Self Pay Patients will receive a discount for radiology services.
We also accept the following insurances.
| INSURANCE COMPANY | INSURANCE REQUIREMENTS |
| AARP/COMPLETE | Requires auth for MRI,MRA,CT.PETS & NUC MED. |
| ACCESS HEALTHCARE | Requires auth for ALL exams. |
| ADVANTRA | Requires pre-cert thru NIA for CT,MRI,MRA, & PET SCANS |
| AETNA | All Aetna’s require pre-cert for CT,MRI.MRA & PET SCANS. |
| AMERICHOICE | Call Insurance Dept to find out if exam requires auth. |
| AMERIGROUP | Requires auth for CT,MRI.MRA & PET SCANS. |
| AMERIGROUP | Requires auth for CT,MRI.MRA & PET SCANS. |
| AV MED | Requires auth for CT,CTA,MRI,MRA, PET SCANS & NUC STUDIES. |
| BAYCARE | WE DO NOT ACCEPT |
| BCBS | Requires auth for CT,CTA,MRI, MRA, & PET SCANS. ***ALLOW 48-72 HRS FOR PRE-CERT*** |
| BCBS PUBLIX EMPLOYEES ONLY (PBB) | Requires auth for CT,CTA,MRI,MRA, & PET SCANS***ALLOW 48-72 HOURS FOR PRE-CERT****ALL OTHER PROCEDURES GO THRU BCBS OF SOUTH CAROLINA |
| BCBS MEDICARE | Requires auth for CT,CTA,MRI, MRA, & PET SCANS. |
| BEECHSTREET | Please ask what Insurance Co it is (located on the back of the card “send claims to:” ) and list in the notes field. Never put Beechstreet as the name of the patient’s Insurance plan!!! |
| CAREPLUS | Requires auth for CTA,MRA,PET SCAN, SPECT & BIOPSY |
| CHAMP VA | RX Only |
| CIGNA | WE CAN NOT DO PROCEDURES THAT REQUIRE AUTHORIZATIONS |
| CITRUS MEDICAID | Requires auth for CT,CTA,MRI,MRA,PET SCANS, NUC MED, & US. |
| CITRUS MEDICARE | Requires auth for CT,CTA,MRI,MRA,PET SCANS, NUC MED, & US. |
| COVENTRY HEALTH CARE | Requires auth for CT,CTA,MRI,MRA, & PET SCANS |
| CHILDRENS MEDICAL SERVICE | Requires Rx Only and needs to be called to confirm Title 21 (863-413-3580). |
| EVERCARE | Requires auth for CT,CTA,MRI,MRA,PET SCANS & NUC MED. |
| FIRST HEALTH | WE NEED TO CALL DUE TO DIFFERENT PLANS |
| FMH | CALL TO SEE WHAT NEEDS TO BE AUTHORIZED/NO WINTER HAVEN EMPLOYEES |
| FREEDOM /OPTIMUM-MEDICARE | Requires pre-cert for PET SCANS,MRA ,ANGIOGRAMS / Requires Script Form for all other studies |
| Requires script only X-RAYS,MAMMOS,U/S & BONE DENSITY | |
| FREEDOM /MEDICAID | Requires pre-cert for PET SCANS,MRA ,ANGIOGRAMS / Requires SCRIPT ONLY for all other studies. |
| GOLDEN RULE | RX ONLY |
| GREAT WEST /CIGNA | WE CAN NOT DO PROCEDURES THAT REQUIRE AUTHORIZATION |
| GREAT WEST LIFE & ANNUITY/CIGNA | WE CAN NOT DO PROCEDURES THAT REQUIRE AUTHORIZATION |
| HEALTH ASSURANCE | Requires auth for CT,CTA,MRI,MRA & PET SCANS. |
| HEALTHEASE | Requires auth for CT,CTA,MRI,MRA,NUC MED & PET SCANS. |
