FORM Hand, Wrist & Elbow Institute

Insurance and Billing

Authorizations

Authorization from your insurance provider is necessary for most tests and all surgical procedures. To obtain authorization, our staff will contact your insurance company and make a formal request. This process takes time and we ask for your patience. We request authorization within 3 working days following your appointment for routine requests and immediately for emergent requests. Each insurance company’s response time varies. If you do not hear from our office concerning a request for authorization within 5 working days, please call us to check on the status of the request.

Note that new conditions often require authorization before you can be treated. Please check with your insurance plan to see if you need one. Depending on your insurance plan, you may need to see your primary care physician prior to seeing a specialist.

Payments

Please remember that all co-pays are due at the time of your visit. For your convenience, we accept Visa and MasterCard. FORM Hand, Wrist & Elbow offers cash and payment plans for qualifying patients. Our billing office is happy to answer your payment questions at (510) 505-1090.

Insurance Plans

Below is a list of the insurance that we currently accept at FORM Hand, Wrist & Elbow. We accept all PPOs and most EPOs, auto insurance, Medicare, and Workers’ Compensation. We will gladly accept most Palo Alto Medical Foundation plans. FORM Hand, Wrist & Elbow is not currently contracted with HMOs. If you do not see your insurance listed below, please call our billing specialists at (510) 505-1090 and they can answer any insurance-related questions you may have.

COMPANYNETWORKACCEPTED
AARPY
AdMarPPOY
Aetna AexcelPPOY
Aetna Managed ChoiceY
Aetna Open ChoicePPOY
Aetna Select ChoicePPOY
Alameda AllianceY
Beech StreetY
BenesightY
Blue ShieldPPO, EPOY
Blue CrossPPO, EPOY
BPS HealthcarePPO, EPOY
Carpenters Health & WelfareY
ChubbY
CignaPPOY
CCNY
Coventry Health NetworkY
ESISY
First HealthPPOY
Great West (One Health)EPO, PPOY
GuardianY
Health Managed CareY
HealthnetPPOY
HumanaY
InterplanPPOY
KaiserWCY
KeenanY
Medi-CalN
MedicareY
MultiPlanPPOY
Nippon LifeY
One Call MedicalWCY
PacificarePPOY
Palo Alto Medical FoundationY
Patriot Risk ServicesY
Preferred Health NetworkPPOY
Principle Life InsurancePPOY
Pro AmericaPPOY
Private Healthcare SystemsY
Prudent BuyerY
State Compensation FundWCY
Teamsters Benefit TrustY
Three Rivers Provider NetworkY
TricareY
TriWestY
UnicareY
United HealthcarePPO, EPOY
Washington Senior CareY
WAUSAUY
Workers CompensationY
YorkY
Zurich W/CY
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