Billing/Insurance Info

NEWS: We NO LONGER accept Molina or Community Health Group. We DO NOT accept worker’s compensation cases.
We participate with Sharp Community Medical Group HMO plans.
We participate in some of the Covered California plans. Please check with your insurance if Dr Rivera is a participating provider.

INSURANCE INFORMATION
We accept most major insurance carriers:

AARP
Aetna PPO or POS
AMA Insurance Agency
American Imaging Management
American International Group (AIG)
Anthem BCBS PPO
Beech Street
Blue Cross Blue Shields PPO
CIGNA PPO
CorVel
First Health Services Corp
Government Employees Hospital Association (GEHA)
Guardian Health Care
HealthNet PPO
Humana Inc (not HMO)
Interplan
Keystone Health Plan East
Medicare (not HMO Medicare, except Graybill)
Meritain Health
Metracomp
Multiplan
Mutual of Omaha Insurance Company
Sharp Community Medical Group (HMO – Graybill only)
Scripps Healthplan EPO
Tricare Prime and Standard (Prime needs a referral from primary care before the visit)
United Health Care PPO

If you do not see your insurance company listed, then give our office a call. We may have been recently added to the plan’s participating provider list.

BILLING
As shown above we participate in many insurance plans. However, if we do not participate with your plan, DO NOT BE SCARED AWAY. Please ask our staff at the office regarding payment plans. We will work hard with you to make sure you get seen by one of our physicians.
If we do participate with your plan, please be aware that your insurance company may require a co-payment at the time of your appointment. This should be paid at the time of service. We do accept VISA and Mastercard. Should your insurance require a referral, it is the patient’s responsibility to obtain that referral prior to the office visit.

If you have questions regarding billing or which insurance plans we accept, please call us or email
billing@rheumSD.com Questions regarding insurance coverage and benefits should be directed to your employer or insurance company.