Insurance

As a practice, it is our goal to offer quality, comprehensive, and cost-effective care to our patients. We are providers for several Managed Care Plans including HMO’s, PPO’s, and POS. We also are providers for Medicare, Medicaid, and Georgia Better Health. Please make sure you check with your insurance company to see if you need a referral to see a physician in our office. This is your responsibility, and we can not see you without one if it is needed.

Our office also sees patients who have commercial or indemnity plans, and self-pay patients. We accept cash, checks, and major credit cards. Patients are responsible for any co-payments or deductibles at the time of their visits. Financial arrangements may be made through our billing office.

Our billing office is available to answer any questions you may have about insurance or payment.

Hospitals

Our physicians are on staff at the following hospitals and outpatient surgery centers:

Atlanta:

  • Childrens Healthcare of Atlanta at Scottish Rite
  • Children’s Surgery Center at Meridian Mark
  • Northside Hospital Atlanta
  • Northside Hospital Outpatient Center at Meridian Mark
  • Atlanta Outpatient Surgery Center

Cumming:

  • Northside Hospital—Forsyth

Insurance Plans:

North Fulton Ear, Nose and Throat participates with the following insurance plans:

  • AARP
  • ADMAR
  • AETNA ALL PLANS INCL MEDICARE REPL
  • AFFORDABLE/FIRST HEALTH
  • BCE EMERGIS
  • BEECHSTREET
  • BLUE CROSS ALL PLANS (INCL MCARE ADV/SMART VALUE)
  • CCN W/COVENTRY
  • CIGNA ALL PLANS
  • CMS (CHILDRENS MEDICAL SERVICE)
  • COMPLETE HEALTH
  • CORPORATE HEALTH
  • CORVEL
  • COVENTRY ALL PLANS (INCL MCARE ADVANTRA)
  • EMPLOYERS HEALTH NETWORK (EHN)
  • EVOLUTIONS HEALTHCARE
  • FIRST HEALTH PPO
  • FIRST MEDICAL NETWORK-SUPERMED NETWORK
  • GEHA
  • GREAT WEST (ONE HEALTH)
  • HEALTHCARE INC
  • HUMANA (EXCL ANY MCARE REPL)
  • INDENTITY MCO
  • INTEGRATED HEALTH PLAN(IHP)
  • KAISER PHCS MULTI CHOICE PLANS
  • LIFE WELL HEALTH PARTNERS EPO-PPO
  • MEDICAL PARTNERS OF AMERICA (MPA)
  • MEDICAID
    • AMERIGROUP
    • GBHC
    • PEACHCARE
    • PEACHSTATE
    • STRAIGHT MEDICAID
    • WELLCARE
  • MEDICAL RESOURCE NETWORK (MRN)
  • MEDICARE
  • MEDICARE RAIL ROAD
  • MULTI PLAN
  • NPPN
  • PHCS PPO/OPEN ACCESS
  • PILGRIM SELECT
  • PPO NEXT
  • PRO AMERICA PPO
  • PRO NET
  • SIGNATURE
  • SPECIAL NET/NOVA NET
  • SUPERMED NETWORK (PREV GA 1ST)
  • TENET
  • THREE RIVERS PROVIDER NET WORK (TRPN)
  • UNITED HEALTHCARE ALL PLANS
  • UNICARE (INCL MCARE)
  • USA HEALTH NETWORK

REVISED 1/24/11