Billing & Insurance
The healthcare providers at Atlanta GYN Center (AGC)are committed to providing you with the highest quality of care possible. To achieve our goal, AGC operates on a fee for service basis. We do not believe the government nor insurance companies should determine what is and what is not appropriate with regard to your health. For this reason, the providers at AGC do not accept certain insurances.
Method of Payment
For your convenience, AGC accepts cash, checks (made out to Atlanta GYN Center’), and the following credit cards: MasterCard and Visa. AGC does not accept Medicare only or Medicaid insurance. However, we do accept Medicare with a supplement insurance
In Network
Please call to determine whether we are ‘In Network’ or ‘Out Of Network’ regarding your medical insurance.
Please check with your insurance company to determine whether a referral or authorization needs to be obtained prior to your appointment. It is the responsibility of the patient to obtain these documents.
Please bring your insurance card and photo identification to each appointment. All co-pays, deductibles, and prior balances are due at the time of your appointment. The following insurance plans are in network:
- Aetna/Coventry, First Health Direct, First Health Rental Networks, Aetna MA
- Aetna High-Performance Network
- Aetna Qualified Health Plan (QHP) Exchange Plan
- Ambetter Exchange (Except Select Plans)
- BCBS HMO/POS/PPO, High-Performance Network, Pathway Exchange, MA
- Cigna Healthcare HMO/POS/PPO/Open Access Plus/Choice Fund OA Plus/Cigna + Oscar
- Cigna Medicare HMO/PPO MA
- Clover MA
- Corvel
- Crescent
- Galaxy Health Network
- Humana and Humana MA (Except Humana Northside)
- Memorial Health Services
- Northeast Georgia Health Partners
- Nova Net
- Optum VA
- Oscar Health Exchange Plan
- PeachState Medicaid CMO
- PHCS/Multiplan
- Pruitt Health Premier
- Sonder MA
- TriCare
- USA Managed Care
- Wellcare MA
Out of Network
You will be required to pay for any out-of-network benefits. Though we will assist you in filing insurance claims, you are responsible for understanding the specifics of your policy, especially regarding expected reimbursement. The following insurance plans are out of network:
- Aetna Better Health Medicaid
- Alliant Health Exchange Plans
- Ambetter Select Plans- Plus Select (Piedmont), Wellstar Select, Saint Joseph’s Candler Select
- Amerihealth/Molina Medicaid CMO
- Care Source Exchange and Medicare Advantage plans
- Cigna Connect Exchange Plans
- Cigna Local Plus
- Humana Northside Plans
- Kaiser HMO, EPO Self-Insured, and Medicare Advantage Plans
- UHC Exchange Plans
- UHC Medicaid – Opt-In mailed to practices in May 2023. Effective date TBD if UHC wins bid for GA
- Friday Health Plans
- Bright Health Plans
Accounts Sent to Collections
If your account is sent to collections, you will be charged reasonable collection and attorney fees in addition to the monies owed to AGC. Once you are sent to Collections, AGC will cease to provide care for you in the future as a patient as you are not honoring your contract. This would be considered a breach of contract between AGC and you.
Any records you request requires you to pay all fees and account balance first.