FOOT PAIN &
INSURANCE PAYMENT METHODS
DOES MEDICAL INSURANCE WORK: click here.
OVERVIEW OF PAYMENT
services is covered by all insurance plans. In processing
medical claims at the Placentia-Linda Foot and Ankle Group, we
understand the process and have the expertise and latest computer
technology to ensure rapid submission of your claim. When
disputes occur with the insurance company, the office staff will
go to bat for the patient in challenging the insurance company
for any charges that are denied or paid at a level that is below
the standard fee in the North Orange County Area. For most
patients, the experience of having their medical treatments paid
for by the insurance company is an effortless and smooth process.
The Office Claims Administrator is Mrs. Janet Cousins,
who has been involved with medical billing for many years and
will help make your insurance experience as smooth as possible.
If you have questions about a submitted medical claim,
Mrs. Cousins is available to help you from 8 am until 3 pm each
Monday through Thursday.
ORGANIZATION (PPO) INSURANCE COVERAGE
At the Placentia-Linda Foot and Ankle Group,
over the last ten years we have become the preferred providers
for more than 125 insurances. Even if you do not find us
in your insurance book, you should still call our office and
have our staff verify your insurance coverage because the insurance
books have many errors. The process of verifying your insurance
only takes a brief phone call and our office staff will call
you back to confirm if you are covered.
In looking for the one
of the doctors in a PPO Provider listing, the doctors can be
listed by a number of ways. Dr. Melanie Reed can be listed
under H for Himebaugh-Reed or R for Reed. The practice
name can be listed under A for A Placentia-Linda Foot and Ankle
Group or P for Placentia-Linda Foot and Ankle Group. In
some books, the doctors are listed under Placentia for where
the office is located. If you do not find the doctor's name in
the insurance book, usually it is listed somewhere else in the
book. By calling the office, the office staff can quickly
confirm that the doctor is a Preferred Provider for your insurance
HMO and CASH
have an HMO and must pay for treatment yourself or do not have
insurance coverage, a special cash discount fee schedule is utilized
by the office. In recommending treatments and laboratory
tests, every consideration is given to the patient's cash situation
and fees are discussed prior to providing any medical treatment
or ordering laboratory tests. Payment is expected at the
time medical care is rendered. The office also accepts
Visa, Discover and Mastercard.
Our office is a preferred provider for Medicare
and we utilize the latest billing guidelines to insure that the
billing is accurate. We will also bill your secondary insurance
if it is not automatically billed by Medicare. We will
bill Medicare the same amount as Medicare allows for the covered
medical service to make planning for co-payments easier.
WITH HMO INSURANCE
Medicare guidelines, HMO Medicare patients must go to their HMO
doctor and can not leave the HMO network unless they decide to
pay for the medical service out of their own pocket. Unfortunately,
many Medicare HMOs do not cover foot care and the patient must
pay for this service -- this is especially important for patients
with diabetes. For HMO Medicare patients who need to go
outside of their HMO network to see a foot doctor, the office
charges the exact amount that Medicare allows for the medical
service. In many cases, the fee charged is much smaller
that what is anticipated for the medical service that is being
© 1999 PLACENTIA-LINDA FOOT AND ANKLE GROUP PODIATRY ASSOCIATES.
All rights reserved.
1275 North Rose Drive Suite 136, Placentia
51280 Yorba Linda Blvd., Yorba Linda
North Orange County Cities of Yorba Linda (92886, 92887), Anaheim Hills (92807, 92808),
Fullerton (92831, 92832,92833, 92834, 92834, 92835, 92836) and
Brea (92821, 92822, 92823).