Insurance and Payment Information
Review general information about insurance participation, coverage verification, self-pay services, and payment options at Pacific Foot & Ankle Center.
Insurance Plans We Work With
Pacific Foot & Ankle Center works with many major insurance plans, including:
- Medicare
- Anthem Blue Cross
- Blue Shield of California
- Cigna
- Aetna
- Health Net
- UnitedHealthcare
- TRICARE
- AARP
- Humana PPO
- Other selected health plans
Insurance participation can vary by plan, network, and product. Please contact our office and your insurance carrier before your appointment to confirm current participation and benefits.
Questions to Ask Your Insurance Carrier
Before your appointment, contact your insurance carrier and ask:
- Is Pacific Foot & Ankle Center in my plan’s network?
- Do I need a referral or prior authorization?
- What is my specialist copayment?
- Have I met my annual deductible?
- Will I have coinsurance or other out-of-pocket costs?
- Is the recommended service or treatment covered?
- Are custom orthotics or medical equipment covered?
- Are there visit or treatment limits under my plan?
The customer-service phone number for your insurance carrier is typically printed on the back of your insurance card.
Accepted Insurance Does Not Guarantee Coverage
Participation with an insurance carrier does not mean every visit, test, treatment, or medical device will be covered.
Coverage may depend on:
- Your diagnosis
- Medical-necessity requirements
- Referral or authorization rules
- Your deductible and coinsurance
- Visit or treatment limitations
- Whether the service is considered elective
- Specific exclusions in your plan
Insurance verification is not a guarantee of payment. Final coverage decisions are made by your insurance carrier.
Options for Non-Covered Treatments
Some advanced treatments may not be covered by insurance and may be offered as self-pay services. If a recommended service is not covered, our team will provide available payment information before treatment whenever possible. You can then decide whether you would like to proceed.
Contact the office if you would like general pricing information for a self-pay service.
Important Billing Information
Patients are responsible for understanding their insurance benefits and paying applicable:
- Copayments
- Deductibles
- Coinsurance
- Non-covered services
- Self-pay treatment fees
- Remaining balances not paid by insurance
Please notify the office if your insurance coverage or personal information changes. Bring your current insurance card and photo identification to each appointment.
Accepted Payment Methods
Pacific Foot & Ankle Center accepts:
- Visa
- Mastercard
- Discover
- Cash
- Personal checks
Copayments and other amounts due may be collected at the time of service.
Insurance and Payment FAQ
The practice works with many major insurance plans, but participation varies by plan and network. Call the office and your insurance carrier to verify current participation before your appointment.
Contact your insurance carrier using the phone number on your insurance card. Ask whether Pacific Foot & Ankle Center and David Petersen, DPM, participate in your specific plan.
Referral requirements depend on your insurance plan. Some plans allow patients to schedule directly, while others require a referral or prior authorization.
Coverage depends on your plan, diagnosis, medical necessity, deductible, and coinsurance. The office can provide general information, but your insurance carrier makes the final coverage decision.
Some plans provide orthotic benefits, while others exclude custom orthotics or require specific documentation. Contact your insurer before ordering to confirm your benefits and expected costs.
Coverage for advanced treatments varies considerably. Some services may be excluded by insurance and offered as self-pay treatments.
Pacific Foot & Ankle Center accepts Visa, Mastercard, Discover, cash, and personal checks.
Patients without insurance may contact the office for information about available self-pay options. Pricing depends on the visit, testing, and treatment required.
The office may provide general estimates when possible, but the final amount depends on the services provided and how your insurance processes the claim.
Copayments and known patient responsibilities may be collected at the time of service. The office will contact you if an additional balance remains after insurance processes the claim.
Contact Our Office Before Your Visit
Our team can provide general information about insurance participation, self-pay services, and payment options. Your insurance carrier determines your final benefits and coverage.