Insurance

Medicare and Medicare/Medi-Cal


   
If you are insured by Medicare, CCPM&R is a participating Medicare provider, and as such, does accept Medicare assignment.  Medicare will be billed directly for all of the services rendered.  Although we accept Medicare assignment, you are responsible for the federal co-payment as directed on you explanation of benefits from Medicare unless you are eligible for Medi-Cal benefits.

Medicare and Secondary Insurance

    If you have coverage with a SECONDARY INSURANCE, it is your responsibility to notify the business office and provide the insurance name, address, subscriber's name, subscriber's certificate, and group number.  Medicare will be billed as well as your secondary insurance.  When all payments have been received from your insurance carriers, you will receive a letter indicating a payment is required by you and the reason it is required.

Private Insurance
   
As a courtesy to you, the business office will bill your private insurance.  Patients with PPO coverage may have co-payment requirements and are expected to remit payment at time of service.  All questions regarding late payments and policy coverage should be discussed by you with your insurance representative.  We do not wait for insurance to pay. Payment is due 30 days from the receipt of your first statement.  If there is a delay or dispute with your insurance carrier, suitable monthly payments can be arranged with the business office.  You are responsible for payment in full, regardless of your insurance coverage.

Work Related Injury

    You are responsible for furnishing complete worker's compensation information to our billing office.  Upon receipt of the necessary information, the industrial carrier will be billed directly for the physician services rendered.