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Insurance & Billing Information

At Tampa Bay Orthopaedic Specialists, we are committed to providing you with convenient and reliable billing services.

Pay Your Bill Online – You may now view or pay your bill online using our secure patient portal.

If you have billing questions, please e-mail Billingdept@tampabayortho.com.

Insurance & Managed Care Plans

Managed care insurance programs require patient and physician alike, to obtain referrals or permission before a patient can be treated. We are pleased to have you as a patient; however, before we can treat you it may be necessary to comply with the managed care guidelines of your insurance company. Most managed care plans have one or more of the following requirements:

  • We see only those patients with insurance referrals from a primary care physician (PCP)
  • There is a co-pay obligation by the patient
  • Prior authorization is needed before surgery is performed

Common features of managed care plans:

Prior Referral Before Treatment

An increasing number of managed care plans require that you first obtain an insurance referral from your primary care physician (PCP) before being permitted to visit with us. These insurance referrals may take seven (7) days, or more, to obtain. Patients who see specialists without insurance referrals risk being 100% responsible for the costs.

Co-Payments

Co-payments are the portion of the fee for services for which the member is responsible. Insurance companies believe that having the insured patient responsible for a portion of the total bill will affect the patient's decision to see a doctor. Our contracts with managed care companies place upon us a responsibility to collect the required co-payments.

Prior Authorization

Being insured under managed care creates the responsibility of obtaining authorization from the insurance company before surgery or hospitalization. We are willing to assist in obtaining the necessary authorization.

Insurance Plans

  • Aetna
  • AmeriGroup/Medicaid
  • Automobile Insurance
  • AvMed
  • Beechstreet Network
  • Blue Cross & Blue Shield:
    (PPO, POS, PPC, Medicare PPO & HMO)
  • Cigna Healthcare
  • Citrus Health/Medicare/Medicaid
  • Coventry, First Health
    (Southcare & Mailhandlers)
  • Focus Healthcare
  • Great West
  • Great West (Baycare)
  • Humana, Commercial, HMO's, PPO's, and POS
  • Medicare
  • Medicare Complete and Evercare
  • Multiplan
  • One Health Plan
  • Private Healthcare Systems
  • Provider Management Group
  • Travelers Managed Care
  • Tri–Care Prime
  • United Healthcare of Florida
  • Workers Compensation
  • Zenith Insurance
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Last Modified: July 9, 2014 | Privacy Notice (HIPAA)