| HEALTHEASE (HEALTHY KIDS) | Requires auth for CT,CTA,MRI,MRA,NUC MED & PET SCANS. |
| HUMANA | Requires auth for all studies except Screenig Mammo’s/Diagnostic mammo’s & Plain X-Rays. All studies require a referral (script) from the PCP this includes mammo screenings. |
| INTEGRAL MEDICAID | NOT CONTRACTED |
| MAILHANDLERS | Requires auth for CT,CTA,MRI,MRA,PET & NUC STUDIES |
| MEDLINK | NOT CONTRACTED AS OF 04/15/10 |
| MEDIPASS | Requires auth for all studies. |
| MEDICAL MUTUAL | Requires auth for MRI,MRA,CT & PET SCANS |
| MOLINA | Requires auth for CT,CTA,MRI,MRA & PET SCANS. |
| OPTIMA MEDICARE | WE DO NOT ACCEPT |
| POLK HEALTH/COMMUNITY HEALTH | ALL studies require auth except X-Rays which require an auth form from referring physician |
| PHCS/MULTIPLAN | Please ask what Insurance Co it is (located on the back of the card “send claims to:” ) and list in the notes field. Never put Beechstreet as the name of the patient’s Insurance plan!!! |
| PUP | Requires auth for CT,CTA,MRI,MRA, NUC MED & PET SCANS.***TAKE S10-14DAYS TO OBTAIN AUTH*** |
| PRESTIGE MEDICAID | WE ARE NOT CONTRACTED |
| QHP | Requires auth for US,DIAG MAMMO,CT,CTA,MRI,MRA,NUC MED,PET SCANS & BIOPSIES. ***This replaces Medicare,, you mest delete Medicare info when adding. PUP***PLEASE ALLOW 7-10 DAYS TO OBTAIN AUTH*** |
| SECURE HORIZONS | Requires auth for CT,CTA,MRI,MRA,NUC MED & PET SCANS. |
| SIMPLY HEALTHCARE | Requires auth for MRI,MRA,NUC MED, PET SCANS ,CTA |
| & ALL VEIN CARE PROCEDURES – ALLOW 5 DAYS FOR NON STAT AUTH’S |
|
| STAYWELL | Requires auth for CT,CTA,MRI,MRA,NUC MED & PET SCANS |
| STAYWELL HEALTHY KIDS | RequireS auth for CT,CTA,MRI,MRA,NUC MED & PET SCANS. |
| SUNSHINE MEDICAID | WE CAN NOT DO PROCEDURES THAT REQUIRE AUTHORIZATIONS |
| TRICARE FOR LIFE | RX Only |
| TRICARE PRIME | Requires auth for MRI,MRA & PET SCANS. |
| TRICARE STANDARD | RX Only |
| UMR | Requires auth for CT,MRI & PET SCANS |
| UNICARE | Requires auth for CT,CTA,MRI,MRA& PET SCANS. |
| UNITED AMERICAN (MC SUPPLEMENT) | RX Only |
| UNITED HEALTH CARE | Requires auth for CT,CTA,MRI,MRA,NUC MED & PET SCANS. |
| UNIVERSAL MEDICAID | Requires auth for CT,CTA,MRI,MRA,NUC MED & PET SCANS. |
| UNIVERSAL MEDICARE | Requires auth for CT,CTA,MRI.MRA.NUC MED & PET SCANS. |
| VISTA MEDCARE | Requires auth for CT,CTA,MRI,MRA,NUC MED & PET SCANS. |
| VISTA MEDICAID | WE ARE NOT CONTRACTED |
| WELLCARE | Requires auth for CT,CTA,MRI,MRA& PET SCANS. |
| WELLCARE MEDICARE | Requires auth for CT,CTA,MRI,MRA & PET SCANS. |
| WORKERS COMP | ALL STUDIES NEED AUTH |
| ONE CALL MEDICAL | |
| TECH HEALTH | |
| NEXT IMAGE/SELECT MRI |
