Health Insurance

Accepted Insurance Plans (subject to change)

In addition to offering excellent self-pay rates for our medical services we also are able to accept or work with the medical insurance carriers listed below. If you do not see your carrier on our list please call us at (310) 836-2225 to find out if we can work with your carrier.

Note that we are not currently accepting NEW patients with Anthem Blue Cross and are accepting a few new patients with Blue Shield or Medicare.  We do not accept HMO insurance plans.  As of Jan 1, 2021, we will be out of network with Anthem Blue Cross. (does not affect Blue Shield plans)

Our preferred plans are currently Cigna PPO, United Healthcare PPO, Aetna PPO, and as of 2021, certain Oscar PPO plans (those with the word “circle” or those that have a “Group ID” on the ID card).   

Certain exceptions are made for TMS (tension myoneural)/PPD consultations and for VIP patients who pay an additional annual fee for non-covered services.

If Blue Cross is your secondary carrier with Medicare as primary, this change does NOT affect you.

 

  • Aetna Choice POS II
  • BCBS Blue Card PPO (see above)
  • BCBS California PPO (see above)
  • Blue Shield PPO (most)
  • Cigna PPO
  • First Health PPO
  • Great West PPO
  • Health Net California Large Group PPO
  • Humana ChoiceCare Network PPO
  • Multiplan PHCS PPO
  • Medical Pay
  • Multiplan PPO
  • Oxford Health Freedom
  • Oxford Health Liberty
  • United Healthcare – Direct Choice Plus POS
  • United Healthcare – Direct Options PPO
  • BC PPO Plan – Not part of the Select  (see above); only until 12/31/2020
  • Aetna PPO

Conditional Insurance Carrier Acceptance

  • Blue Cross PPO plan– As of this time, we are not accepting new patients with Anthem/Blue Cross insurance
    • We make limited exceptions, for TMS consultations.  Speak to staff.  After 12/31/2020 Out of Network with Blue Cross.
    • ((Also, ot accepted if within the Select Network))
  • CIGNA Open Access
    • Not accepted if part of the Local Plus Plan
  • CIGNA PPO
    • Not accepted if part of the Local Plus Plan
  • Personal Injury
    • Rarely, liens from selected attorneys and Medical Pay from auto insurance
  • Worker’s Compensation
    • No Longer accepting new patients with this insurance

 

Self-Pay Options

Patients worry, rightfully so, if they have “lost” health insurance.  We try to remind them that office visits with Dr. Schechter are surprisingly affordable.  Even if you have to pay out of pocked for a physical (about $250) and 3 office visits (each $125-$175) a year, plus some lab work, you will typically spend under $750 for the entire year.  So why do you need health insurance, with premiums often $400 to $1000 per month, or more!?  Hospitalizations and surgery are expensive and this is the great benefit of having health insurance.  Office visits for family medicine and sports medicine care in our office are far more reasonable and are often paid out of pocket by individuals with HMO plans or other limitations in coverage.

Updated October. 2020

 

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