Government-Public Health Plans
Our capacity to provide care under government-sponsored health plans is limited. Our participation in these plans is defined by the terms of our participation agreement. Please contact your government health plan directly regarding questions concerning your level of covered benefits or the manner in which the plan determines eligibility for or payment for a particulary medical service.
Current Medicare Status
We are participating providers for Medicare, Champus (Tricare)/ChampVA, and Colorado Medicaid.
We are accepting new patients covered by Medicare, Champus (Tricare)/ChampVA, on a limited basis.
We are continuing care of established patients covered by Medicare, Champus (Tricare)/ChampVA.
Champus (Tricare) and ChampVA. Our capacity to accept new Champus patients is limited. We may restrict our acceptance of new Champus (Tricare) and ChampVA patients from time to time.
Colorado Medicaid. We do not participate in out-of-state Medicaid plans. Our capacity to accept new Medicaid patients is limited. We may restrict our acceptance of new Medicaid patients from time to time.
Medicare. Our capacity to accept new Medicare patients is limited. We may restrict our acceptance of new Medicare patients from time to time. Contact Medicare directly at 1-800-MEDICARE (1-800-633-4227) for assistance.
Download Medicare & You 2010
Other Health Plans
In some cases, depending on network agreements between plans and your own coverage, in-network benefits may also be available for the following carriers and plans. It is critical however that you verify the specific details of Digestive Health's relationship with these plans before your care is rendered:
Aetna
GEHA
Great West
HMN
Multiplan
Plans contracted with Digestive Health are also contracted with the Southwest Endoscopy Center, which is a licensed ambulatory surgery center that bills separately for its services.
If you have a commonly held plan which is not listed above please contact our facility administrator, Ms. Marianne Sloan, with regard to the possibility of initiating contracting discussions with your insurer. It is important to let your insurer's representative know that it does not have a complete network of providers. Insist that they add gastroenterology services for Southwest Colorado to their provider network.
Please call us if you have any questions reqarding our insurance plan participation.
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