Insurance

Process and Coverage

Many of our services are covered by most insurance plans, but no insurance company can be expected to cover all medical costs. Some companies pay fixed allowances for certain procedures, others pay a percentage of the charge. It is your responsibility to pay any deductible amount, co-insurance or any other net balance not paid by your insurance company.

If you are a new patient to the Arthritis Center of Nebraska, you may download and print the required paperwork from our website. Fill out all forms completely and bring them with you to your scheduled appointment. (As a reminder, it is your responsibility to verify if our providers are in-network with your insurance.)

Medicare and Blue Shield charges will be sent in for you. Medicare will pay you 80% of allowable charges (which are determined by Medicare and are not based on the actual doctor’s fees). Blue Shield will pay you according to your policy benefits.

It is your responsibility to notify us of your health insurance coverage and to provide us with your policy number(s).

Your policy is a contract between you and your insurance company. While we will be happy to do what we can to help you receive maximum benefits from your insurance provider, we cannot resolve disputes involving coverage.

We are participating providers (in network) with the following insurance plans:

  • Medicare Part B
  • Blue Shield
  • Coventry
  • First Health
  • Interplan Health Group/Accountable Health
  • Midlands Choice
  • Nebraska Medicaid
  • United HealthCare

NOTE: We do not participate with United HealthCare Military & Veterans (Formally Tricare West Region), ChampVa or Tricare For Life – however we will file your claim and accept assignment. They will pay us directly and our office will do the appropriate adjustment and bill you for any balance.

For individuals without insurance, we request that payment be made at the time service is rendered. We also recognize that many patients need to set up payment plans for extensive treatment. You are encouraged to discuss your specific financial situation with our patient representative at (402) 420-3400.

There is a $20.00 charge for all returned checks.

For more information, download our insurance policy and participant list.