We will verify your insurance benefits prior to your initial consultation. You will receive a Patient Information Packet following your initial consultation to learn about your potential financial responsibility and receive other important information.
*If your insurance provider is not listed below it is highly likely that we will be able to work with them. We are extremely successful in obtaining surgery coverage for the majority our patients with out-of-network policies, including some managed Medi-Cal* policies (California).
In-Network Insurance Providers (California):
- Cigna PPO
- Anthem Blue Cross PPO
- Blue Shield of California PPO
- Western Health Advantage
- Sutter Select
- San Francisco Health Plan
In-Network Insurance Providers (Texas):
- Cigna PPO
- Blue Cross Blue Shield PPO
- Commercial United Healthcare PPO
- State Medi-Cal/Straight Medi-Cal/Fee-for-Service Medi-Cal*
We will initiate the insurance process within 2-3 months of your established surgery date. If our insurance team is able to obtain coverage from your insurance company, you can expect to pay less than or up to your in-network out of pocket maximum for your surgery as a whole. You will be notified of the determination as soon as we receive it from your insurance company. It’s important that you keep us posted with any insurance changes, including but not limited to, new or different insurance policies, loss of insurance, and new insurance cards.
We recommend refraining from purchasing any non-refundable accommodations or travel arrangements for surgery until you have received confirmation from the insurance department that the insurance process is completed. If you must purchase accommodations or travel arrangements ahead of time, we strongly recommend that you explore refundable or exchangeable options to avoid the potential loss of any funds.
Please note that this is general information only. Information specific to your surgery and insurance provider will be communicated with your directly.