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Insurance Plans

  1. Orthopaedic Institute of Henderson>
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Most Major Insurances Accepted

List Of Accepted Insurances

  • Aetna

  • Insurance Plan In/Out Network Authorization Required? Primary Care Provider Referral Needed?
    Choice POS II
    In
    No
    No
    CVS Health Thru Accendo Ins. Co.
    In
    No
    No
    All Medicare Products
    In
    No
    No
    All Commercial Products
    In
    No
    No

  • Alignment Health

  • Insurance Plan In/Out Network Authorization Required? Primary Care Provider Referral Needed?
    "Straight Alignment" - Alignment Direct
    In
    No
    No
    Caremore
    In
    Yes
    No
    P3 Health Partners
    In
    Yes
    No

  • Anthem BCBS

  • Insurance Plan In/Out Network Authorization Required? Primary Care Provider Referral Needed?
    Advantage PPO
    In
    No
    No
    Blue HPN High Performance Network
    In
    No
    No
    Blue HPN Open Access HMO
    In
    Yes
    No
    Empire
    In
    No
    No
    EPO
    In
    No
    Yes
    HMO
    In
    Yes
    Yes
    Indemnity
    In
    No
    No
    MediBlue Plus
    Out
    No
    No
    Medicare Preferred PPO
    In
    No
    No
    Medicare Advantage PPO
    In
    No
    No
    Medicare HMO
    In
    Yes
    Yes
    Pathway PPO
    In
    No
    No

  • Caremore

  • Insurance Plan In/Out Network Authorization Required? Primary Care Provider Referral Needed?
    Medicare HMO
    Out
    No
    No
    Medicare Senior Care Plus Comprehensive Plan
    Out
    No
    No

  • CCSF

  • Insurance Plan In/Out Network Authorization Required? Primary Care Provider Referral Needed?
    PHC (PPO)
    Out
    No
    No
    PPO
    In
    No
    No

  • Cigna

  • Insurance Plan In/Out Network Authorization Required? Primary Care Provider Referral Needed?
    EPO
    Out
    No
    No
    Open Access Plus HMO
    In
    Yes
    No
    Allegiance Ppo Plans
    In
    No
    No

  • EBMS

  • Insurance Plan In/Out Network Authorization Required? Primary Care Provider Referral Needed?
    Through Aetna
    In
    No
    No

  • First Health Group

  • Insurance Plan In/Out Network Authorization Required? Primary Care Provider Referral Needed?
    First Health Network (1st Health)
    In
    Plan Specific
    Plan Specific

  • GHI *ONLY DR. TAIT*

  • Insurance Plan In/Out Network Authorization Required? Primary Care Provider Referral Needed?
    Emblem Health
    In
    No
    No

  • Healthcare Partners

  • Insurance Plan In/Out Network Authorization Required? Primary Care Provider Referral Needed?
    HMO
    In
    Yes
    Yes

  • Humana

  • Insurance Plan In/Out Network Authorization Required? Primary Care Provider Referral Needed?
    Gold Plus/Value/HMO-SNP-HMO Direct
    In
    Yes
    Yes
    HMO
    In
    Yes
    Yes
    Intermountain Healthcare Gold Plus Medicare HMO
    In
    No
    Yes
    Medicare PPO
    In
    No
    No
    PPO
    In
    No
    No
    Prime West Management
    In
    No
    No

  • Medicaid

  • Insurance Plan In/Out Network Authorization Required? Primary Care Provider Referral Needed?
    Medicaid NV
    In
    No
    No

  • P3 Health Partners

  • Insurance Plan In/Out Network Authorization Required? Primary Care Provider Referral Needed?
    Anthem MediBlue HMO/P3
    In
    No
    Yes
    Humana
    In
    No
    Yes

  • Prominence Health Plan

  • Insurance Plan In/Out Network Authorization Required? Primary Care Provider Referral Needed?
    Hmo
    In
    Yes
    No

  • Scan Health

  • Insurance Plan In/Out Network Authorization Required? Primary Care Provider Referral Needed?
    Hmo
    In
    No
    No

  • Select Health

  • Insurance Plan In/Out Network Authorization Required? Primary Care Provider Referral Needed?
    Multiplan PPO
    In
    No
    No
    Beech Street
    In
    No
    No
    Intermountain
    In
    Yes
    Yes

  • SHL/HPN

  • Insurance Plan In/Out Network Authorization Required? Primary Care Provider Referral Needed?
    Silver Plan Sierra Health & Life PPO
    In
    No
    No
    POS
    In
    No
    No
    PPO
    In
    No
    No
    EPO
    In
    No
    No

  • Tricare

  • Insurance Plan In/Out Network Authorization Required? Primary Care Provider Referral Needed?
    Prime
    In
    No
    No
    Health Net Federal
    In
    Yes
    Yes
    Select
    In
    No
    No

