Grosse Pointe Physicians X-Ray Center Participating Insurances

Insurance Require Pre-Authorization For which exam(s)
Aetna yes CT
Aetna Better Health (Medicaid & Medicare)    
Blue Cross / Blue Shield Products:    
    -Traditional may CT
    -Community Blue yes CT
    -Medicare Plus Blue PPO yes CT
   -Blue Choice PPO yes CT
   -Blue Preferred PPO yes CT
   -Blue Preferred Plus PPO yes CT
   -Federal BC / BS    
   -Blue Care Network yes CT
   -Blue Care Network Advantage yes CT
   -Blue Care Network ConnectedCare HM yes All Exams Referral must be from Connet Care Network PCP
   -Blue Cross Complete    
Beechstreet    
Beaumont Employee Health    
Cigna HAP yes CT
Cigna GWH yes CT
Cofinity may CT
Coventry Health Care yes CT, NM, US BREAST & TMJ XRAY
Community Care Associates (formerly Wayne County Health Choice) yes All Exams except Screening Mamm
First Health/Coventry yes CT
HAP/Health Alliance Plan    
    -HMO, POS, AHL yes CT
    -PHP:Health Choice yes CT
HAP/Senior Plus yes CT
HAP/Alliance Health & Life Medicare PPO yes CT
HAP/Midwest    
Health Plus of Michigan yes CT
    -Includes PPO, HMO, Medicaid, Cofinity, Medicare and Medicare Advantage Products    
Humana    
    -Medicare HMO & PPO Advantage yes CT
    -Gold Choice Medicare Program PFFS    
    -Choice Care Network PPO yes CT HMO Members only
Humana Detroit HMOx yes CT
Multiplan/PHCS Network    
McLaren Health Plan    
Medicare (Must have part B)    
Medicare Railroad / Palmetto GBA (Must have part B)    
Medicaid    
    -Traditional    
    -MC PLANS (listed under each plan name)    
Meridian Health Plan(Medicaid) yes CT
Meridian Health Plan(HMP) yes CT
Molina    
    -MI Child yes CT
    -Medicaid yes CT
    -Medicare yes CT
    -MMP DUAL Medicare/Medicaid yes CT
Priority Health    
       -PPO, HMO, POS & EPO Plans yes CT
Private Health Care Systems    
       -PHCS, PPO & Open Access    
SmartHealth (we are a tier 1 & 2 provider)    
Total Health Care: all products    
    -Medicaid, POS, Select yes CT
Tricare    
    -Reserved Select yes CT
    -Standard yes CT
United HealthCare Plans    
    -AARP Medicare complete yes CT
    -Secure Horizons Medicare Comp yes CT
    -United-Healthcare Medicare PPO yes CT
    -United-Healthcare Medicare Comp yes CT
    -Evercare Health Plans yes CT
    -Community Plan (Medicaid) yes Everything needs authorization
    -Community Plan Medicare Advantage yes Everything needs authorization
    -Commercial yes CT
Workman Comp Claims    
    -Claim # and address of Workman Comp Ins covering claim is required & name and phone    
# of the adjuster