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We’re In Your Network

There are numerous insurance plans available, therefore, it’s impossible for our staff to know the covered benefits of each plan. We will do our very best to help you understand your coverage based on your individual healthcare plan.

Ultimately, 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, we ask that you provide a copy of your current insurance card at the time of the service. If you do not provide the necessary insurance information for billing, you will be required to pay for your visit at the time of service.

Notice to Patients:
– Effective May 1st, 2014 we are no longer accepting CA Medi-Cal health insurance.
– Effective July 1st, 2014 we are no longer accepting American Express for payment.
– We accept Cash, Checks, Visa or MasterCard only.

Questions?

If you have any questions about the treatment and care offered at PGOMG, please contact us today!

Contact PGOMG

PGOMG now accepts Care Credit for in office payment. This includes co-payments, deductibles, share of costs and payment for previous balances. If you are interested in a Care Credit account, please visit www.carecredit.com to submit an application.

Brown & Toland Medical Group (HMO)

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

Insurance Plans (HMO)

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

Contracted PPO Healthcare Plans

PGOMG physicians are contracted, preferred providers for the following PPO plans. If a PGOMG physician is not a contracted/preferred provider on any other PPO plan, patients may still choose to be seen at PGOMG, but their insurance will pay at a non-contracted or out-of-network rate.

Insurance Plans (PPO)

  • 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)
  • Medicare
  • Multiplan/PHCS
  • National Preferred Provider Network (NPPN)
  • United Healthcare
  • Sutter Select
  • Three Rivers Provider Network (TRPN)
  • Tri Care
  • Tri Care Prime
  • USA Managed Care Organization