PAYMENT OPTIONS

 We've tried to make insurance information as easy as possible for you. Please read the information below and if you have any questions, please call our office at 248-354-0967 and we are happy to answer them.

 

We partner with many different insurance providers and accept most insurance plans. We also accept cash, checks, credit cards (Visa, MasterCard, Discover), and offer payment plans for your convenience. Please give us your insurance card on your first visit & we'll help you get maximum benefit from your insurer and payment options! 

PARTICIPATING INSURANCE COMPANIES

Aetna PPO

Assurant PPO

Auto

BCBS of Michigan POS, PPO, Traditional, Messa

Beaumont Employee Health Plan

Blue Care Network

Blue Cross Blue Shield

BCNBlue Care Network

Celtic Insurance Co PPO

Cigna PPO

Cofinity (Beaumont) 

Coventry Care PPO and Medicaid

DMC Care

Health Alliance Plan PPO/HMO (Do not accept Henry Ford/Genese network)

Health Plus PPO

Humana PPO

Humana Medicare Advantage (Beaumont)

Health Plus HMO

McLaren Health Plan PPO/HMO/Medicaid

Medicare

Medicaid

Meridian--Medicaid, My Child

Midwest (Medicaid)

Molina--Medicaid, My Child, Marketplace (Oakwood & Beaumont)

Multiplan Insurance Company

NGS Coresource

Private Healthcare Systems (PHCS)

PPOM

Priority Health HMO, PPO, Medicare HMO (Beaumont)

Select Medicaid HMO’s

Total Healthcare – PPO, HMO, Medicaid, My Child (Beaumont)

Tricare Standard

Tricare Prime

United Health Care PPO


WE DO NOT PARTICIPATE WITH

BC/BS Complete (Medicaid)

United Healthcare Community Plan (Medicaid)

NEW PATIENT FORMS

Please print and fill out the necessary forms and bring them to your first appointment. Call the office at 248-354-0967 if you are unsure which forms to bring. They will give you all necessary information so you feel prepared for your appointment! If you are unable to bring the forms, please come 15 minutes early to allow enough time to complete the forms prior to your appointment.

We still ask that even if you do have your forms, please arrive 10 minutes earlier than your scheduled appointment. We may have other paperwork for you to fill out and our staff can prepare your medical chart. It is *very important* that you bring all insurance cards and photo identification to your child's appointment.  

 

Thank you! Coming prepared to your appointment ensures we do everything to make your visit as smooth for you as possible!

Download
New Patient History.pdf
Adobe Acrobat Document 95.3 KB
Download
Patient Registration Information.pdf
Adobe Acrobat Document 89.2 KB
Download
Patient Financial Agreement.pdf
Adobe Acrobat Document 77.7 KB
Download
Authorization to Share Medical Informati
Adobe Acrobat Document 73.0 KB
Download
Authorization for Medical Treatment.pdf
Adobe Acrobat Document 72.5 KB