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Insurance and Forms

Health insurance card with blue and white design, showing medical record numbers, date of birth, and cardholder name.

Insurance

We accept most major insurance plans:

  • Aetna HMO

    Aetna Health Network Only HMO

    Aetna Health Network Option

    Aetna Select EPO

    Aetna Select Open Access

    Choice POS II

    Elect Choice Open Access

    Health Benefit Plan

    Managed Choice Open Access

    Managed Choice POS

    Open Choice PPO

    Quality Point-of-Service (QPOS)

    Aetna Medicare Assure Plus (HMO D-SNP)

    Aetna Medicare Choice (HMO)

    Aetna Medicare Dual Select (HMO D-SNP)

    Aetna Medicare Eagle (PPO)

    Aetna Medicare Explorer Premier (PPO)

    Aetna Medicare Premier (PPO)

    Aetna Medicare Premier Plus (PPO)

    Aetna Medicare Select (HMO)

    MA PPO

    Medicare ESA PPO

    Medicare HMO

    Medicare PPO

    Aetna Senior Supplemental (Accendo, Continental Life)

    Boon-Chapman (TPA) + Aetna

    Luminaire Health (TPA) + Aetna

    Meritain Health (TPA) + Aetna

    WebTPA (TPA) + Aetna

  • BlueOptions (aka Network Blue)

    BlueChoice (aka Preferred Patient Care)

    BlueSelect

    Traditional PPO

    Federal Employee Program (FEP)

    State Employee PPO

    BlueMedicare Group (PPO)

    BlueMedicare Patriot (PPO)

    BlueMedicare Regional PPO

    BlueMedicare Select (PPO)

    BlueMedicare Value (PPO)

    BlueMedicare Medicare Supplement (all plans)

    PPO (outside FL cards)

    HPN (outside FL cards)

    MA PPO (outside FL cards)

  • Choice Fund EPO

    Choice Fund OA Plus

    Choice Fund LocalPlus

    Choice Fund LocalPlus IN

    Cigna PPO

    Cigna SureFit (Advent Health Physician Network)

    Cigna+Oscar LocalPlus

    Cigna+Oscar Open Access Plus

    HMO

    Indemnity

    Local Plus

    Local Plus IN

    Open Access Plus

    OA Plus In-Network

    PPO Plus

    Cigna Courage Medicare (HMO)

    Cigna Preferred Medicare (HMO)

    Cigna Preferred Savings Medicare (HMO)

    Cigna TotalCare (HMO D-SNP)

    Cigna TotalCare Plus (HMO D-SNP)

    Cigna True Choice Medicare (PPO)

    Cigna True Choice Access Medicare (PPO)

    Cigna Medicare Supplement Insurance

    Allegiance (TPA) + Cigna

    Allied (TPA) + Cigna

    Flexible Choice (TPA) + Cigna

    Healthgram (TPA) + Cigna

    Independent Administrators of American (IAA) (TPA) + Cigna

    Loomis (TPA) + Cigna

    NALC Health Benefit Plan (TPA) + Cigna

    SAMBA (TPA) + Cigna

    SisCo (TPA) + Cigna

    Priority Health (TPA) + Cigna

  • Bronze

    Silver

    Gold

    Health First Classic (HMO-POS)

    Health First Complete Care (HMO)

    Health First Easy Access (HMO-POS)

    Health First Emerald Plus (HMO)

    Health First Rewards (HMO)

    Health First Secure (HMO)

    Health First SunSaver (HMO)

    Health First Value (HMO)

  • HumanaChoice Florida (PPO)

    HumanaChoice Florida Giveback (PPO)

    HumanaChoice (Regional PPO)

    HumanaChoice Florida SNP-DE (PPO D-SNP)

    Humana Full Access Giveback (PPO)

    Humana Medicare (Employer PPO)

    Humana USAA Honor Giveback (PPO)

  • Medicare

    Medicare (Railroad Retirement Board)

  • AIAN Cost Share

    Bronze

    Buena Salud

    Gold

    Secure

    Silver

  • Charter

    Choice, Choice Plus

    Core

    Doctors Plan, Doctors Plan Plus

    Navigate

    NexusACO® OA and OAP plans

    NexusACO® R and NR plans

    Neighborhood Health Partnership (NHP)

    PPO or Options PPO

    Select, Select Plus

    UHN OneNet Auto Liability, Workers Comp

    All Savers Health Plan

    United Healthcare | Golden Rule

    United Healthcare | Medica

    United Healthcare | Oxford Health Plan

    United Healthcare | Student Resources

    United Healthcare | Surest

    Veteran Affairs Community Care Network (CCN)

    United Healthcare | WellMed

    AARP Medicare Advantage

    Complete Care (HMO-POS C-SNP)

    Erickson Advantage

    Group Medicare Advantage (HMO)

    Group Medicare Advantage (PPO)

    Nursing Home Plan (HMO-POS I-SNP)

    Nursing Home Plan (PPO I-SNP)

    The Villages Medicare Advantage (HMO-POS)

    AARP Medicare Supplement

    GEHA (TPA) + United

    Harvard Pilgrim Health Care / HPHC Insurance Co. (TPA) + United

    UMR (TPA) + United (certain plans)

    USHealth Group (TPA) + United

  • Allstate Health Solutions - Medicare Supplement

    AMA Insurance

    American Retirement - Medicare Supplement

    Americo

    Bankers Life

    Central States Health & Life Co. of Omaha

    Combined Insurance - Medicare Supplement

    Gerber Life Insurance Company

    GPM Life

    Philadelphia American Life Insurance Company

    Principal Life Insurance Company

    Prosperity Life Group

    Retiree Medical Insurance (Mercer Health)

    State Farm Health Insurance

    Transamerica Life Insurance Company

    Tufts Medicare Preferred Supplement Plan

    United American Insurance Company

    United World Life / Mutual of Omaha

    USAA Life Insurance Company

    Woodmen Life - Medicare Supplement

  • Aither Health (TPA) + Prime Health Services

    CHAMPVA

    ClearShare (TPA) + PHCS

    Curative (TPA) + First Health

    Detego Health (TPA) + PHCS

    EBMS (TPA) + PHCS

    Edison Health Solutions (TPA) + First Health

    Emblem Health (SECONDARY ONLY)

    Health Plans, Inc. + Cigna

    HealthComp (SECONDARY ONLY)

    HealthSCOPE Benefits Quantum (TPA) + PHCS

    IHP (TPA) + PHCS

    Liberty HealthShare (TPA) + PHCS

    Lucent Health (TPA) + Advent

    Lucent Health (TPA) + PHCS

    Medi-Share (TPA) + First Health

    Medi-Share (TPA) + PHCS

    Narus Health (TPA) + Cigna

    SisCo (TPA) + PHCS

    Teamsters Local Nos. 175 & 505 (SECONDARY ONLY)

    UPMC for Life (Medicare and SNP)

    Vitori Health

    Westbrook Service Corporation Health Benefit Plan (TPA) + PHCS

  • Advent Health

    Aetna Signature Administrators

    First Health

    Partners Direct

    PHCS

    PHCS Network for VDHP

    PHCS Preventative Services Only

    PHCS Preventative Services Only - Out-of-Area

    Prime Health Services

    ValuePoint

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Forms

New Patient Forms
Authorization for Release

Please email completed forms to: ADfrontoffice@altamontedermatology.com