Grosse Pointe Physicians X-Ray Center Participating Insurances

Insurance	Require Pre-Authorization	For which exam(s)
Aetna	yes	CT
Aetna Better Health (Medicaid & Medicare)
Blue Cross / Blue Shield Products:
-Traditional	may	CT
-Community Blue	yes	CT
-Medicare Plus Blue PPO	yes	CT
-Blue Choice PPO	yes	CT
-Blue Preferred PPO	yes	CT
-Blue Preferred Plus PPO	yes	CT
-Federal BC / BS
-Blue Care Network	yes	CT
-Blue Care Network Advantage	yes	CT
-Blue Care Network ConnectedCare HM	yes	All Exams Referral must be from Connet Care Network PCP
-Blue Cross Complete
Beechstreet
Beaumont Employee Health
Cigna HAP	yes	CT
Cigna GWH	yes	CT
Cofinity	may	CT
Coventry Health Care	yes	CT, NM, US BREAST & TMJ XRAY
Community Care Associates (formerly Wayne County Health Choice)	yes	All Exams except Screening Mamm
First Health/Coventry	yes	CT
HAP/Health Alliance Plan
-HMO, POS, AHL	yes	CT
-PHP:Health Choice	yes	CT
HAP/Senior Plus	yes	CT
HAP/Alliance Health & Life Medicare PPO	yes	CT
HAP/Midwest
Health Plus of Michigan	yes	CT
-Includes PPO, HMO, Medicaid, Cofinity, Medicare and Medicare Advantage Products
Humana
-Medicare HMO & PPO Advantage	yes	CT
-Gold Choice Medicare Program PFFS
-Choice Care Network PPO	yes	CT HMO Members only
Humana Detroit HMOx	yes	CT
Multiplan/PHCS Network
McLaren Health Plan
Medicare (Must have part B)
Medicare Railroad / Palmetto GBA (Must have part B)
Medicaid
-Traditional
-MC PLANS (listed under each plan name)
Meridian Health Plan(Medicaid)	yes	CT
Meridian Health Plan(HMP)	yes	CT
Molina
-MI Child	yes	CT
-Medicaid	yes	CT
-Medicare	yes	CT
-MMP DUAL Medicare/Medicaid	yes	CT
Priority Health
-PPO, HMO, POS & EPO Plans	yes	CT
Private Health Care Systems
-PHCS, PPO & Open Access
SmartHealth (we are a tier 1 & 2 provider)
Total Health Care: all products
-Medicaid, POS, Select	yes	CT
Tricare
-Reserved Select	yes	CT
-Standard	yes	CT
United HealthCare Plans
-AARP Medicare complete	yes	CT
-Secure Horizons Medicare Comp	yes	CT
-United-Healthcare Medicare PPO	yes	CT
-United-Healthcare Medicare Comp	yes	CT
-Evercare Health Plans	yes	CT
-Community Plan (Medicaid)	yes	Everything needs authorization
-Community Plan Medicare Advantage	yes	Everything needs authorization
-Commercial	yes	CT
Workman Comp Claims
-Claim # and address of Workman Comp Ins covering claim is required & name and phone
# of the adjuster

Insurance	Require Pre-Authorization	For which exam(s)
Aetna	yes	CT
Aetna Better Health (Medicaid & Medicare)
Blue Cross / Blue Shield Products:
-Traditional	may	CT
-Community Blue	yes	CT
-Medicare Plus Blue PPO	yes	CT
-Blue Choice PPO	yes	CT
-Blue Preferred PPO	yes	CT
-Blue Preferred Plus PPO	yes	CT
-Federal BC / BS
-Blue Care Network	yes	CT
-Blue Care Network Advantage	yes	CT
-Blue Care Network ConnectedCare HM	yes	All Exams Referral must be from Connet Care Network PCP
-Blue Cross Complete
Beechstreet
Beaumont Employee Health
Cigna HAP	yes	CT
Cigna GWH	yes	CT
Cofinity	may	CT
Coventry Health Care	yes	CT, NM, US BREAST & TMJ XRAY
Community Care Associates (formerly Wayne County Health Choice)	yes	All Exams except Screening Mamm
First Health/Coventry	yes	CT
HAP/Health Alliance Plan
-HMO, POS, AHL	yes	CT
-PHP:Health Choice	yes	CT
HAP/Senior Plus	yes	CT
HAP/Alliance Health & Life Medicare PPO	yes	CT
HAP/Midwest
Health Plus of Michigan	yes	CT
-Includes PPO, HMO, Medicaid, Cofinity, Medicare and Medicare Advantage Products
Humana
-Medicare HMO & PPO Advantage	yes	CT
-Gold Choice Medicare Program PFFS
-Choice Care Network PPO	yes	CT HMO Members only
Humana Detroit HMOx	yes	CT
Multiplan/PHCS Network
McLaren Health Plan
Medicare (Must have part B)
Medicare Railroad / Palmetto GBA (Must have part B)
Medicaid
-Traditional
-MC PLANS (listed under each plan name)
Meridian Health Plan(Medicaid)	yes	CT
Meridian Health Plan(HMP)	yes	CT
Molina
-MI Child	yes	CT
-Medicaid	yes	CT
-Medicare	yes	CT
-MMP DUAL Medicare/Medicaid	yes	CT
Priority Health
-PPO, HMO, POS & EPO Plans	yes	CT
Private Health Care Systems
-PHCS, PPO & Open Access
SmartHealth (we are a tier 1 & 2 provider)
Total Health Care: all products
-Medicaid, POS, Select	yes	CT
Tricare
-Reserved Select	yes	CT
-Standard	yes	CT
United HealthCare Plans
-AARP Medicare complete	yes	CT
-Secure Horizons Medicare Comp	yes	CT
-United-Healthcare Medicare PPO	yes	CT
-United-Healthcare Medicare Comp	yes	CT
-Evercare Health Plans	yes	CT
-Community Plan (Medicaid)	yes	Everything needs authorization
-Community Plan Medicare Advantage	yes	Everything needs authorization
-Commercial	yes	CT
Workman Comp Claims
-Claim # and address of Workman Comp Ins covering claim is required & name and phone
# of the adjuster