INSURANCES WE ACCEPT
If the insurance or HMO plan you are looking for is not listed, please call our office at 562 424 8422, as this may have changed.
Note: The insurances below are for our regular OB/GYN offices only.
All GYN emergencies at the GYN Emergent Care Center are usually covered by insurance. For visits to the GYN Emergent Care Center an ER copay applies. the ER copay is listed on the back of your insurance card.
- Beechstreet Network
- Blue Shield of California
- Covered California
- First Health
- Greater Newport Physicians
- Pacific HealthCare IPA
- United Healthcare PacifiCare
- Blue Cross
- Meritan ( Aetna Product)
- Coresource ( Aetna Product)
- First Choice
We are contracted with great Newport Physicians of Long Beach, Pacific Healthcare and with Primer Physician’s Alliance.
VERIFICATION OF YOUR BENEFITS
Our verification team does the best it can to verify benefits for all of our patients as a courtesy. Unfortunately, the information received is not always the most current or correct.
It is best that you are completely familiar with your benefits.
WE ACCEPT CARE CREDIT
CareCredit is a healthcare credit card designed for your health, and wellness needs. It’s a way to pay for the costs of many treatments and procedures and allows you to make convenient monthly payments. CareCredit is accepted at over 200,000 providers nationwide for LASIK and Vision Care, Cosmetic and Dermatology Procedures, Dentistry, Veterinary, Hearing Care and other specialties. CareCredit is now also accepted at select retail locations.* For complete details of healthcare financing terms, please review the CareCredit account agreement within the application.
- Is my yearly Well Women Exam Covered by my insurance?
Most insurance companies will pay for a Well Woman Exam once per year, so make sure you schedule your next Well Women Exam at checkout in our office or by calling 562 424 8422. It is always best to verify your benefits directly with your carrier.
Scheduling your appointment one year ahead may seem too far in advance, but this will set a tickler in our system and you will receive a notice from our office to remind you that you are due for your Well Women Exam. You can always reschedule your appointment at a later date.
- Do you accept my insurance?
We welcome most health insurance plans. You can take a look at the list of insurance plans that we accept here. To ensure that we accept your specific plan, we encourage you to contact your insurance company directly. You can also contact our Billing Department at 562 424 8422.
- If Complete Women Care is “out of network,” may I still go there?
Yes. However, you may be required to pay a larger deductible or a greater portion of your bill. Be sure you understand your health plan’s “out-of-network” options. You can also always be seen as a cash patient at any of our offices.
- How can I be sure my insurance provider will pay my bills?
Some health plans require certain services to be authorized, or pre-certified, before the patient receives them. Other health plans require the patient to notify them within a certain period of time after services are rendered. Know your health plan’s requirements by reading the information given to you by your insurance provider or employer, or by calling your insurance provider directly. You also may call our billing department to discuss insurance payment concerns.
- I have no insurance. How much will my visit cost and when am I expected to pay?
If you call us prior to your visit and let us know why you are coming in, we can ESTIMATE the cost of your visit. We cannot guarantee any fees until after you have had your appointment. Payment is expected at the time of service.
- Do you offer any discounts for self-pay patients?
Yes, we offer an affordable cash fee schedule.
- How will I know how much I owe?
Your insurance provider will send you an Explanation of Benefits (EOB) notice that details the amount it has paid, any non-covered or denied amounts, and the remaining balance that you are responsible for paying Complete Women Care. Review your EOB carefully, compare it to your Complete Women Care billing statement, and call your insurance provider or a Complete Women Care billing representative right away if you have questions or concerns.
Important Note: Many health plans require patients to pay a co-payment or deductible amount that may be due at the time of check in at our office.
- How often will I receive a statement?
Statements are issued monthly. You will receive a statement every month up to 60 days. At 90 days, a first collection letter will be sent and your account will be placed on hold.
- What if there is a mistake on my statement?
If you have billing questions please call the Complete Women Care Billing Department weekdays between 8 a.m. and 4:30 p.m.
- What does “adjustment” mean?
An “adjustment” refers to the portion of your bill that your doctor has agreed not to charge you.
- Why do you need a copy of my insurance card and driver’s license?
We need a copy of your current insurance card to ensure that the correct information is obtained to file your claim. We will also require a state-issued ID at the time of your visit to prevent fraud. We will also need a valid (non-expired) ID for anyone paying for our services with a check.
- What happens if I arrive at my appointment without my insurance card?
You may be asked to reschedule your appointment or pay in full for your visit.
- Do I have to provide your office with my insurance coverage through my employer even if I choose to only use my spouse’s insurance due to better coverage?
Yes, you have to provide our office with your primary insurance through your employer. All medical services have to be filed with your insurance coverage through your employer first.
- Does Complete Women Care bill secondary insurances?
Yes, we are dedicated to helping you receive full benefits from your insurance provider. You will be asked to provide complete insurance information upon registration. Be sure you have a copy of your insurance cards at that time. As a service to you, we will submit secondary claims along with required EOBs to your insurance provider. However, if your insurance provider doesn’t make a payment within 60 days, we will ask you to pay the amount owed. We will not file tertiary insurance claims.
- What if I cannot pay the amount I owe in full?
Call Complete Women Care Billing Department and inquire about being set up on a payment plan. We will be happy to work with you to set up a mutually agreeable payment. Partial payments made toward your balance will stop collection activity only if you have made payment arrangements with us.
- May I pay my bill with a credit card?
Yes. For your convenience, Complete Women Care accepts cash, credit cards, personal checks, debit cards and money orders.
- Can I pay my bill online?
Yes. You can pay your bill online by using your patient portal account.
- Is there a fee for a returned check?
Yes, there is a $30.00 fee for a returned check plus the amount of your original check.
- Should I contact your office if my insurance has changed or if I am no longer insured?
Yes, you should contact our billing office with any insurance changes or cancellation of coverage. Failure to inform us of any changes may result in you having to pay in full for your medical services.
- Is your online bill pay through the Patient Portal a secure site?
Yes, it is a secure site. You may contact our Billing department to verify your payment was accepted.
- Is there a no show fee?
Yes. We ask our patients to cancel their appointments 24 hours prior to the scheduled visit. If you do not show up for your appointment without letting us know we will have to charge you a $50 no-show fee.
- What are the benefits of keeping a credit card on file?
Complete Women Care, GYN Emergent Care Center, and GYN Surgical Institute offer a credit card on file program that makes billing a much smoother process. Keeping a credit card on file also prevents your account from being blocked or going into collections for something as simple as forgetting to pay your co-pay. In the event of an emergency visit at our CWC Emergent Care Center, it is often difficult to go to the front desk, register, discuss billing options, etc. Having a credit card on file streamlines the check-in process which enables you to see your physician immediately.