Insurance

15899 Los Gatos Almaden Rd, #9, Los Gatos, CA 95032           

Tel : 408 3583685   Fax : 408 3583645

Insurance:

Medical Insurance products have become quite complicated even for health care professionals. With the trend to move towards high deductible health plans and health care exchange products it became necessary to dedicate a full page to bring more clarity to this topic.

Primary  Insurance:

 Insurance  Comments    Cash Basis
Aetna PPO Yes 
Blue Cross PPOGroup Plans 
Blue Cross 
Blue Shield PPO
Group Plans 
Blue Shield PPOGroup Plans 
CHAMPVA Yes 
Cigna PPOYes 
Covered CaliforniaNo    Yes
First HEalth PPOYes 
GEHAYes 
Healthnet PPOYes 
HMO
(non SCCIPA)
No 
Humana PPO Yes
Medi-CALNoNo
MedicareYes 
SCCIPA
PPO/HMO
Yes
Dr M should be PCP
 
Travel Ins.No Yes
TricareYes 
United Healthcare PPOYes 

If your insurance is not listed above and if it is a PPO insurance we may still accept it as an out of network. Please contact our office to find out.

Secondary Insurance:

If you have multiple insurances, it is your responsibility to coordinate benefits and inform us of updated insurance information, including secondary.

We bill Secondary Insurance is limited circumstances. 


Covered California PPO Plans 

 
Many Covered California PPO Plans have cards that look just like regular PPO plans from respective insurances.  In some cases above logo is on the card. The plans may have names like Bronze, Silver, Gold.

We DO NOT ACCEPT any Covered California Plans

In many cases we can see Covered California Plan patients on the cash basis which is more economical sometimes.