Anesthesia Care Associates Medical Group, Inc. (ACAMG)
Insurance Participation & Patient Financial Responsibility Disclosure & CA State Law AB72
Like many physicians, ACAMG bills separately for professional services provided by our physicians. Their professional services are not included in the facility costs you pay. We receive your insurance information from the facility where your procedure is performed. We will bill your insurance first, and then if you have any co-insurance, deductible or non-covered service after your insurance adjudicates the claim, you will receive a bill for your share of the cost based on our contracts with the insurance providers and your benefits.
ACAMG participates in contracts with the following plans (not an all-inclusive list):
Aetna
Anthem Blue Cross
Brown and Toland Medical Group
Blue Shield of CA
Blue Cross/Blue Shield plans that participate in the Blues PPO network
Cigna
Champus/TriWest
Healthnet
Medicare
Medi-Cal
Multiplan
Mills Peninsula Medical Group
Sutter Select
United HealthCare
Workers Compensation
Although ACAMG participates in a large number of PPO and HMO plans that are offered in this area, California State Law AB72 was enacted in July 2017 to protect patients from costs associated with out-of-network health services. This legislation caps a patient’s cost-sharing at the in-network market rate when a patient receives services in an in-network facility by an out- of-network provider. Although not every plan is covered by the state law (excludes self-funded plans, Medicare, Medi-Cal, out-of-state plans, or other products regulated by federal law), many of the commercial plans will fall under the rules of this law.
Some details:
- Applies to non-emergency services provided after July 1, 2017.
- Prevents patients from paying more than in-network amount for services if they were delivered in an in-network facility by an out-of-network provider.
- Only applies to individual or group insurance plans. It does not apply to Medicare, Medi-Cal, out-of-state plans, self-insured insurance plans or other products regulated by federal law.
- The law applies to “covered services”. If your procedure is not a covered service by your plan, the costs may be your responsibility.
- Under this law, if the facility is contracted with a health plan, then the provider, even if non-contracted must accept the regional average contract rate paid by the health plan, and the patient should not be billed for the difference. Although not every plan is covered by state law, many of the commercial plans will fall under the rules of this law.
QUESTIONS ABOUT YOUR ANESTHESIA COST OR BILL?
- Questions on your Anesthesia Care Associates Medical Group, Inc. bill please call our billing department at 1-833-922-1081
- Questions on estimated costs prior to your service, please call our local San Francisco office at 415-440-2972
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Payments can be made by mail, online (www.personapay.com/acamg), by phone (please see your bill).
Our New pay-to address as of November 5, 2021 is: Anesthesia Care Associates Medical Group PO BOX 884616 Los Angeles CA 90088-4616
Anesthesia Care Associates Medical Group, Inc.
