*** We try to maintain the list of our participating insurers to be as current as possible.
If you do not see your insurance company listed, please call our office to determine if we accept your plan.
Aetna: All plans
Amerigroup Medicaid CMO: Established patients only.
Anthem BB/BS
Anthem BC/BS Pathway X Guided Access HMO-PCP required.
Anthem BC/BS Pathway X HMO
BC/BS Blue Connection/High Performance Network (HPN)
BC/BS PAR
BC/BS PPO
BC/BS Federal (FEP) PPO
Blue Choice HMO – Required: We must be selected as the PCP (Primary Care Physician)
Blue Choice Option POS-PCP Required
Blue Open Access HMO or POS – If HMO PCP – required
Cigna: HMO, Open Access, PPO, Piedmont Healthcare, excludes LocalPlus & GAConnect
Clover Medicare Advantage
Coventry HMO/Open Access (NOT Coventry ONE HMO)
Coventry PPO/National Plans
Crescent
Emory Healthcare Network (EHN)
First Health PPO
Galaxy Health Network
GEHA (Government Employees Hospital Association)
Global Medical Management
GreatWest HMO/OA/PPO
Healthgram
Humana HMO, National, Open Access, POS, PPO
Industry Buying Group
Kaiser PPO (ONLY when PHCS logo is on the card)
Kaiser Dual Option PPO (Exchange Product PPO only)
LifeWell Health Partners EPO/POS/OA
Medicaid: Established patients only
Medicare – Traditional/Original
Medicare Advantage Plans: See attached list.
Medicare Railroad Retirement
MultiPlan
NovaNet PPO
PHCS PPO/POS (Private Health Care Systems)
Piedmont Healthcare, Tier 2, Cigna
State Health Benefit Plan (State Employees-Payor: BCBS, OA, HMO/POS)
Student Resourses
Surest Healthcare
UMR (United Medical Resources)
United Healthcare – Excludes exchange plans
University System of Georgia (Board of Regents) (Blue Open Access POS)
USA Managed Care PPO
MEDICARE participation
TRADITIONAL MEDICARE:
MEDICARE ADVANTAGE PLANS:
- AARP Medicare Advantage
- Aetna Medicare Advantage HMO and PPO
- BCBS Medicare Advantage HMO and PPO-MediBlue+
- Cigna HealthSprings
- Cigna
- Clover Medicare Advantage
- Coventry Advantra
- Humana Medicare Advantage HMO and PPO
- United Healthcare Medicare Advantage
- Wellcare Medicare Advantage
Exchange Plans: Effective 01/01/2023
Aetna HBP HMO POS:
Counties: Appling, Baker, Barrow, Bryan, Butts, Calhoun, Candler, Chatham, Clay, Clayton, Coweta, Crisp, Daugherty, DeKalb, Fayette, Fulton, Gwinnett, Henry, Jasper, Lee, Liberty, Long, Newton, Randolph, Rockdale, Schley, Screven, Sumter, Tattnall, Terrell, Walton and Worth.
Anthem BCBS Pathway X – Prefix is JRA.
Plan names: Bronze, Silver, Gold, Catastrophic differentiate premiums, deductibles & benefits.
Note***Exchange Plans we are NOT Participating
CIGNA GEORGIA CONNECT HMO – Exchange product
UNITED HEALTHCARE ON THE EXCHANGE -Platinum, Gold, Silver, Bronze
Anthem BCBS Pathway X Guided Access – Prefix is GAP or XGA
REQUIRES a PCP selection.
(Counties offered in: Cherokee, Cobb, Dekalb, Douglas, Forsyth, Fulton, Gwinnett, Henry, Richmond.)
OSCAR Health Plan of Georgia
Counties: Bartow, Butts, Clayton, Cobb, Douglas, DeKalb, Fulton, Gwinnett, Muscogee, Paulding, Spalding, and Troup counties.
Insurance Plans we are not on:
Auto Insurance Claims
Aetna Wellstar
Ambetter Piedmont
Ambetter Wellstar
Care 1st
Caresource
Cigna Georgia Connect Hmo – Exchange Product
Cigna Local Plus
Coventry One Hmo
Emblem Health Medicare Advantage Plan Of Ny
Multiplan Medicare Advantage Plan
Peachstate Health Plan
Pruitt Health Medicare Advantage Plan
United Healthcare On The Exchange -Platinum, Gold, Silver, Bronze
Workman’ Compensation Claims
For Scheduling Appointments
770-952-1032
Same Day Appointments
Our Location
Our office is located at:
2520 Windy Hill Rd.
Suites 301 & 303
Marietta, GA 30067