• Windermere Medical Group

    We are in-Network participating Primary Care Provider with insurances listed here, However, Please verify with your insurance carrier if we are in-Network for your plan or not using our tax-id 45-1259435 (Northside Primary Care Professional services, LLC), because some insurance plans may have limited networks and/or hospital/county based restrictions. We are affiliated with Northside Hospital and our billing is performed by Northside Hospital Primary care physician billing department.

    We offer reasonable self-pay rates for patients with no Insurance. Financial Assistance Available to those who qualify.

    Insurance Plans

    Aetna
    Anthem Blue Cross Blue Shield

    Bind
    Cigna (except Local Plus, Connect and Simple choice)

    Cigna + Oscar Open Access Plus
    Coventry
    Health One Alliance

    Humana
    Kaiser PPO & MultiChoice POS only (via Multi-Plan or PHCS Only)
    Multi-Plan (except cost sharing plans and ValuePoint)
    PHCS (except Practitioner Only & Practitioner/Ancillary Only )
    Northside Health Network
    Novanet

    Oscar (All plans except Local)
    QuikTrip

    Surest
    Tricare (Prime & Standard)
    United Healthcare (All Plans)
    VA Community Care Network (through Optum, Referrals are required by the VA for all services)


    ALL HMO plans: PCP should be listed as our provider

     

    Others

    VA Community Care Network (through Optum, Referrals are required by the VA for all services)

    Exchange Plans

    Ambetter from Peach State Health Plan (participating with Ambetter Core Products: Essential/Balanced/Secure Only)
    CareSource Marketplace

    Oscar (All plans except Local)
    Pathway (Blue Cross Blue Shield)
    UnitedHealthcare Exchange

     

     

    Medicare Advantage Plans

    (HMO plans: PCP should be our provider)
    Aetna
    Blue Cross Blue Shield
    Cigna Medicare Advantage (formerly Cigna HealthSpring)
    CareSource

    Clear Springs Medicare Advantage

    Clover Health Medicare Advantage
    Humana

    Kaiser - PCP should be our provider
    Peach State (All Plans including AmBetter)

    PruittHealth

    Sonder Health Medicare Advantage


    UnitedHealthcare
    Wellcare (All Plans)

     

    Medicaid Managed Care Plans (Georgia Medicaid Plans only)

    Amerigroup Community Care (All Plans)
    CareSource (All Plans)
    Peach Care for Kids (All Plans)
    Peach State (All Plans including AmBetter)
    Wellcare (All Plans)


     

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