Insurance Information

Camino Ear, Nose & Throat Clinic endeavors to have all of its providers in-network with all locally available insurance plans; although this isn’t always possible. Additionally, we strive to meet the most stringent quality and efficiency standards established by CMS and most insurance carriers and are proud to say that we have received special designation status from all major carriers for the quality of our care. The list of insurance carriers we accept below is not exhaustive – there are many other PPOs that we accept. Please check with your insurance company to see if we are in-network and only call us if your insurance company informs you that we are not a network provider. Letting us know allows us to reach out to your carrier and pursue in-network status if possible.

Medicare:

We accept Medicare Part B patients.

Medi-Cal/CCS:

Dr. Murray accepts CCS patients for the Children’s Hospital of Oakland Cochlear Implant Program. Those patients can be seen at both the CHO clinic and here in our San Jose and Morgan Hill clinics. We are not able to see other Medi-Cal patients at any of our locations as we are not in-network for Medi-Cal. Nor are we able to accept Medi-Cal as a secondary payer on other plans.

Union Sponsored Health Care Plans:

Most union sponsored health care plans participate through regular PPO networks and we, therefore, should be able to see most patients. However, it is always wise to check with your union plan before scheduling an appointment.

All commercial PPO plans including:

Blue Cross: We accept all major Blue Cross PPO Plans with the exception of Pathway PPO and EPO through Covered California (Obamacare Blue Cross Plan) and Blue Cross Select Plans.

Blue Shield: We accept all major Blue Shield PPO plans.

AETNA: We accept all Aetna PPO plans except for the Aetna college health insurance plan, in which we are currently trying to enroll. We are a designated Aetna Aexcel provider. For more information on the Aexcel (Blue Star) designation and what it means for you as a patient please see:
AETNA Member Brochure

CIGNA: We accept all Cigna PPO plans. Our physicians are designated CignaCare providers. For more information on the CignaCare designation and what it means for you as a patient please see:
http://www.cigna.com/pdf/2015-cigna-care-designation-methodology.pdf

UnitedHealthCare: We accept all United HealthCare PPO plans. Our physicians are designated United Premium Tier 1 providers. For more information on the United Premium designation and what it means for you as a patient please see:
United Premium Overview

HealthNet: We accept all HealthNet PPO and POS plans for all tiers. For Tier 1 plans the administrator must be SCCIPA.

HMO Insurance Plans:

SCCIPA: Dr. Murray, Dr. Samji and Dr. Tucker are all in-network with Santa Clara County IPA. Dr. Carter has applied to be in-network.

Tricare/Triwest: Dr. Murray, Dr. Samji and Dr. Tucker are all in-network with Tricare/Triwest. Dr. Carter has applied to be in-network.