Insurance Types That We Accept

Home/Our Services/Insurance Types That We Accept
Insurance Types That We Accept 2016-04-16T03:42:26+00:00

Updated April 15, 2016

 

Notice regarding patient responsibility: 

Though we make every effort to assist our families with any and all insurance questions, issues, and concerns, it is your responsibility to understand how to use your policy.  This responsibility includes verification of in-network status before services are rendered. The patient (or patient’s family, in the case of pediatrics) is responsible for payment when services are not reimbursed through your health insurance policy.

 

We bill insurance under the name of Praful Sarode. To check if your policy covers services at Growing Healthy Together, search for Dr. Praful Sarode, Pediatrics, Long Beach, California. 

 

Here is a list of most common in-network plans accepted at Growing Healthy Together. For a comprehensive search, or to look up your specific plan, please visit your insurance company’s website.

AETNA

  • 2015 and 2016 Aetna DC Bronze, Silver and Gold Open Access Managed Choice (OAMC)
  • 2015 Aetna MD Bronze, Silver and Gold OAMC
  • 2016 Aetna MD Bronze and Gold Open Access Health Network Only
  • 2016 Aetna MD Bronze and Gold PPO
  • Aetna Choice® POS II (Aetna HealthFund®)
  • Aetna Choice® POS II (Open Access)
  • Aetna Choice® POS II on the Altius Network
  • Aetna Open Access® Elect Choice® EPO (Aetna HealthFund®)
  • Aetna Open Access® Managed Choice® POS (Aetna HealthFund®)
  • Aetna Premier Care Network
  • Aetna Select(SM) (Open Access) on the Altius Network
  • Aetna Select℠
  • Aetna Value Performance Network℠(2015)
  • Aetna Voluntary Plans
  • Elect Choice® EPO
  • Elect Choice® EPO (Open Access)
  • Elect Choice® EPO (Open Access) on the Altius Network
  • Managed Choice® (Open Access)
  • Managed Choice® (Open Access) on the Altius Network
  • Managed Choice® POS
  • NAP (National Advantage Plan)
  • Open Choice® PPO
  • Open Choice® PPO (Aetna HealthFund®)
  • Open Choice® PPO on the Altius Network

ANTHEM/BLUE CROSS

  • Advantage PPO – CA
  • Blue Cross PPO (Prudent Buyer) – Individual, Large and Small Group, CA
  • Bronze EPO (Prudent Buyer) – Small Group, CA
  • Bronze PPO (Prudent Buyer) – Small Group, CA
  • Dignity Health EPO/PPO CA
  • EPO – CA
  • Gold EPO (Prudent Buyer) – Small Group, CA
  • Gold PPO (Prudent Buyer) – Small Group, CA
  • Lumenos Plans
  • Memorial Care Custom PPO
  • National PPO (BlueCard PPO)
  • Platinum PPO (Prudent Buyer) –Small Group CA
  • Silver PPO (Prudent Buyer) –Small Group CA
  • Traditional
  • UCSHIP

We are OUT-OF-NETWORK for Anthem Pathway, Tiered, and Select plans purchased through Covered California. Consult your policy to see if you have out-of-network benefits, as well as the associated costs. You are responsible for payment of services not reimbursed by your insurance policy.

BLUE SHIELD

  • Active Choice
  • Added Advantage PPO
  • Base PPO
  • Basic Full PPO for HSA for Core Accounts 5500
  • Basic Full PPO for HSA for Small Business 3500
  • Basic Full PPO for HSA for Small Business 5500
  • Basic Full PPO for Small Business 4500
  • Basic PPO (Bronze level)
  • Blue Shield of California PPO Network
  • Enhanced Full PPO for Core Accounts 1250
  • Enhanced Full PPO for HSA for Small Business 2000
  • Enhanced Full PPO for Small Business 1250
  • Enhanced Full PPO for Small Business 1700 (previous 2000)
  • Enhanced PPO
  • Enhanced PPO (Silver level)
  • Gold 80 PPO
  • Platinum 90 PPO
  • Preferred Full PPO for Core Accounts 0
  • Preferred Full PPO for Core Accounts 750
  • Preferred Full PPO for Small Business 0
  • Preferred Full PPO for Small Business 750
  • Preferred PPO (Gold level)
  • Premier PPO
  • Silver 1850 PPO
  • Silver 70 PPO
  • Silver 70 PPO AI-AN
  • Silver 73 PPO
  • Silver 87 PPO
  • Silver 94 PPO
  • Silver Full PPO 1250
  • Silver Full PPO 1700
  • Silver Full PPO HSA 2000
  • Silver Seven 3750 PPO
  • Ultimate Full PPO for Core Accounts 150
  • Ultimate Full PPO for Small Business
  • Ultimate PPO (Platinum level)

CIGNA

  • PPO
  • Local Plus
  • OAP
  • OAPC
  • HMO (Please consult the office staff for more information.)

FIRST HEALTH NETWORK

  • In-network

TRICARE/CHAMPVA

  • Network provider

UNITED HEALTHCARE/UMC

  • Though we accept United Healthcare and UMC insurance, we are OUT-OF-NETWORK. 

Review your policy to see if you have out-of-network benefits, as well as the associated costs. You are responsible for payment of services not reimbursed by your insurance policy.

MEDI-CAL

Please consult the office staff for more information.

HMO policy holders

Please consult the office staff for more information.

 

*naturopathic doctor services are not covered by insurance