self pay & Insurance plans

This section is for our 5,500+ established patients.

• Since most of you and all of us live in Brickell
• Our office is moving back to Brickell on October 17, 2022
• Because of this move we had to leave our parent company
• And re-negotiate terms with insurances
• Below are the ones that HAVE already approved us:

• Aetna - Starting date 10-17-22
• Cigna - Starting date 11-01-22
• Ambetter - Starting date 12-01-22

• And below are the insurances that HAVE NOT:

• AvMed (300+ Established Patients)
• Blue Cross Blue Shield (1,700+ Established Patients)
• Humana (200+ Established Patients)
• Oscar (100+ Established Patients)
• United Healthcare (1,500+ Established Patients)

• If you are with one of them 

• We ask you to scroll down below 
• Get their contact information
• And ask them to reinstate us 
• Thank you

AvMed (300+ Established Patients)

(Updates on application process)

• We applied on 07/18/22
• They did not respond
• We called them back 08/03/22
• We were told to fill out additional forms
• Called them back 08/24/22
• We were told to call back in 14 days
• Called them back 09/07/22
• We were told to call back on 10/16/22
• STATUS - ON HOLD - 50% CHANCE

Customer contact information

• 800-244-6224

----------

Blue Cross Blue Shield  (1,700+ Established Patients)

(Updates on application process)

• We applied on 07/18/22
• Took them a month to add us to their system
• Completed application 08/16/22
• We were told they do not accept solo practices
• Told to call back on 10/01/22
• STATUS - WE WILL RE APPLY - 25% CHANCE

Customer contact information

• 800-333-2227

----------

Humana (200+ Established Patients)

(Updates on application process)

• We applied on 07/19/22
• Completed application 08/03/22
• We were offered a contract on 08/08/22
• At 50% what they were paying before
• We refused that offer on 08/17/22
• Re-negotiations started on 08/23/22
• We were told to to call back 11/27/22
• STATUS - PENDING - 75% CHANCE

Customer contact information

• 866-427-7478

----------

Oscar (100+ Established Patients)

(Updates on application process)

• We applied on 07/15/22
• Completed application 08/08/22
• They cancelled our request 08/25/22
• Re-applied again 08/26/22
• They declined on us 08/30/22
• Reason: Not contracting solo practices
• STATUS - WILL RE APPLY - 25% CHANCE

Customer contact information

• 877-687-1169

----------

United Healthcare (1,500+ Established Patients)

(Updates on application process)

• We applied on 07/19/22
• They told us the contract was on the way 08/11/22
• They declined us on 09/14/22
• Reason: Network is closed
• Asked if we could see established patient 
• With continuity of care 09/14/22
• They did not reply
• STATUS - WILL RE APPLY - 25% CHANCE

Customer contact information

• 844-637-7500
• 3100 SW 145th Ave
• UHC Network Mgmt

----------

AETNA (In-Network starting 10/17/22)

We accept:

• Aetna Commercial
• Aetna HMO
• Aetna POS
• Aetna PPO

We do not accept the following AETNA branches:

• Aetna International
• Aetna Student Insurance
• Aetna Traveler's Insurance
• Aetna Medicaid
• Aetna Medicare
• April International
• HealthEZ
• National General
• Olympus Managed Health Care

----------

CIGNA (In-Network starting 11/01/22)

We accept:

• ChoiceFund OA Plus
• ChoiceFund OA Plus with CareLink
• ChoiceFund PPO
• LocalPlus
• OA Plus
• Open Access Plus
• PPO

We do not accept the following CIGNA branches:

• Cigna - Medicare
• Cigna - Medicaid
• Cigna - Student Insurance
• Cigna - SureFit
• Cigna - Traveler's Insurance
• Cigna - US Health
• Healthpartners Inc.
• National General

----------

AMBETTER (In-Network starting 12/01/22)

We accept:

• AMBETTER Sunshine Health

We do not accept the following AMBETTER branches:

• Ambetter Medicaid
• Ambetter Medicare
• Ambetter Value

----------

If we take your insurance

• Register by clicking here
• We will call you back to schedule a visit

ESTABLISHED PATIENTS ONLY

• If we are not currently taking your insurance
• You can still see Dr. Coker 
• $150 for a consultation
• $199 Physical / Labs / Results
• Most plans with "out-of-network-benefits"
• Will reinburse you for part of this bill
• Call your insurance for details

SELF PAY - BASIC CONSULTATION -$199

• Medical history and examination 
• Vital signs
• Evaluation and diagnosis
• Treatment plan including prescriptions if needed

SELF PAY - YEARLY PHYSICAL - $299

• Includes basic blood work panel and results

SELF PAY - BASIC CARE PLUS - $349

• Medical history and examination
• Vital signs
• Evaluation and diagnosis
• Treatment plan including prescriptions if needed

Includes minor procedures such as:

• Nail removal
• Nasal packing
• Single asthma treatment
• Injection
• Ear wax removal
• Minor allergic treatment
• Simple wound care

Includes basic labs such as:

• Flu test
• Strep test
• Mono test
• Urinalysis
• Pregnancy test
• Throat culture
• Urine culture
• Up to 2 STD tests

Financial Responsibility 

• Due to unfortunate past experiences
• All fees are collected at Check-In
• No exceptions