Insurance Coverage

At Central Coast Otolaryngology we accept all PPO plans, most HMO plans, and self payment. It is your responsibility to check with your insurance company to confirm that we are in your network. As a convenience to you we have listed below some of the insurance plans we are on assignment with. We recommend that you check with your insurance carrier to verify your benefits and to confirm the amount of your co-payment, co-insurance, deductibles and non-covered services.

If you have any questions about the insurances we accept,
please call the office at Central Coast Otolaryngology at 805.614.9250. If you do not have insurance coverage, we require that you pay for services rendered at the time of your appointment.
If you have any questions regarding fees or if you need to make special payment arrangements, please speak with our office manager.

Co-Pays, Deductibles, Non-Covered Services and Self-Pay Services
Payment of co-pays, non-covered services and self-pay services must be made at the time of service. We accept cash, checks, VISA, MasterCard,Discover and American Express. Primary and secondary insurance provided at the time of service will be billed as a courtesy to the patient. You will be billed for any remaining balance after payment by your insurance company has been received.

Referrals
Some insurance companies require that you have a referral authorization number for your visit. If so, please obtain this authorization from your primary care provider prior to scheduling your appointment.

Insurance Cards
A copy of your current insurance card(s) is needed each time you visit our office. There is important information on your insurance card(s) required to complete your insurance claim.

Surgery and Outpatient Procedures
Should surgery and/or outpatient procedures be required, our office will obtain necessary authorization from your insurance company. Your insurance company may require a deductible or co-pay. Please refer to your insurance handbook for insurance benefits.
Authorization of a procedure is not a guarantee of payment by your insurance company. Payment is determined at the time the claim is processed by the insurance company. You will be billed for any remaining balance after payment by your insurance company has been received.

Central Coast Otolaryngology contracted Insurance plans:

  • Physician’s Choice Medical Group-Santa Maria and San Luis Obispo
  • Dignity Health
  • Blue Cross
  • Blue Shield
  • Blue Cross Blue Shield
  • CenCal
  • Western Growers
  • Pinnacle Claims
  • Humana
  • GEHA
  • California Children’s Services (CCS)
  • MediCare
  • Cigna
  • Aetna
  • TriWest-VA
  • TriCare for Life
  • Health Comp
  • PHCS
  • MultiPlan
  • Health Net
  • Mutual of Omaha
  • AARP
  • Worker’s Comp
  • United Ag
  • United American
  • TransAmerica Premier Life Insurance Company