Medicaid of New Mexico (age restrictions may apply)
Tricare
United Health Care/Pacificare/AARP
Pacificare Commercial HMO
AARP Medicare Complete
GEHA/United HealthCare
Blue Cross Blue Shield
Aetna
Aetna Medicare Fee-for-Service
Cigna
Cigna Medicare Fee-for-Service
Humana
Presbyterian
Western Sky
If you do not see your insurance listed above Contact Us with any questions regarding coverage.
We accept any PFFS (private fee-for-service) plan and any secondary or supplemental insurance. Reminder: If the patient is seen in the clinic or assisted living facility, please be sure that one of our providers is listed as the primary care physician (PCP) if the insurance requires that a PCP is selected.
Check Your Benefits! If you have insurance through your employer or Medicare, you probably are in a managed care plan.
Do You Need Help? We will be happy to verify your eligibility or answer any insurance/billing questions you may have. Contact Us to speak to one of our representatives about your bill.
It’s the Rules That Count. To avoid misunderstandings about your coverage, you need to read the rules of your insurance plan. For most plans, the important rules fall into the following:
Managed care plans sign contracts with certain doctors to care for their plan members. Your plan may refer to them as providers.
This group of providers is often called the plan’s network.
If you are covered by an HMO you are most likely REQUIRED to select a primary care provider. Make sure that you have selected a Southwest Center on Aging provider to ensure in-network benefits.
Your insurance company may not pay for you to go to a provider who is not in its network.
If it does pay for you to use a provider outside your network, it may pay less than it would for a network provider.
You are responsible for the part of the bill that the plan doesn’t pay.
BILLING QUESTIONS
We have helpful, friendly representatives available to talk with you, address any questions or concerns you may have, and resolve your billing issues with a smile. We take credit cards and make payment arrangements; we are eager to work with you to create a realistic financial plan.
QUESTIONS ABOUT A BILL OR STATEMENT
As a courtesy, we file your primary and secondary insurance claims so you don't have to. We work the claims to resolution with the insurance company and then send you a bill, if you have a remaining balance. Depending on the timing of your visits along with your annual deductibles and whether you also see other doctors, you may never hear from us! If you do have a balance on your account, you will receive a statement about every 35 days.
MEDICARE PATIENTS
Please be aware that you have an annual deductible to satisfy. Based on your contract with your insurer, we may need to bill you for your annual coinsurance and deductible (or a part of it). We know this can be confusing and we will be happy to go over your individual situation to help you understand it.