HEALTH INSURANCE
IN NETWORK *
IN NETWORK *
AETNA *
ALIGNMENT
ANTHEM BLUE CROSS
BEECH STREET
BLUE CROSS
BLUE CROSS BLUE SHIELD
BLUE SHIELD
GEHA
HEALTHNET *
HMO only
HUMANA
MEDICARE *
part B
SCAN
SCRIPPS
TRICARE *
PPO only
UMR *
UNITED HEALTHCARE *
UNITED HEALTHCARE *
* CLOSED: new patient with managed care (see below)
* CLOSED: new patient with managed care (see below)
* CLOSED: new patient for primary care
* CLOSED: new patient for primary care
Regardless of Network status, we are available for Aviation or Immigration medical examinations.
For everyone who changes insurance, read below regarding plan types and feel free to ask us for help with continuity of your care.
Regardless of Network status, we are available for Aviation or Immigration medical examinations.
For everyone who changes insurance, read below regarding plan types and feel free to ask us for help with continuity of your care.
PLAN TYPES
PLAN TYPES
PREFERRED PROVIDER ORGANIZATION (PPO) PLANS
PREFERRED PROVIDER ORGANIZATION (PPO) PLANS
With PPO plans, no Primary Care Provider (PCP) is mandated, however it is important to have a PCP for optimal quality care. With PPO plans you can self refer and if you do, inform us so we can coordinate care and exchange information with the specialist.
We are closed to New patients for some plans so please see above for details. For Aviation or Immigration medical examinations, if we are contracted with your insurance then we will still bill them on your behalf. If you are already established with us, we are loyal and will continue you care no matter what plan you choose.
HEALTH MAINTENANCE ORGANIZATION (HMO) PLANS
Managed Care
HEALTH MAINTENANCE ORGANIZATION (HMO) PLANS
Managed Care
Managed Care health plans such as Health Maintenance Organizations (HMOs) require that you designate a Primary Care Provider (PCP) in an affiliated medical group. PCP = Dr. Sunita Shailam in Mercy Physicians Medical Group.
* CLOSED TO NEW PATIENTS
We have been closed to new managed care patients since 2020. If you have an HMO health plan and were inadvertently assigned to us after 2020 and have never been here, we can still see you, however you are encouraged to change your provider your Primary Care Provider (PCP) to your previous provider in order to preserve continuity of care. To change your PCP, you may do so by calling your insurance plan or on the insurance website.
OPEN TO ESTABLISHED PATIENTS
If you are our established patient and have changed insurance with automatic assignment to another doctor, you may switch back to us. As soon as you get your new insurance, call them because it takes time to for a PCP change to be effective. If you call before the 15th of the month it will be effective the following month and if you call after the 15th of the month you have to wait until the 1st in 2 months. For example, if you call 14 August it will be effective 1 September and if you call 15 August it will be effective 1 October. Plan in advance because we do not accept same month transfers.
OTHER (including Kaiser) INSURANCE or NO INSURANCE
OTHER (including Kaiser) INSURANCE or NO INSURANCE
Accepting patients for Aviation and Immigration. Not accepting out-of-network new patients for primary care; you may consult your insurance provider directory or Family Health Centers of San Diego.
Accepting patients for Aviation and Immigration. Not accepting out-of-network new patients for primary care; you may consult your insurance provider directory or Family Health Centers of San Diego.
FEES
FEES