  • UMR

  • Insurance Plan In/Out Network Authorization Required? Primary Care Provider Referral Needed?
    MGM Resorts
    In
    No
    No
    Teachers Health Tier I - ONLY
    In
    No
    No

  • UnitedHealthcare

  • Insurance Plan In/Out Network Authorization Required? Primary Care Provider Referral Needed?
    AARP Medicare Adv. Walgreens 1 HMO PAR
    In (Only Intermountain not Optum)
    Yes
    Yes
    Compass Plan
    Out
    No
    No
    Dual Plan
    In
    No
    No
    HMO
    In
    Yes
    No
    Intermountain Healthcare AARP Medicare Advantage HMO
    In
    Yes
    Yes
    LPPO-UnitedHealthcare Group Medicare Adv. PPO
    In
    No
    No
    Medicare PPO
    In
    No
    No
    NY Empire Plan
    In
    No
    No
    Open Choice
    In
    No
    No
    Open Choice Plus
    In
    No
    No
    OptumCare (we take ALL plans if sent through optum portal)
    In
    Yes
    Yes
    USHealth Group/Freedom Life Ins. Co.
    In
    No
    No

  • VA

  • Insurance Plan In/Out Network Authorization Required? Primary Care Provider Referral Needed?
    VA
    In
    Yes
    Yes

  • Washington Dept of Labor

  • Insurance Plan In/Out Network Authorization Required? Primary Care Provider Referral Needed?
    Provider# 106155 Hoer/Grondel Only
    In
    No
    No

  • Wellcare by Allwell

  • Insurance Plan In/Out Network Authorization Required? Primary Care Provider Referral Needed?
    No Premium HMO
    In
    No
    Yes
Insurance Plan In/Out Network Authorization Required? Primary Care Provider Referral Needed?
Choice POS II
In
No
No
CVS Health Thru Accendo Ins. Co.
In
No
No
All Medicare Products
In
No
No
All Commercial Products
In
No
No
Insurance Plan In/Out Network Authorization Required? Primary Care Provider Referral Needed?
"Straight Alignment" - Alignment Direct
In
No
No
Caremore
In
Yes
No
P3 Health Partners
In
Yes
No
Insurance Plan In/Out Network Authorization Required? Primary Care Provider Referral Needed?
Advantage PPO
In
No
No
Blue HPN High Performance Network
In
No
No
Blue HPN Open Access HMO
In
Yes
No
Empire
In
No
No
EPO
In
No
Yes
HMO
In
Yes
Yes
Indemnity
In
No
No
MediBlue Plus
Out
No
No
Medicare Preferred PPO
In
No
No
Medicare Advantage PPO
In
No
No
Medicare HMO
In
Yes
Yes
Pathway PPO
In
No
No
Insurance Plan In/Out Network Authorization Required? Primary Care Provider Referral Needed?
Medicare HMO
Out
No
No
Medicare Senior Care Plus Comprehensive Plan
Out
No
No
Insurance Plan In/Out Network Authorization Required? Primary Care Provider Referral Needed?
PHC (PPO)
Out
No
No
PPO
In
No
No
Insurance Plan In/Out Network Authorization Required? Primary Care Provider Referral Needed?
EPO
Out
No
No
Open Access Plus HMO
In
Yes
No
Allegiance Ppo Plans
In
No
No
Insurance Plan In/Out Network Authorization Required? Primary Care Provider Referral Needed?
Through Aetna
In
No
No
Insurance Plan In/Out Network Authorization Required? Primary Care Provider Referral Needed?
First Health Network (1st Health)
In
Plan Specific
Plan Specific
Insurance Plan In/Out Network Authorization Required? Primary Care Provider Referral Needed?
Emblem Health
In
No
No
Insurance Plan In/Out Network Authorization Required? Primary Care Provider Referral Needed?
HMO
In
Yes
Yes
Insurance Plan In/Out Network Authorization Required? Primary Care Provider Referral Needed?
Gold Plus/Value/HMO-SNP-HMO Direct
In
Yes
Yes
HMO
In
Yes
Yes
Intermountain Healthcare Gold Plus Medicare HMO
In
No
Yes
Medicare PPO
In
No
No
PPO
In
No
No
Prime West Management
In
No
No
Insurance Plan In/Out Network Authorization Required? Primary Care Provider Referral Needed?
Medicaid NV
In
No
No
Insurance Plan In/Out Network Authorization Required? Primary Care Provider Referral Needed?
Anthem MediBlue HMO/P3
In
No
Yes
Humana
In
No
Yes
Insurance Plan In/Out Network Authorization Required? Primary Care Provider Referral Needed?
Hmo
In
Yes
No
Insurance Plan In/Out Network Authorization Required? Primary Care Provider Referral Needed?
Hmo
In
No
No