Insurance & Resources

There are numerous insurance plans available, therefore, it’s impossible for our staff to know the covered benefits of each plan. It is your responsibility to know and understand the policies and benefits of your plan, including referrals, authorizations, copayments, deductibles, covered hospitals, labs, and x ray facilities. In order for us to bill your insurance, you must provide a copy of your current insurance card at the time of the service. Failure to provide any necessary insurance information for billing will require you to pay for your visit at the time of service.

Please note: As of May 1st, 2014 we are no longer accepting CA Medi-Cal health insurance.

• PGOMG is only contracted with BROWN & TOLAND MEDICAL GROUP
• PGOMG physicians are contracted as Specialists only, patients may not chose a PGOMG physician as their PCP (Primary Care Physician).
• Patients must have their HMO plan with BROWN & TOLAND in order to be seen in our practice.

Insurance Plan

• Aetna US Healthcare
• Blue Cross of California
• Blue Shield of California
• CIGNA Healthcare
• Great West Health Care
• Health Net
• Health Net Seniority Plus
• PacifiCare
• PacifiCare Secure Horizon

• PGOMG physicians are Contracted, Preferred Providers for the following PPO plans
• If a PGOMG physician is not a contracted/Perferred Provider on any other PPO plan, patients may still choose to be seen at PGOMG, but their insureance will pay at a non-contracted or out-of-network rate.

Insurance Plan:

• Aetna
• Beech Street
• Blue Cross of California – Anthem
• Blue Shield of California
• CCN
• Cigna
• First Health
• Fortified Provider Network (FPN)
• Great West
  • Contracted with PPO & Open Access
  • NOT Contracted with POS
• Health Net
• Humana/ChoiceCare Network
• Interplan Health Group (IHG)
• Medi-Cal
• Medicare
• Multiplan/PHCS
• National Preferred Provider Network (NPPN)
• PacifiCare/United Health Care
• Sutter Select
• Three Rivers Provider Network (TRPN)
• Tri Care
• Tri Care Prime
• USA Managed Care Organization