Bring your essentials
Have your current insurance cards and photo ID with you at every visit, even if you have checked in online.
ENGLEWOODPATIENT INFORMATION
Forms, insurance information, and a few things to remember for every appointment.
Find Family Practice & Podiatry new patient forms ↗THINGS TO REMEMBER
Have your current insurance cards and photo ID with you at every visit, even if you have checked in online.
List your medications, strengths, frequency, and allergies. Include over-the-counter medicines, vitamins, and inhalers. The health-history questionnaire is optional and confidential.
Check your provider’s network status, deductible, copays, coinsurance, and any referral or authorization requirements.
INSURANCE
Participation varies by plan and provider. Confirm your specific coverage with your insurer before your visit.
Aetna
Blue Cross Blue Shield
Cigna
First Health
UnitedHealthcare
Railroad Medicare
Traditional Medicare
Tricare
Aetna
HealthSpring (formerly Cigna)
UnitedHealthcare, including Dual Complete
WellMed
Please call the office about specific network participation. Coverage is specific to your policy and is not guaranteed by an insurer name alone.
PRACTICE INFORMATION
Deductibles and copays are due at the time of service, as set out in the registration packet. The practice accepts most major credit cards and checks. Self-pay patients and auto accident related claims are not accepted.
Please provide at least 24 hours’ notice to cancel or reschedule. A $25 fee applies to missed appointments or cancellations within 24 hours and is charged to the patient, not the insurer.
Use the authorization in the packet and ask your previous provider to fax records to (941) 473-3583. The practice cannot accept medical records on disk.
The practice files Medicare claims and can file with your secondary insurer unless you ask otherwise. Your deductible and applicable coinsurance remain your responsibility.
Arrange any required referral or prior authorization before your appointment. You may be responsible for charges when requirements are not met, your plan is out of network, or a service is not covered.
LET’S GET YOU SCHEDULED