Insurance

Due to the ever changing insurance industry and multiple plans offered by each insurance carrier, it is best to confirm The Steadman Clinic’s participation by calling your insurance company. Please provide them with our Tax ID number 84-1415470, and physical address: 181 West Meadow Drive, Suite 400 Vail, CO 81657. Each of our physicians are listed under that Tax ID number.

Many insurance carriers require that we collect co-pays and/or deductibles from the patient. If you have an office visit co-pay for a specialist, you will be expected to pay that amount at the time of service. Due to federal laws, as well as our individual contracts with the insurance carriers we are prohibited from waiving these fees.

Please call us at (970) 300-3022 with further questions on plans we are in and out of network with or any insurance questions related to your service.

• Aetna: Choice POS II, Open Access POS II, Open Access Managed Choice, Open Choice PPO
• Anthem BCBS PPO Medicare Advantage* (Please check with your insurance for out of state coverage/restrictions)
• Anthem BCBS PPO (Please check with your insurance for out of state coverage/restrictions)
• Anthem BCBS HMO: Mountain Enhanced, Pathway, Pathway Standard
• Cigna: PPO, Open Access Plus, Open Access, Local Plus
• First Health Network (Please check with your plan about relevant restrictions)
• GEHA PPO USA
• Kaiser: Colorado PPO, or PPO that uses the First Health Network
• Medicaid of Colorado* (except Dr.’s Evans, Gallizzi, Gill, Hackett, Kim, Millett, Philippon and Viola)
• Medicare Part B (except Dr.’s Philippon, Kim & Millett)
• PHCS/Multiplan PPO (Please check with your plan about relevant restrictions)
• Rocky Mountain Health Plans (except Dr. Millett and Philippon): Valley HMO, Monument Health PPO, Prime Medicaid*, CHP+ Medicaid*, Dual Complete HMO*
• Tricare: West Prime (With PCM referral), West Select
• UMR: UHC Choice Plus, UHC Options PPO, UHC Select Colorado (Please verify plan level and tier restrictions)
• United Healthcare: Choice, Choice Plus, Options PPO, Select HMO, Select Plus POS
• VA Community Care (With appropriate referral)

With these plans you will be fully self-pay and we are unable to bill your insurance unless otherwise noted.

• Aetna: Medicare Advantage PPO* (Likely has out of network benefits that can be utilized), Medicare Advantage HMO, Whole Health
• Anthem BCBS PPO: Pathway Essentials, Plans that have no out of state benefits or have IFM waiver requirements that are not completed by the patient
• Anthem BCBS HMO: CU HMO, Pathway Essentials, any HMO outside of Colorado, EPO's that do not use the PPO Network
• Cigna: CO EPO Connect, Medicare Advantage PPO* (Likely has out of network benefits that can be utilized)
• Humana: Medicare Advantage Choice/Honor/USAA PPO* (Likely has out of network benefits that can be utilized), Humana Medicare HMO
• Kaiser HMO
• Other Medicare Advantage HMO
• Other Medicare Advantage PPO* (Likely has out of network benefits that can be utilized)
• Out of State Medicaid (Due to Medicaid requirements we are unable to see patients at all with this plan even as self-pay)
• Regional Accountability Entities for Medicaid (Due to Medicaid requirements we are unable to see patients with these listed plans at all even as self-pay): Colorado Access Medicaid, Colorado Access CHP+, Denver Health Medicaid
• Rocky Mountain Health Plans: Monument Health HMO, Colorado Doctors Plan
• United Healthcare: Core, Compass, Charter, Navigate, Dual Complete HMO (Due to Medicaid requirements we are unable to see patients at all with this plan even as self-pay), Medicare Advantage PPO* (Likely has out of network benefits that can be utilized), Dual Complete PPO* (Likely has out of network benefits that can be utilized), Medicare Advantage HMO

* May be subject to scheduling restrictions please speak to our scheduling department to get more info at (970) 476-1100
 

For patients whose injury is work related, you must provide the schedulers with all pertinent information such as insurance carrier, claim number, date of injury, adjustors name, phone and fax number before the appointment is scheduled.

We may be unable to accept Workers Compensation Claims that occurred outside of the state of Colorado