Navigating the waters of health insurance can be difficult, but we aim to keep things simple. That’s why we have a team dedicated to reviewing your insurance to make sure no unexpected charges are passed along. And once your plan is verified as being in-network, you can be confident that all physicians within our practice freely accept your insurance.

Below is a list of the different plans we are in-network with. And while this list is updated regularly, it’s always best to call one of our dedicated pre-registration representatives to confirm that your specific plan is covered by our practice—because it can be complex!

What does in-network mean?

When a provider is in-network with your specific plan, it means that your insurance company has negotiated a predetermined rate for the various services offered by a medical organization like us. That generally translates to fewer out-of-pocket costs, a lower copay and a lower deductible than with an out-of-network provider. That’s because an out-of-network provider does not have a standard rate for treatments and procedures. Also, there tends to be much less paperwork when you visit an in-network provider—your insurance takes care of authorizations and guides you through the paperwork process.

For more information, or if you do not see your plan listed, feel free to call our office (267-339-3558) to make sure your plan is accepted or visit your insurance provider’s website to review details on out-of-pocket costs.

Pennsylvania & New Jersey Payers Accepted

Aetna

Meritain

Assurant Health Limited Plan

Student Resources

WellNet

Berkshire Assurance Health (Loomis)

Cigna

Health Partners

NALC

Mail Handlers

APWU

Tufts (PPO only)

Clover (PPO only)

Coresource

First Health / Cerner (PPO only)

Devon

First Priority Health (PPO only)

GEHA (PPO only)

Horizon Blue Cross/Blue Shield of NJ (most plans)

Humana (most plans)

Independence Blue Cross

Amerihealth of PA

Amerihealth of NJ

Amerihealth Administrators

Independence Administrators

Blue Cross Blue Shield

Medicare

Multiplan PHCS

Beech Street

Emblem Health (PPO only)

One Net (PPO only)

Travelers

Pennsylvania Health and Wellness

Provider Partners Medicare Advantage

QualCare

Oscar (NJ only)

NYSHIP

Tricare

US Family Health Care

United Healthcare

Golden Rule

Oxford

UMR Integrity Health

Erikson Advantage

UHC Medicare Advantage

UPMC

VA Medical Center

Champ VA

New York Payers Accepted

Aetna Health, New York

Cigna Health

Medicare

United Health Care

UMR

Oxford

Golden Rule

Empire BCBS

MVP

UHC Medicare Advantage

Florida Payers Accepted

Rothman Orthopaedics of Florida, LLC
Physicians Group NPI: 1669086872
Tax ID: 85-2855795

AdventHealth CIN Plans, including, but not limited to:

AdventHealth Employee Plan
AdventHealth Advantage Products
AmBetter Health
Aetna ACO Bright Health
Disney Direct
Cigna CAC
Health First
Oscar

Aetna

AvMed

Cigna

Cigna Bravo Health MCA

Freedom Health

Medicare

Multiplan

Simply Healthcare – MCA Programs

Workers’ Compensation:

Our goal is to provide quality care in a timely manner. Our No-Show & Cancellation policy is not meant to be punitive; however, no-shows and late cancellations affect our ability to manage available appointments and to provide the best medical care possible to all patients. When you make an appointment, we reserve a significant amount of time specifically for your consultation. Unfortunately, when a patient doesn’t show for their scheduled appointment, another patient loses an opportunity to be seen.

If you need to cancel or re-schedule, you are requested to notify us as soon as possible, but no later than 24 hours in advance. Without this notification, you will be responsible for a $50.00 cancellation fee. Cancellation charges are not covered by insurance and are due and payable prior to any future appointments.

If your appointment is not canceled within 24 hours of your scheduled appointment time, you will be considered a “no show.” If you do not show for three appointments, you may be unable to schedule subsequent appointments and could be discharged from our practice at the provider’s discretion.

Personal Identification
Insurance Card
X-ray, MRI, or relevant imaging and reports
Physical Therapy and/or Medical Notes pertaining to visit
Co-payment if applicable
Referral if needed

If you have an HMO plan and a referral is required, we ask that you contact your Primary Care Physician (PCP) and request a referral for evaluation and treatment (CPT code 99499). This will cover all services during the approved time period. The Registration department will attempt to locate a referral; however, if you do not have an active referral on the date of your appointment, you will be required to pay out of pocket or reschedule after a referral is obtained. Please click here for a list of NPI provider numbers. Your PCP will need this information to issue a referral. If you have questions about your referral, kindly contact your insurance company or our Registration Department at 267-339-7855.

Rothman Orthopaedics uses a service called CyraCom, which provides immediate access to interpreters in a multitude of languages including ASL (American Sign Language). Audio and video options are available and can be utilized via an iPad provided to the patient for the duration of their visit.

In regards to ASL only, if an in-person interpreter is preferred, our office can assist with that accommodation. We must be made aware of this request at least one week prior to the patient’s appointment date. Upon scheduling your appointment, please advise our team of this request.

On the Patient Portal You Can

Pay Your Bill Online
Statements
Billing Inquiries
Request medical records
Request x rays
Release medical forms
Contact your medical provider
Request a prescription refill
Review your progress notes
Complete Health History forms
Complete medical questionnaires
Confirm upcoming appointment details

Log In To Patient Portal

Other Ways to Pay Your Bill

Mail check
Call and provide credit card
Payment plan options available

Portal Sign-in Without a Password

Select “Using Mobile Phone” in the top right of the sign-in screen
Enter your first name, last name DOB & hit submit
Select your mobile phone number and hit “send code”
Enter the code and hit ‘log-in”
If this is your first time logging in, you will be prompted to create a password and select security questions
If your mobile phone number is not listed in our system, it will not appear when attempting to log-in, in this case, please call 267-358-6076 for assistance

Portal Username Recovery

Visit our Username Recovery page, enter First Name, Last Name and Date of Birth of the account you are trying to access.

Portal Password Recovery

Visit our Password Recovery page, enter Patient Portal username you received from the practice. Information to reset your portal password will be sent to email address associated with your account.

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