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Insurance Accepted

Our orthopedic specialists participate with most major insurance plans including Medicare. Prior to making an appointment we recommend that you contact your insurance carrier to verify that the doctor you wish to see is contracted with your specific plan. At this time we do not accept auto insurance or third party insurance.

PPO Plans (Commercial & Medicare PPO Plans)

  • Aetna US Healthcare
  • Blue Cross (Large & Small Group Plans)*
  • Blue Shield (individual plans, including Covered California)
  • CIGNA HealthCare
  • First Health / Coventry Health
  • Great West Healthcare
  • Health Net
  • Medicare
  • Orange County PPO
  • PHCS / Multiplan
  • United Healthcare

HMO Plans

Provided through Greater Newport Physicians (Hoag Hospital) and Hoag Physician Partners.1

  • Aetna
  • Blue Shield
  • Blue Cross
  • Cigna
  • Great West Healthcare
  • Health Net
  • United Healthcare
1 We are able to accept Edinger Medical Group when a patient receives medical care from a Newport Orthopedic Institute provider in the ER.

Medicare HMO Advantage Senior Plans

Provided through Greater Newport Physicians (Hoag Hospital) and Hoag Physician Partners.2

  • Blue Shield 65+
  • Secure Horizons, AARP, United Healthcare
  • SCAN

2 We are able to accept Edinger Medical Group and St. Joseph's Hoag Health when a patient receives medical care from a Newport Orthopedic Institute provider in the ER.

Federal Health Plan Transparency in Coverage Rule (CMS-9915-F)

This rule requires most group health plans, and health insurance providers in the group and individual market to disclose price and cost-sharing information to participants, beneficiaries, and enrollees. Health plan price transparency helps consumers know the cost of a covered item or service before receiving care. This ruling is effective July 1, 2022