Insurance & Billing

At FitFocus MD, we work with a wide range of insurance providers to make your care as accessible and affordable as possible.

In-Network Insurance Plans

 

We are currently in-network with the following insurance plans:

 

  • Aetna (Commercial HMO/PPO, MA HMO, MA PPO, Whole Health)

  • Galaxy Health Network (Medical Savings Plan, PPO)

  • Healthcare Highways

  • HealthSmart (ACCEL, GEPO, PPO, Workers Comp)

  • Majoris

  • Superior HealthPlan (Ambetter Exchange EPO, MA HMO)

 

If you are covered under one of these plans, we are contracted to provide services at pre-negotiated rates, which may reduce your out-of-pocket costs.

Pending Insurance Plans

 

We also accept patients with many other insurance plans. However, for the plans listed below, we are not currently in-network. If you are covered under one of these, your visit may be billed as an out-of-network service:

 

  • Aetna (All other plans not listed above)

  • BCBS (Commercial, Exchange, HMO, PPO, MA)

  • Blue Premier

  • Cigna (PPO/OAP/HMO, Medicare MA PCP)

  • Coalition America

  • Coastal Workers Comp

  • Health EZ

  • Humana (Medicare PPO, PFFS)

  • IMS PPO

  • MultiPlan (Auto Medical, Workers Comp, Complimentary Network)

  • UHC (Commercial HMO/PPO, Medicare)

  • USA MCO (Commercial, Workers Comp)

  • WellCare MA HMO/PPO

  • Wellpoint Medicare Advantage

 

We’re continuously working to expand our network, so please check with our office if you don’t see your insurance listed or to confirm your coverage.

What Will My Visit Cost?

 

The cost of your visit depends on your specific insurance plan. You may be responsible for a copaycoinsurance, or the full visit cost if your deductible hasn’t been met.

 

  • New patient visits typically range from $175 to $300 if your plan requires you to cover the full amount.

  • Follow-up visits are usually between $100 and $200.

 

We recommend calling the customer service number on the back of your insurance card to verify your coverage and benefits for our clinic.

Not Sure About Your Coverage?

 

We’re here to help! Use the button below to submit your insurance info securely, and our team will verify your benefits and let you know what to expect.

In-Network Insurance Plans

 

We are currently in-network with the following insurance plans:

 

Atena
  • Aetna Commercial PPO/HMO
  • Aetna Medicare Advantage HMO
  • Aetna Medicare Advantage PPO
  • Texas Health -Aetna whole health Commercial

 

Galaxy
  • Galaxy Healthcare Commercial PPO
  • Galaxy Healthcare Medical Savings Plan

 

Majoris
  • Majoris Workers Compensation
 
Healthcare Highways Commercial
 
Ambetter
  • Superior Ambetter Commercial Marketplace
  • Superior Medicare Advantage

 

Cigna
  • Cigna Exchange (PCP Only)

 

Coastal Comp Workers Compensation
 
IMS  Commercial PPO
 
MultiPlan
  • MultiPlan Auto Medical
  • MultiPlan Commercial Complimentary Network
  • MultiPlan Workers Compensation
  • Multiplan Medicare Advantage
  • Multiplan PHCS

 

Healthcare Highways
  • Healthcare Highways Commercial

 

Healthsmart
  • HealthSmart ACCEL
  • HealthSmart GEPO
  • HealthSmart PPO
  • HealthSmart/Interplan Health Group WC

 

Humana
  • (Humana) – Medicare Advantage PPO
  • (Humana) – Medicare Advantage PFFS

 

If you are covered under one of these plans, we are contracted to provide services at pre-negotiated rates, which may reduce your out-of-pocket costs.

Pending Insurance Plans

 

We are not currently in-network, however we are soon to be in- network with the following Network/payers.

 

  • BCBS (Commercial, Exchange, HMO, PPO, MA)

  • Blue Premier

  • Cigna (PPO/OAP/HMO, Medicare MA PCP)

  • Coalition America
  • First health Network
  • Health EZ

  • UHC (Commercial HMO/PPO, Medicare)

  • USA MCO (Commercial, Workers Comp)

  • WellCare MA HMO/PPO

  • Wellpoint Medicare Advantage

 

We’re continuously working to expand our network, so please check with our office if you don’t see your insurance listed or to confirm your coverage.

What Will My Visit Cost?

 

The cost of your visit depends on your specific insurance plan. You may be responsible for a copaycoinsurance, or the full visit cost if your deductible hasn’t been met.

 

  • New patient visits typically range from $200 to $300 if your plan requires you to cover the full amount.

  • Follow-up visits are usually between $100 and $150.

 

We recommend calling the customer service number on the back of your insurance card to verify your coverage and benefits for our clinic.

Not Sure About Your Coverage?

 

We’re here to help! Use the button below to submit your insurance info securely, and our team will verify your benefits and let you know what to expect.

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