Billing & Insurance

Billing and Insurance

For your convenience, Orange Coast Women's Medical Group accepts most major insurance plans: PPO, POS, EPO, Medicare and Tricare, including Covered California Exchange plans. We also accept all major HMO plans through Monarch Healthcare (your primary care physician must be affiliated with this group, please refer to your insurance card).

We accept cash, personal checks, and all major credit cards (except AMEX) as well as "Flex and HSA" cards.

Please note: At the time of your visit you will be responsible to pay your specialist co-pay, coinsurance, past due balances and/or any unmet deductible amounts at the time of service. We are also happy to file your claim for you, but the balance is your responsibility if your insurance company or plan does not pay after 30 days. Any amount not covered by your insurance policy is due immediately after you receive your first invoice from us.

Medicare: We will bill your secondary insurance provider directly. You will be asked to sign an Advanced Beneficiary Notice for service not covered under Medicare.

Please make sure to verify that your insurance is "in-network", Tax ID # 330647421. "In Network" vs. "Out of Network" - means your insurance coverage and benefits are a contract between you and your insurance compnay and therefore all disputes must be handled between you and your insurer. OCWMG is contracted with multiple insurers to accept assignments of benefits. If you have insurance coverage under a plan with which we do not have a contract, you will be treated as a self pay patient. We encourage that you become familiar with your insurance plan benefits as benefits may change. 

For all visits we bill your insurance provider directly. If your insurance has changed please notify or provide us with your current information prior to your scheduled appointment. Please make sure to bring your insurance card with you to your appointment; we will need to take a copy of the new information printed on your insurance card.

In regards to new pregnancy patients that have HMO insurance with Monarch, MemorialCare or Greater Newport  you are able to self-refer. You do not need a primary care physician referral. 

At OCWMG we are committed to providing excellent health care for everyone. Financial hardships should never stop you from getting the medical care you need. Please consult our billing department.

Below are the following insurance company's OCWMG accepts. If you do not see your insurance plan listed below, OCWMG may still be a participant in your plan. Please contact the customer service number locate on the back of your insurance card or please reach out to our billing department.

Contact: 949.347.8095 or email us at billing@ocwmg.com

HMO PLANS 

  • Monarch Healthcare
  • Greater Newport
  • Memorial Medical Group (Formerly Bristol Park)

COVERED CALIFORNIA (EXCHANGE)

  • Anthem Blue Cross EPO
  • Health Net PPO
  • Blue Shield IFP Exclusive PPO
  • Molina Healthcare HMO (Monarch)

PPO PLANS

  • Aetna
  • Anthem Blue Cross
  • Assurant
  • Beech Street
  • Blue Shield (including EPO)
  • Cigna/GreatWest
  • Community Care Network (CCN)
  • Coventry Healthcare
  • GEHA
  • Health Net
  • Humana/Choice Care
  • Interplan
  • Medicare
  • Medi-Share
  • Multiplan
  • PPO Next
  • Private Healthcare Systems (PHCS)
  • Tricare Standard
  • UMR
  • United Healthcare

Non-participating Insurance Carriers:

  • Aetna Premier Network
  • Aetna Aexcel EPO
  • Aetna One Care Premier Network
  • Blue Cross AHMC/Select Advantage EPO
  • Blue Cross AIM
  • Blue Cross Vivity
  • Blue Shield HMO
  • Blue Shield IFP Exclusive EPO (Covered CA Plan)
  • Cal Optima(Healthy Families)
  • Cigna Select
  • Humana PPO
  • Humana National POS - Open Access
  • Humana Choice Care Network EPO
  • Kaiser HMO
  • Medi-Cal
  • Monarch/United Healthcare w/Long Beach & Los Alamitos Network
  • Oscar
  • Sharp Medical Group
  • United Healthcare Core
  • United Healthcare Empire Plan
  • United Healthcare Navigate
  • Untied Healthcare Medicare Advantage PPO

Online Bill Pay

Please login to your patient portal and select Billing.