molina Dual Options Mycare
• Ohio Medicaid
• Tricare For Life
• UHC Medicare Complete (Primary Care must do Referral before scheduling, if required by plan)
• UMR
• United Health Care

We also accept Self-Pay as we try to make health care reasonable to our patients.  If you do have a co-pay, please note the office only accepts Cash or Credit Cards.  No checks.

Forms:

• Agreement for Prescribing Narcotics
• Authorization for Release of Information
• Authorization of Medical Treatment
• Informed Consent Agreement for >80mg of a Morphine Equivalent
• Patient Intake Form
• Privacy Acknowledgement
• Referral Form (For Providers)