Participating Insurance Plans
The following is a list of insurance plans in which we are in-network providers:
- AETNA HMO/POS, PPO (Premier Care Network not accepted)
- AMBETTER (Established patients only – Solutions Plan not accepted)
- BCBS HMO/POS, PPO
- CIGNA HMO/POS, PPO
- CIGNA LOCAL PLUS
- CIGNA CONNECT
- FIRST HEALTH
- LIFEWELL PPO
- MEDICARE PPO only (Established patients only. We are not currently accepting new Medicare patients.)
- MULTIPLAN (directly through PIM)
- NOVANET PPO
- OPTUM
- PHCS/MULITPLAN PPO
- PIEDMONT MYHEALTH 360 PLAN QUALCARE, INC (Cigna company)
- UNITED HEALTH CARE HMO, PPO, POS (Harken – UHC Choice Plus Network, Core and Core Essential not accepted.)
Please call your insurance for verification of benefits.
Piedmont Internal Medicine does not participate in the following plans.
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- Medicaid
- Exchange Plan Products (other than Ambetter for Established Patients Only)
- Health/Medical Share Plans (patient may be seen as self-pay)
- Medicare Advantage Plans
- Motor Vehicle Auto Insurance Claims Processing (patient may be seen as self-pay)
- Worker’s Compensation (please refer to your employer or assigned case worker)
Piedmont Internal Medicine is not “in-network” with any Kaiser Permanente or Medicare Advantage plans.
If your insurance plan has “out of network” benefits, we will be happy to file a claim as a courtesy to you. However, you are responsible for any non-covered items and/or higher deductible amounts, co-insurance amounts, or any other amount owed as determined by your insurance plan. Should advanced diagnostics be required, this can present a challenge.
