Medicare / Medicare Advantage

Amarillo Family Physicians Clinic, accepts assignment for Medicare patients and most Medicare Advantage plans. That means that you will be expected to pay in full for office services until you have met your annual Medicare deductible. Then, you will only pay the 20% co-pay that Medicare does not pay. Co-pays must be paid at the time of service. There are a few services that Medicare does not cover that you will be responsible to pay. Let us know if you have a Medicare supplement. There is no charge to Medicare patients for lab services.

How We Handle Insurance

Our physicians are in-plan providers for:

  • BlueCross BlueShield
  • United Healthcare
  • Cigna
  • Aetna
  • First Care
  • BSA Health System Network
  • Northwest Texas Hospital Health System Network

Check your insurance directory for in-plan providers. Be aware of the information on your insurance card. Always present your insurance card at each visit and tell us if your insurance changes. If your insurance is one of our contracted plans, we will accept your co-pay and handle the rest of the billing procedures. We will bill you for fees not covered by your insurance. You may pay the balance online through the patient portal or on our website.

Failure to present your current insurance card will result in you being responsible for full payment. Many insurances plans have a filing deadline such as 60 to 90 days after the date of service, so it is important that we have current information.

Referrals / Authorizations

Some insurance plans require a referral from your primary physician before seeing a specialist physician. Make an appointment with your family physician first.

If you and your doctor have already discussed seeing a specialist physician, please allow 2 business days for a completed referral. If the specialist physician is out of network the referral takes longer for approval. We also need 2 business days for referral updates.

Some insurances also require pre-authorization for services such as MRI, CT scans, mental health visits and in-patient hospital treatment.

Be aware which hospital your insurance wants you to use. Failure to follow your insurance company procedures usually results in denial of payment. Be alert to your responsibilities.