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
 
Ambetter
  • Superior Ambetter Commercial Marketplace
  • Superior Medicare Advantage
 
BCBS
  • BCBS Commercial – Blue High Performance Network
  • BCBS Commercial – Blue Advantage HMO
  • BCBS Commercial – Blue Essentials HMO
  • BCBS Medicare Advantage HMO
  • BCBS Medicare Advantage PPO
  • BCBS Commercial – Blue Choice PPO
  • BCBS Commercial – Blue Premier HMO
 
Cigna
  • Cigna Exchange (PCP Only)

 

Coastal Comp Workers Compensation

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

 

IMS  Commercial PPO

 
Majoris
  • Majoris Workers Compensation
 
MultiPlan
  • MultiPlan Auto Medical
  • MultiPlan Commercial Complimentary Network
  • MultiPlan Workers Compensation
  • Multiplan Medicare Advantage
  • Multiplan PHCS

 

United Healthcare

  • United Healthcare commercial  HMO/PPO
  • United Healthcare Medicare Advantage

 

Wellcare

  • WellCare Medicare Advantage
 

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.

 

Ambetter

  • Superior Ambetter Value Network

 

Baylor Scott & White

 

Cigna

  • Cigna PPO
  • CignaHMO
  • Cigna OAP
  • Cigna Medicare Advantage (PCP)

 

Coalition America (Formerly NPPN)

 

Health EZ Commercial

 

First Health Network

 

USA MCO

 

USA MCO commercial 

 

USA MCO Workers Compensation 

 

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! Call our clinic or fill out the contact us form, and our team will verify your benefits and let you know what to expect.