Golden Medicare Plan is a Medicare Advantage plan. That means we can administer health care benefits for Medicare beneficiaries through a special contract with the federal government. When you enroll in the Golden Medicare Plan, Medicare pays us a set amount of money for your covered care every month. In return, we manage your Medicare coverage within our network of health care providers. This funding arrangement allows us to provide more health care benefits than Original Medicare and many supplements.
As a member of the Golden Medicare Plan, you will need to select a network primary care physician(PCP). A PCP is an internist or general practitioner who knows your medical history and coordinates all of your covered care. Your PCP will play a very important role in your health care.
Your PCP will:
As the coordinator of your care, your PCP will refer you to a network specialist or facility when needed. You must have a referral from your PCP to receive coverage for any services the specialist or facility provides, except for emergency and urgent care. Those benefits described as direct access
benefits do not require a referral. For your convenience, many primary care offices can electronically forward referrals directly to specialists.
You do not need referrals for:
Yes, we can help you with your Golden Medicare Plan (HMO). Were glad to help you with all your foot care needs.
A visit to a podiatrist is a benefit covered by most insurance plans. However, there can be restrictions due to changes in recent health care coverages.
To avoid any additional cost to the patient, Podiatry Group of Georgia will work with your insurance company to get your services covered. Sometimes this requires our office to send in a letter of medical necessity which will state the reasoning behind the recommended treatment and include the patient’s history and diagnosis.
As a courtesy to our patients, we will contact your insurance company prior to your visit to verify that services are covered and that no referrals are required. This allows us to provide you with the best care while making sure you are aware of your insurance benefits for any treatments or services recommended for your specific condition before they are performed.
If you are having any foot pain, or overall concerns with your feet and want to schedule an appointment, please contact our office at (404) 806-3731. We will be able to help to you with any of your insurance concerns. Your insurance company will also be able to review your plan with you prior to your visit.
If you’ve been searching for Foot Doctor for all your foot and ankle needs, take time to meet with the Podiatry Group of Georgia. Our doctor has the experience and knowledge you need to help your feet and ankles feel their best. Give us a call today and set up an appointment for your initial consultation. Call us today!
Call Our Marietta, Georgia Office Today at 404-806-3731 or Book your appointment online now!
Serving Marietta And Atlanta Area!