Insurance & Billing

Accepted Insurance Plans

Hilton Head Regional Physician Network accepts most major health plans as well as Medicare and Medicaid. Please check with your health insurance carrier to verify specific coverage. Plans accepted include:

Humana – Beginning June 1, 2017, all Humana Commercial, Exchange and Medicare health plan members have in-network access to our employed physicians, hospital-affiliated outpatient centers, and hospitals.

  • Absolute Total Care
  • Aetna
  • America’s Choice Provider Network
  • BC/BS
  • Beechstreet
  • Cigna
  • Evolutions
  • Galaxy Health Plan
  • HealthGram
  • HealthScope
  • HealthSmart
  • HealthSpring
  • Humana
  • MedCost
  • Molina
  • Molina Medicaid
  • MultiPlan
  • Prime Health
  • Select Health
  • Stratose
  • Three Rivers Provider Network
  • Tricare (Prime & Standard)
  • UHC
  • USAMCO

Billing Information

Unless you are a member of one of our contracted insurance plans, or Medicare, full payment is due at the time of service. We accept cash, checks, Visa, MasterCard, Discover and American Express.

If you have any questions regarding billing, please call toll free #1-844-664-6941

Monday – Friday between 8:30am and 5:00pm EST

POS/PPO Plans

If the physician is contracted with your plan, the majority of members covered under this type of plan are still required to make some type of payment for service that is rendered to them. This may be in the form of co-payment, deductible, or co-insurance. If your plan has a co-payment, you will be expected to pay your co-payment prior to being seen by the doctor. Co-payments, deductibles and co-insurance are requirements of your insurance plan and we are required under our contract with these plans to collect these amounts from you.

HMO Plans

Most of the members covered under HMO plans owe co-payments. Co-payments will be collected prior to being seen by the doctor. We are required under our contract with these plans to collect these amounts from you.

Balances on Account

All previous balances are to be paid in full within 60 days from first statement sent. Budget plans are available for large balances, approved by practice management.

Collections

Should it become necessary for us to utilize the services of an outside collection agency in order to collect the amounts that are owed, you will be liable for agency/attorney fees.

Assignment of Benefits and Medical Record Release

I hereby authorize my insurance benefits to be paid directly to the above-signed physician realizing I am responsible to pay non-covered services and I hereby authorize the release of pertinent medical information to insurance carriers. Furthermore, I understand and acknowledge that I am ultimately responsible for the financial liability of the services provided.

Important Notice:  Out of Network with Cigna®

We are now out of network with Cigna®.

After several months of negotiations with Cigna®, we were unable to complete a contract.

As of January 1st, all of our doctors, hospitals, ambulatory surgery centers, urgent care centers, imaging centers, laboratories and home health centers nationwide, are out of network for all patients with Cigna commercial insurance.

What this means for patients with Cigna® insurance:

Now that we are out of network with Cigna®, we are focused on helping our patients through this transition. It is important to know the following:

  • Emergency Care: Emergency care access is not Patients with Cigna® insurance can continue to receive emergency care at our Emergency Rooms, regardless of our network status with Cigna®.
  • Continuity of Care: Certain patients may be eligible to receive “Continuity of Care” benefits with Humana for a period of time if they need ongoing treatment or already have a procedure scheduled. For questions about ongoing care or benefits coverage, please encourage patients to call the phone number listed on the back of their Humana insurance card
  • Out-Of-Network Care: Patients with Cigna® insurance may still access our health care providers and hospitals for health care services using their out-of-network benefits.

Please encourage patients to visit www.ProtectMyAccess.com or call (800) 290-0836 for more information.

We remain open to discussions with Humana should they decide to fully commit to completing a contract.

Thank you for your continued support and patience as we work through this transition.

Accepted Insurance Plans

Need to know if your insurance plan covers our physicians? Below is a list of our currently accepted insurance plans. Please note that the accepted plans may vary from month to month, and from physician to physician. Use this list only as a general guideline. It is always best to confirm your plan is accepted when making your appointment.