A: The Direct Access Law allows patients to be seen by a licensed physical therapist for either 21 days or 8 visits (whichever comes first) in the state of Georgia, though most insurance companies have limitations on payment for patients being treated without an MD order. In short, a therapy prescription is preferable.
A: We accept all patients and outside referrals in the Athens Orthopedic Clinic Therapy Department. Therapy coverage is subject to the specifics of your insurance plan. Please note: as an outside referral, some insurance companies reimburse physical or occupational therapy at the out-of-network rate. This is due to contractual provisions and the credentialing specifics placed on providers. We are happy to run your benefits and explain any contractual limitations and network rates.
A: In most cases, health insurance will cover all or a portion of the treatment costs. There may be out-of-pocket expenses (co-payments, coinsurances, or deductibles) that the patient is required to pay, which is determined by the patient’s insurance provider. Our staff will run your insurance benefits, verify your eligibility, and walk you through the coverage details relayed to them by your insurance company.
A: Yes. The fax number for Medical Records is 706-354-0800. The fax number for Disability/FMLA is 706-546-8792.
A: For medical records and disability/FMLA, please call 706.549.1663. Please allow 10 days for processing.
A: If you need a prescription refilled, please call your pharmacy. For drugs requiring a written prescription, please call 706.549.1663 and ask to speak with your doctor’s nurse.
A: Please click here to request an appointment or call our office at 706.549.1663.
Athens Orthopedic Health Plans 2019
- Athens Area Health Plan Select
- AGL Resources
- Arcadian/South East Community Care
- Blue Cross Blue Shield
- Care Improvement Plus
- Choice Network
- Companion P&C
- Coventry/First Health
- 1st Medical Network/Ga 1st
- Great West (PPO)
- Gw-One Health Plan (POS/HMO)
- Intergrated Health Plan
- Life of South TPA
- Mail Handlers
- Med Risk
- Medicare Railroad
- Medical Mutual of Ohio
- MSC Care Management
- Prime Health
- Tricare Champus/Tricare For Life/Standard
- United Healthcare
*Medicare Advantage Plans*
Medicare Advantage plans that pay per Medicare guidelines are accepted at AOC, however, any Advantage Plans that do not pay per Medicare guidelines are considered Out of Network
We do not file Medicaid except for instances where it is secondary to Medicare
Insurances vary. Please contact our Worker’s Compensation department directly at 706-286-7666 or by email : email@example.com
*Out of Network Insurances*
- Humana HMO
- Amerigroup, Wellcare, Peachstate
- Humana One
- Kaiser (Exception: Multiplan and PHCS based plans)
- BCBS Pathway
- Cigna Local Plus
- Coventry One HIX Network
*Insurances that Require Referral*-Prior to Being Seen
- UHC Compass
- UHC Navigate
- Cigna Healthsprings
- BCBS HMO/POS
- VA(Veteran’s Administration)
- Tricare Prime
- United Healthcare Student Resources
- Cigna HMO
If you have questions regarding insurance please call 706-549-1663 ext. 2803
A: You only need a referral if your insurance requires that you have one before seeing a specialist.
A: AOC has 17 doctors who are all sub-specialized, however each doctor sees patients at different offices. AOC’s main office is located in Athens, and we offer 8 outreach locations for your convenience. Please reference our Locations page for more information.