Insurance

Because of changes in the health care industry, insurance does not always pay for all care. We will assist with your insurance billing, but we cannot bill your insurance unless you furnish us with all insurance information and bring your ID card with you to your appointment. We will also assist in obtaining the pre-certifications that are required for surgery, diagnostic testing or second opinions.

We accept most insurance plans, including PPOs, some HMOs, Worker’s Compensation, and Medicare. Please check with your insurance to verify our participation in your plan prior to scheduling your appointment. Please be aware that your insurance coverage is a contract between you and your insurance provider. We are not a party to that contract. You are responsible for paying any claims that are not covered by insurance. We also ask that you pay any co-payment required by your insurance carrier upon arrival at WTMF.

If your insurance plan requires a physician referral authorization number, please bring that with you or have it called in to us ahead of time.

Covered California – Health Plans We Accept

All of the physicians and practitioners of Washington Township Medical Foundation are contracted with these Covered California plans.

Anthem Blue Cross

  • Anthem Blue Cross Catastrophic Direct Access PPO
  • Anthem Blue Cross Bronze Direct Access PPO
  • Anthem Blue Cross Silver Direct Access PPO
  • Anthem Blue Cross Gold Direct Access PPO
  • Anthem Blue Cross Platinum Direct Access PPO

WTMF participates in Anthem Blue Cross’ Covered California Individual & Family Plans (IFP) under the Anthem Blue Cross “Pathway X network”. For more information, please contact Anthem Blue Cross, or call (866) 791-5538.

Blue Shield of California PPO Plans

  • Blue Shield Get Covered PPO Plans for IFP (Catastrophic)*
  • Blue Shield Basic PPO Plans for IFP and SHOP (Bronze)*
  • Blue Shield Enhanced PPO Plans for IFP (Silver)*
  • Blue Shield Preferred PPO Plans for IFP (Gold)*
  • Blue Shield Ultimate PPO Plans For IFP (Platinum)*

Blue Shield of California HMO Plans

  • Blue Shield Enhanced Full HMO for SHOP (Silver)*
  • Blue Shield Preferred Full HMO for SHOP (Gold)*
  • Blue Shield Ultimate Full HMO for SHOP (Platinum)*

WTMF participates with certain Blue Shield Covered California Individual & Family Plans (IFP) and Small Business Health Options Program (SHOP) plans. *Please note that Blue Shield has excluded some ZIP codes within Alameda County from their marketing.  If you are already enrolled in one of the Blue Shield products listed above, WTMF is available as a participating provider. WTMF is NOT participating in Blue Shield’s Exclusive EPO Covered California insurance plans. For more information, please contact Blue Shield, or call (888) 568-3560.

HealthNet

  • Health Net PPO Catastrophic*
  • Health Net PPO Bronze*
  • Health Net PPO Silver*
  • Health Net PPO Gold*
  • Health Net PPO Platinum*

WTMF participates in HealthNet’s Covered California Individual & Family Plans (IFP) and Small Business Health Options Program (SHOP). *Please note that HealthNet has excluded some ZIP codes within Alameda County from their IFP marketing. For more information, please contact Health Net, or call (877) 527-8409.

Covered California is this state’s Health Benefit Exchange. For more information on 2014 plans offered in your ZIP code, please visit www.CoveredCA.com, or call 800-300-1506.