{"id":212,"date":"2018-09-10T20:49:38","date_gmt":"2018-09-10T20:49:38","guid":{"rendered":"https:\/\/caminoent.com\/patient-resources\/insurance\/"},"modified":"2024-04-19T15:25:43","modified_gmt":"2024-04-19T22:25:43","slug":"insurance","status":"publish","type":"page","link":"https:\/\/caminoent.com\/patient-resources\/insurance\/","title":{"rendered":"Insurance"},"content":{"rendered":"

Camino Ear, Nose & Throat Clinic endeavors to have all of its providers in-network with all locally available insurance plans; although this isn\u2019t 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 \u2013 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.<\/p>\n

If you have additional billing questions, please contact BASS Medical Group at (925) 627-3424<\/a>.<\/p>\n

Medi-Cal\/CCS:<\/h2>\n

Dr. Murray accepts CCS patients for the Children\u2019s Hospital of Oakland Cochlear Implant Program. These patients can be seen at both the CHO clinic and here in our San Jose office. We are not able to see other Medi-Cal and or QBM (Qualified Medicare Beneficiaries) patients at any of our locations as we are not in-network. We are also unable to accept Medi-Cal or QBM as a secondary payer on other plans. Therefore, if you have either Medi-Cal or QBM, we are unable to see you as a patient.<\/span><\/p>\n

Union Sponsored Health Care Plans:<\/h2>\n

Most union sponsored healthcare plans participate through regular PPO networks, so we are able to see most patients. However, we recommend checking with your union plan before scheduling an appointment.<\/p>\n

All commercial PPO plans including:<\/h2>\n

Blue Cross:<\/strong> We accept all major Blue Cross PPO Plans with the exception of Pathway PPO\/EPO and Blue Cross Select Plans. Please note: Pathway plans do not cover California patients.<\/u><\/b> This also includes plans in remote areas and patients who may not have had insurance prior to the mandate. If you\u2019re uncertain about your plan, please call your insurance directly for assistance.<\/p>\n

Blue Shield:<\/strong> We accept all major Blue Shield PPO plans.<\/p>\n

AETNA:<\/strong> We accept all Aetna PPO plans with the exception of Student Health Service and Stanford Health Alliance (SHCA). If your Aetna plan is a managed choice or select plan you will need an electronic referral from your PCP (primary care physician) prior to being seen at our clinic.<\/p>\n

CIGNA:<\/strong> 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:<\/p>\n

http:\/\/www.cigna.com\/pdf\/2015-cigna-care-designation-methodology.pdf<\/a><\/p>\n

UnitedHealthcare:<\/strong> We accept all UnitedHealthcare PPO plans including UHC CORE.<\/p>\n

HealthNet:<\/strong> We accept all HealthNet PPO and POS plans for all tiers. For Tier 1 plans, the administrator must be SCCIPA and or Caremore.<\/p>\n

Stanford Health Care Alliance:<\/strong> We accept all Stanford Health Care Alliance PPO plans.<\/p>\n

HMO Insurance Plans:<\/h2>\n

SCCIPA\/Caremore:<\/strong> All providers are in-network with SCCIPA and Caremore HMO plans.<\/p>\n

Tricare\/Triwest:<\/strong> All providers are in-network with Tricare and TriWest with the exception of Dr. Mark Kita. He is currently not in-network with TriWest.<\/p>\n","protected":false},"excerpt":{"rendered":"

Camino Ear, Nose & Throat Clinic endeavors to have all of its providers in-network with all locally available insurance plans; although this isn\u2019t 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…<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":50,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_seopress_robots_primary_cat":"","_seopress_titles_title":"","_seopress_titles_desc":"","_seopress_robots_index":"","schema":"","fname":"","lname":"","position":"","credentials":"","placeID":"","no_match":false,"name":"","company":"","review":"","address":"","city":"","state":"","zip":"","lat":"","lng":"","phone1":"","phone2":"","fax":"","mon1":"","mon2":"","tue1":"","tue2":"","wed1":"","wed2":"","thu1":"","thu2":"","fri1":"","fri2":"","sat1":"","sat2":"","sun1":"","sun2":"","hours-note":"","locid":"","rating":"","footnotes":""},"service_tags":[],"_links":{"self":[{"href":"https:\/\/caminoent.com\/wp-json\/wp\/v2\/pages\/212"}],"collection":[{"href":"https:\/\/caminoent.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/caminoent.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/caminoent.com\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/caminoent.com\/wp-json\/wp\/v2\/comments?post=212"}],"version-history":[{"count":2,"href":"https:\/\/caminoent.com\/wp-json\/wp\/v2\/pages\/212\/revisions"}],"predecessor-version":[{"id":1248,"href":"https:\/\/caminoent.com\/wp-json\/wp\/v2\/pages\/212\/revisions\/1248"}],"up":[{"embeddable":true,"href":"https:\/\/caminoent.com\/wp-json\/wp\/v2\/pages\/50"}],"wp:attachment":[{"href":"https:\/\/caminoent.com\/wp-json\/wp\/v2\/media?parent=212"}],"wp:term":[{"taxonomy":"service_tags","embeddable":true,"href":"https:\/\/caminoent.com\/wp-json\/wp\/v2\/service_tags?post=212"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}