Our Office

Billing & Insurance

We participate with most local and many national insurance plans. However, it is your responsibility to understand whether your insurance has limits on the doctors you can see, or the services you can receive.

If you provide complete and accurate information about your insurance, we will submit claims to your insurance carrier and receive payments for services. Depending on your insurance coverage, you may be responsible for co-payments, co-insurance, or other deductible amounts.

Please contact our billing office or call your insurance carrier should you have questions.

Billing Questions?

Please be aware that some services may not be covered by insurance. Please call us at 706-278-4640 with any questions.

Do you take my insurance?

Currently these are the insurance companies that we know are NOT in network with Associates in Obstetrics & Gynecology, PC. Seeing an out of network provider means you will end up paying more for your medical care. Please call your insurance to verify in network status.

  • Ambetter
  • BCBS Pathway or Pathway X
  • Cigna EPO, Behavioral Health, Connect, Health Springs
  • Humana (not Medicare replacement)
  • Employers Health Network
  • Kaiser Permanente
  • MultiPlan/PHCS
  • Oscar
  • TennCare (Tennessee Medicaid)
  • UMR
  • NO NETWORK PLANS – Christian Care Ministries, Cypress, Lucent Health, etc.
    • If you have a plan like this you will be self pay and you can file your claim with your insurance.

If your insurance is backed by AETNA, CIGNA, or FIRST HEALTH we will file it for you. One of these companies MUST be on your insurance card.

We do NOT accept Medicaid after services are rendered. You must have and present your Medicaid at the time of service.

 

I am pregnant. What are the costs for prenatal care?

Obstetric care is billed as a global service. Meaning that we do not bill your insurance for everything you have done. After your first initial visit to establish your pregnancy your global care begins. Most insurances only cover 1-2 routine ultrasounds per pregnancy. Typically this is the first ultrasound and the anatomy ultrasound done at 20 weeks gestation. Your global care covers:

Routine prenatal visits
Delivery
Post-partum care following delivery

Your global care is billed after you deliver. Should you need additional services during your pregnancy those will be billed immediately as they are not considered “routine care”. These services are, but not limited to, diagnostic ultrasounds, fetal non-stress testing, and problem visits.

After your care has been established with our office we will verify your insurance benefits. We recommend that you call your insurance and inform them of your pregnancy and answer any questions they have. Most insurance companies require notification by the patient of pregnancy.

If you have questions regarding your OB GLOBAL benefits please call the office and ask to speak with our OB Coordinator at 706-278-4640.

The global fee we bill to your insurance is only for our providers services. It does not include any hospital services, anesthesia or radiology. We deliver at Hamilton Medical Center. Please call them for information regarding their fees.

Self – Pay

Estimates are given when appointments are made and are also available upon request. Please call the office at 706-278-4640 for all pricing questions. Existing patients have access to a self-pay price list that is available on the patient portal.

 

Other Billing and Insurance Information

Assistant Surgeons

All major surgical cases require an assistant surgeon to be present during surgery. Should your case require an assistant surgeon we will bill your insurance for that provider.

Medicare

We are in-network with Medicare. Medicare has strict guidelines as to what is covered and when.

Medicare covers Screening Pap/Pelvic & Breast exams every two years. The two years has to be to the date otherwise Medicare will not pay. If you are considered high risk you may have annual pap & pelvic exams. Talk with your doctor to know if you think you are high risk.

Screening Mammograms

Your physician will recommend when it is time for you to schedule your screening mammogram. We do not provide mammography services at our location and we do not manage any billing associated with mammograms.