12207 Pecos Street, #300
Westminster, CO 80234
Call us at
(303) 466-3261

Insurance Information

We accept most major medical insurance plans (for a complete list see below). Most of the services provided at Restoration Plastic Surgery, P.C. are covered by insurance. Some insurance plans require a written referral. If your insurance plan requires a written referral, you must obtain the referral prior to your visit or you may be responsible for the entire cost of the visit. (Note: you are not responsible for obtaining authorization for any surgical procedures. We will take care of that for you if needed.) With the possible exception of some emergencies, any applicable copayments and/or deductibles are due at the time of service. When possible, we will try to provide you with an estimate of any out-of-pocket costs for any surgical procedure prior to the date of service. If it is unclear if a surgical service will be covered, you may be asked to sign a document indicating financial responsibility if the claim is denied by your insurance. If it appears certain that a service will not be covered by insurance or if you do not have insurance, we will provide you with an out-of-pocket cost for the procedure. Any amounts not covered by insurance and not collected prior to the date of service will be billed. Payments not received prior to the next billing cycle will be billed again and will be subject to a $7 reprocessing fee.

The following is a list of insurance plans with which we participate. This list may not include all plans with which we participate. If you do not see your plan here please contact the office and we would be happy to check for you. Remember some plans require a referral before you see a specialist. If you are unsure you can always call the information number on your insurance card to find out.

AARP Medicare Complete (requires referral)

Aetna

Assurant Health

Beech Street

Blue Cross/Blue Shield of Colorado

Anthem HMO

Anthem Blue Cross/Blue Shield PAR/PPO

Averde Health

Casualty Management Network

Choice Care

Cigna

Cofinity

Colorado HealthOp

First Health/Coventry

GEHA (USA Health Network)

Great West Healthplan

Health Management Network PPO

Health Payors Organization, LTD PPO

Humana

Humana X (always requires a referral)

Medicare

Medicare Railroad

Medicare Solutions (requires a referral)

Multiplan

National Provider Network (National Preferred Provider Network)

Pacificare (most plans require referral)

Plan Care

Private Healthcare Systems (PHCS)

Rocky Mountain Health Plans

Secure Horizons (requires a referral)

Three Rivers Provider Network

Tricare

United Healthcare

US Healthcare

USA Managed Care Network

Worker’s Compensation (we accept most work comp insurance except OWCP)

 

The following is a list of plans with which we do NOT participate:

Kaiser Permanente (we are happy to see Kaiser patients who feel they are not receiving satisfactory care at Kaiser but any visits to our office will not be covered by your Kaiser insurance and you will be personally responsible for all payments)

Medicaid (please note that if you currently participate in Medicaid you cannot be seen in our office even if you are willing to pay out of pocket. The State of Colorado has enacted legislation that prevents us from receiving any payment for medical services from patients who are actively enrolled in Medicaid. You are required by law to inform this office if you are a Medicaid participant at the time of service. Failure to do so may be deemed criminal fraud and may result in legal prosecution.)

OWCP (we do not accept federal government employee workers’ compensation claims)