INSURANCE

Original Medicare part B

Original or traditional Medicare plan usually cover 80% of the bill and you might be responsible for the rest 20%, which might be 18-36 dollars per visit.

Your secondary insurance might cover the above 20%.

We also accept Medicare Advantage PPO plan, Supplement plan, and associated MA HMO plan, or dual plan with NM Medicaid Centennial Care

We also accept Railroad Medicare plan

Centennial Care 2.0

We accept New Mexico Medicaid Centennial Care 2.0, which are managed by the following 3 insurance companies after 1/1/2019.

Blue Cross and Blue Shield of New Mexico (BCBS) /contracted
Presbyterian Health Plan, Inc. (PHP) /contracted
Western Sky (Centene)/contracted

United HealthCare/Optum

Effective on 12/19/2018, we accept Unitedhealthcare Optum network with following clients:

UnitedHealthcare Medicare Solutions

UnitedHealthcare Dual Complete(NM) before 1/1/2019

UHC Insur Company-New Mexico

UHC Navigate

UHC Compass

UHC Charter

NexusACO R

NexusACO NR

Humana

Effective on 11-1-2018, we accept Humana with the following plans.

Commercial PPO Plans

Commercial HMO Plans

Commercial POS Plans

Commercial EPO Plans

Medicare PPO Plans

Medicare POS Plans

Medicare Network PFFS Plans

Medicare HMO Plans

Work's comp

We accept New Mexico Workers' Compensation.

Self Pay/Cash pay

We accept self-pay.

We offer 24x7 consulting standby service, office or home visit at your convenience.

You might be qualified for reimbursement if you have out-of-network benefit from your current medical insurance. We will provide detailed invoice statement to support the reimbursement process.

AmeriGroup

Effectively on 01.23 2019. We accept AmeriGroup medicare advantage plan.

Western Sky Community(Medicaid/MA)

As of 1-1-2019, We accept western sky community care plan.

ALLWELL (MEDICARE)

Ambetter(Medicaid)

Tricare West

As of 1-2-2019, we accept the TriCare West;

TriWest/TriCare requires the physician/physician's office to request the initial prior authorization. Please tell your doctor that you want to come to us.

After the initial authorization has been granted, we can request for additional visits within the authorized period if needed

Presbyterian

As of 4-15-2019, we accept all Pres plans.

Commercial plans: POS,ASO,PPO,SPN

Medicare Advantage plans: HMO,MPPO,POS,DSNP

Medicaid Centennial care 2.0

"The Engage plan is a very narrow network of providers and is not open to enrollment."

We can not take the engage plan.

Aetna

As of April 1st, 2023, we accept Aetna

Molina

We take Molina insurance since 4-1-2019.

1-6-2021, Molina Healthcare of New Mexico (Molina) is excited to announce that we have partnered with Naat’àanii Development Corporation (NDC), a federally-chartered for-profit corporation organized under the Navajo Nation Corporation Act and further incorporated under Section 17 of the Indian Reorganization Act of 1935, 25 U.S.C. § 5124, to collaborate on the development and administration of Naat’àanii MCO, an Indian Managed Care Entity (IMCE). Naat’àanii MCO is the first IMCE in the country and will be available to New Mexico Native Americans and their families, who are eligible to receive Medicaid benefits through the Medical Assistance Division of the New Mexico Human Services Department (HSD).

Naat’àanii MCO, will be administered by Molina under the Centennial Care 2.0 program requirements

PT cares

Please contact our office if your insurances are not list here.

WE accept the following INSURANCE