Insurance Participation

Patients must have private insurance or agree/adhere to the self pay policy in order to be scheduled.

Patients involved in other third party injuries without legal representation ( i.e. fall on private or corporate property, boating accident, dog bite, disputed workers compensation, etc.) will be handled as follows:

The patient must agree and adhere to the self pay policy. Even if they have private insurance we will not bill them. Private insurance will not cover these types of liability claims. This does not go against our contracts that we have with participating insurances.

Insurance plans shown below in red are not accepted by Carondelet Orthopedic Surgeons, PA.

Advantra Medicare - Coventry HMO, PPO, POS
Aetna – All Commercial Products
Aetna Medicare Advantage - PPO, POS ,HMO
Aetna Work Comp Access
BC/BS of Kansas City HMO - Blue Advantage , Blue Care
Blue Advantage Plus (Medicaid)
BC/BS of Kansas City PPO - Preferred Care, Preferred Care Blue, Traditional Plan, Freedom Network, Freedom Network Select
BC/BS of Kansas HMO - Blue Select  (BlueSelect network is only available in the 5-county Kansas City metropolitan area, which includes Clay, Jackson and Platte counties in Missouri, and Johnson and Wyandotte counties in Kansas.)
BC/BS of Kansas PPO - Traditional Plan
CAPP Care/Beech Street (MultiPlan)
Central States SE/SW (BCBSKC)
Cerner (Freedom Network - BCBSKC)
Cigna HMO & POS
Cigna PPO
Community Health Care
CompResults
Connecticut General (Cigna)
CorVel
Coventry Automobile
Coventry Healthcare of KS (HMO, PPO, POS, ASO)
Coventry National PPO
Coventry Workers Comp
Coventry One (ACA Exchange Products)
Coventry Medicaid
Embarq Choice or Select Plans (BCBSKC Freedom Network)
The Epoch Group (BCBSKC Freedom Network)
Family Health Partners - Medicaid
First Guard - MEDICAID
First Health (Coventry)
Focus Healthcare (Coventry product)
Fortified Provider Network (FPN)
Freedom Network (BCBSKC)
Galaxy Healthcare (Medicaid)
GEHA (Freedom Network BCBSKC)
Great West (Cigna)
Harrington Benefits (Sprint Choice PPO)
HCA Wellcare (HMCC)
Healthcare Preferred
Healthcare USA (KS Medicaid)
HCA Wellcare (HMCC)
Healthe Exchange -Cerner (Freedom Network BCBSKC)
HMCC
Humana Commercial PPO, HMO, POS, EPO
Humana Medicare PPO, HMO, PFFS, HMO
Mailhandlers (Coventry National)
Managed Care Strategies (Medicaid)
Matthews Richards Healthcare Management (Now Key Health)
Medicaid of Missouri
Medicaid of Missouri – HMO
Medicaid of Kansas
Medicare
MO HealthNet (Insure Missouri) (Medicaid Plan)
MultiPlan (PHCS)
New Century (Humana Plans HMO + PPO)
OccuNet, LLC
OHM (Occupational Health Management)
Pref Health Prof (PHP & Options HMO) - (BCBSKC Freedom Ntwk)
Pref. Care Blue (BCBSKC)
Preferred Care (BCBSKC)
Private HC Systems (PHCS) (POS) (MultiPlan)
Private HC Systems PHCS+PPO (MultiPlan)
SeeChange PPO (HMCC)
Southcare Preferred PPO
Sterling Health Care Plans
Todays Options (Medicare Advantage PPO, HMO, PFFS)
TriCare/ TriWest Prime or Standard
UNICARE (KS Medicaid)
Union Pacific - EHS (Coventry First Health)
United Healthcare (UHC) HMO, PPO
United Healthcare (UHC) Medicare Complete, AARP
United Healthcare (UHC) Medicare Advantage PFFS
United Healthcare (UHC) Medicare Select
United Healthcare (UHC) Workers Comp
United Healthcare (UHC) Medicaid
Universal American (Today's Options)
University of Missouri (Coventry Nat’l)
Viant Network (Beech Street/MultiPlan)
WPPA(PPO)/Community -KS
    
***For Medicare Advantage PPO plans not listed above, we can accept as out-of-network***


MVA/Third Party Liability Policy

We will not see patients who are involved in medical/legal issues.

Verification of med/pip coverage through auto insurance is required prior to an appointment being scheduled.

We require an initial $250.00 pre-payment on your account with subsequent payments of at least $50.00 per visit in order to keep your scheduled appointment. For patients being evaluated for spine-related issues the prepayment is $350.00. The subsequent payments are the same. This will only apply to patients who do not have medical coverage thorough a contracted insurance carrier.

Your medical insurance will be billed as secondary only after payment by liability insurance is complete - or if we receive a written denial from your liability carrier.

You will receive a monthly statement from our office. If there is any delay in payment, we ask that you contact us immediately.


Self pay patients

It is the policy of Carondelet Orthopeadic Surgeons, P.A. to require an initial $250.00 pre-payment on your account for general orthopaedic concerns and a $350.00 prepayment for spinal concerns.

Regardless of your balance due, we will require subsequent payments of at least $50.00 per visit, in order to keep your scheduled appointment(s). Any over-payment will be issued as a refund at the completion of your treatment.

We accept Visa, MasterCard, Discover, or personal check.

If you have questions or concerns, please contact our billing department at: (913) 642-0200, option "3."