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Insurance Plans

Health plans we accept:

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Please keep in mind that each insurance policy is different, depending upon:

  • Your insurance company

  • The amount of coverage that is part of your healthcare benefits package

  • Your specific policy

Patients may be required to obtain authorization from their insurance company before they can receive treatment. We do our best to request authorizations for our patients prior to any treatment or procedure; however, ultimatley it is a patient's responsibility to obtain all necessary authorizations from their insurance company. To find out the details of your policy, contact the Customer Service or Member Services Department at your insurance company (the phone numbers are on your insurance card or in your benefits book).
 

 

 Financial Policy of Mountain Peaks Urology:

  1. Payment is due the same day services are rendered.  For your convenience we accept cash, personal checks, money orders, Visa and Mastercard. 

  2. Please make sure you give us a copy of all insurances, and know which is primary and which is secondary.  If you’ve purchased a Medicare Advantage plan also known as a buyout plan (these include: United Healthcare/Secure Horizans, Humana, or Aetna), it’s your responsibility to notify us. If you do not give us a correct and active insurance card within the time period allowed to bill your insurance, all relevant charges may become your responsiblity for payment.

  3. You may be asked to pay your coinsurance, deductible, and/or co-pay (if any are applicable) on the day that services are provided such as office visit, treatment, procedure, or surgery.

  4. We will consider a payment plan for some accounts, but this needs to be set up and approved by the office manager prior to your scheduled visit or procedure.

  5. We may apply a monthly finance charge on all account balances over 30 days. The monthly interest rate is 1.5% (annual percentage rate of 18%) and is subject to change without notice.  In addition, all accounts turned over to a collection agency will be assessed a penalty charge equal to 35% of the total balance of the account.

  6. There is a $25 fee for appointments cancelled or rescheduled without at least 24 hours notice.  This will be billed directly to the patient, not the insurance, in accordance with insurance guidelines. There is a $125 fee for missing a scheduled CMG appointment without 48 hours notice. Leaving a message on our machine after 5pm the day before your appointment does not qualify as notice.

  7. Patients who repeatedly miss appointments may be required to provide a refundable deposit for the appointment (forfeited if the appointment is missed) .

 

 Our Participating Insurance Companies:

* Note: if your insurance company is not listed below, we may still be a participating/contracted provider with your insurance company. If you have any questions regarding your insurance policy please contact our office and/or the Customer Service / Member Services Department at your insurance company. This list is subject to change, without notice.

  • Aetna (commerical plans, HMO, PPO, Golden Choice, Medicare Advantage Plan)

  • American Correctional Healthcare (Federal Inmates)

  • APWU Health plans

  • Anthem Blue Cross (commerical plans, HMO, PPO)

  • BCBS Federal/Government Employees

  • CIGNA (HMO, PPO)

  • Cofinity

  • Cofinity/Sloans Lake

  • Colorado Choice Health Plans

  • Coventry / Mailhandlers

  • Cover Colorado

  • CIGNA

  • Colorado Indigent Care Program (CICP) (does not cover office visits & office procedures, only covers procedures/surgeries preformed at a participating facility such as St Thomas More Hospital or Heart of the Rockies Regional Medical Center)

  • CNIC

  • GEHA

  • Humana (Choice, PPO, HMO, Medicare Advantage Plans)

  • Kaiser Permanente (Southern Colorado Region)

  • Medicare

  • Medicaid (Colorado Only)

  • Meritain Health

  • Multiplan

  • Pacificare PPO

  • Physician's Health Partners (CDOC inmates)

  • Rocky Mountain Health Plans (PPO, HMO, commerical plans)

  • San Luis Valley HMO

  • Triwest / Tricare

  • UMR/CEBT

  • United Healthcare

  • United Healthcare Medicare Advantage (SecureHorizans/AARP)

  • Veteran's Affairs (administered through Healthnet PCCC)

  • Workers Compensation (requires referral & prior authorization from insurance company before being seen each time)

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