Bill Pay & Insurance
In addition to being a Medicare provider, Santa Monica Orthopaedic &
Sports Medicine Group (SMOG) accepts most major insurances, as well as
several local medical group insurances. If you have questions about your
insurance coverage as it relates to
Santa Monica Orthopaedic & Sports Medicine Group, please call us at (310) 829-2663.
The following is a partial list of plans accepted by SMOG:
- Anthem Blue Cross of California
- Blue Shield of California
- ChoiceCare Network (Humana)
- Coventry Health Care (First Health Network, Community Care Network, Focus, GEHA)
- Health Net of California
- HealthSmart (formerly InterPlan)
- MultiPlan (Beech Street, BCE Emergis, PPO Next, Private Health Care Systems)
- The Industry Health Network
- United Healthcare
It is very important for you to bring your current insurance card with
you on each visit to our office. Be sure to inform us if there has been
any change in your coverage or in your address. As changes may occur in
the plans that we accept, please verify our acceptance at the time you
make an appointment.
Santa Monica Orthopaedic & Sports Medicine Group will make every effort
to verify your coverage prior to your appointment. We cannot, however,
guarantee coverage of services by your insurance company. Speak with a
member of our helpful and friendly support staff if you have any questions
Patients with Private Health Insurance
For those patients who have health insurance we do not participate, it
means that you will be seeing the health care provider “out of network.”
You may determine what your insurance company will cover by contacting
them prior to your visit. Seeing a physician “out of network”
may mean you have a higher annual deductible and / or co-insurance. Regardless
of what your insurance covers, you are responsible for paying your bill.
Should you have any questions please contact us at (310) 829-2663.
If you are a self-pay patient, meaning a patient without health insurance,
or who has international insurance or third party liability insurance,
you will be required to pay for services at the time of the visit. If
you need an estimate, please contact our financial counselor at (310)
829-2663. For your convenience, we accept cash, check, American Express,
MasterCard, Visa, and Discover. We offer a prompt pay discount of 40%
when services are paid for at the time of service.
Benefits & Eligibility
To determine your insurance benefits and eligibility, please contact your
insurance carrier directly. Note that you are ultimately responsible for
payment of all services that are not covered by your insurance plan. If
your insurance requires a referral or authorization, please obtain the
required referral or authorization prior to your appointment and present
this information to us when scheduling your visit.
For more information, answers to questions you may have, or to request
an appointment, please
contact Santa Monica Orthopaedic & Sports Medicine Group directly at (310) 829-2663.