Sam E. Sato, MD

Tucson Pediatric Ophthalmology and Optometry

Insurance Plans

The insurance "puzzle" has become very challenging for everyone involved. For example, many people don't realize that their medical insurance will cover any medical eye problem and that you don't need to have vision insurance for medical eye problems. Our staff is very knowledgeable about the various insurance plans and we can assist you any way we can. There are several basic types of insurance that we participate with:

  • Standard Insurance: (You can choose your doctor and don't need a referral) We participate with most insurance plans of this type.
  • PPO Insurance: (You can choose your doctor, but preferred providers are encouraged) We participate with most insurance plans of this type.
  • HMO Insurance: (You are required to get a referral from your primary care physician) We participate in many plans, but some restricts do apply. It would be best to call our office or your insurance company to confirm if we are on your plan.
  • Medicare: (Generally those over 65 years of age) We participate with medicare fully, but medicare does not pay for refractions.
  • AHCCCS/Medicaid: (For example, APIPA, Mercycare, University Family Care) We participate with most insurance plans of this type, but referrals from primary care physician is required.
  • Vision Insurance: (For example, VSP, Eye Med, and Avesis) Some of our doctors participate with these plans. This type of insurance is primarily for eye glasses and contact lenses. If you have any eye problems, then your medical insurance covers the exam.

List of Participating Vision Insurance Plans as of April 2011
If you don't see your insurance listed, call our office and we will check for you.

  • Avesis
  • Davis Vision
  • Eyemed
  • Optum
  • Spectera
  • Superior Vision
  • VSP

List of Participating Insurance Plans as of April 2011
If you don't see your insurance listed, call our office and we will check for you.

 

A

AAI Claims Office

AARP Grp Health Ins Program

AARP HealthCare Options

AARP Secure Horizons/Eye Spec

AARP/Medicare Complete

ABA

Aberdeen Health Care Services

Accountable Hlth Plans/Texas

ACEC/Health Plan Services

Acordia National

Admar Corporation

Admin.Enterprise-Inc/BlueCross

Administrative Concepts- Inc

Administrators- Inc/City Of No

Advanced Benefit Solutions

Adventist Risk Management- Inc

Aetna

Aetna Health Plan

Aetna Healthcare

Aetna Life Ins/CA

Aetna Life Ins/FL

Aetna Life Ins/Indiana

Aetna Life Ins/Medicare

Aetna Life Ins/OH

Aetna PPO

Aetna Student Health

Aetna/TRS-Care

Affordable Benefit Admin- Inc

Affordable Medical Network

AH & L

AIG Claim Service

Alliance/Affordable

Allied Benefit Systems- Inc.

Amer.Home Employee Ben

AmeriBen Solutions

America's PPO/Araz

American Benefit Plan Admin

American Benefit/IBEWSW

American Benefit/Tucson

American Community Mutual Ins

American Healthcare Alliance

American Med Security/United

American Military Trust Assoc

American Republic Ins. Co.

AmeriHealth Admin./CCN

Ameritas Life Insurance Co.

AMO Medical Plan

Anthem  Insurance Company

Anthem Health

Anthem Vision

Arizona Dept. Of Economic Sec

Arizona DES/Adoption Subsidy

Arizona DES/CMDP Unit 942C

Arizona DES/Rehab Svc.

Arizona DES/Tucson DDS

Arizona Foundation Med Care

Arizona State AHCCCS

Asarco/North American Admin

ASDB

ASHIP-Az Foundation Med Care

ASI

Associates For Healthcare

Association & Society Insuranc

Association Group Admin.- Inc.

Assurant Health

Auxiant

Avesis- Inc.

AZ Benefit Options - UMR

AZ Benefit Options-Harrington

B

Bankers Life And Casualty Co.

Banner Plan Admin- Inc.

Beech Street/Cherokee

Benefit Claims Payors

Benefit Plan Administrator/CCN

Benefit Planners

Benesight/FiServ Health

Blue Cross Blue Shield

Blue Cross Blue Shield/HMO

Blue Cross Blue Shield/PPO

Blue Cross/Az Pipe Trades

Blue Cross/Blue Shield Nogales

Blue Cross/Professional Benefi

Bridgeway Health Solutions

BrightWood Corp. Health Plan

C

California Ironworkers Welfare

Capella Group- Inc.

Carpenters Hlth For So. CA

Catalina Mountain School

CBCA Administrators- Inc.

CBCA/Triad/United Healthcare

CBSA/CCN

CCN

CCN Managed Care -Inc.

CCN-Advanced Benefit Solutions

CDS Group Health

CHAMPVA

Cherokee Insurance

Cigna

Cigna Healthcare

Cigna Healthcare

Cigna International

Cigna Medicare Access

Cigna PPO

CIGNA VisionCare

Colorado Contractors Trust

Commerce Benefits Group

Community Care Network

Community Connect AHCCCS/ESA

Conseco Claims Processing

Cooperative Benefit Administra

Coresource

Covenant Administrators- Inc.

Coventry Health Care

CRS

CSA Benefits

D

Darden Restaurants

DCI Insurance Department

Definity Health Claims

Definity Healthcare/AZ Foundat

Definity Healthcare/UHC Ntwk

Delta Health Systems

Desert Mutual

Destiny Health/PHCS

DirectCare America

E

EBMS

Embassy Of United Arab Emirate

Employers Health Ins. Co.

EPOCH Group- L.C.

Evercare

Eyefinity

EyeMed Vision Care

F

FEP Blue Vision

First Choice Health Administra

First Health

First Health Network

First Health/Albertson's

First Health/IBEW/NECA

Fiserv Health

Fiserv Health UMR

Fiserv Health-Harrington

FMH Benefit Services

Foreign Service Benefit Plan

Fortis Claims/CCN-AssurantHlth

Fortis Insurance Company

Foundation Benefit Administrat

Foundation Benefits

G

Gallagher Benefits Admin.- Inc

GEHA

General American

GHI

Gilsbar- Inc.

GMS- Inc.

Golden Rule Insurance

GoldenRule/United Choice Plus

Great West-One Health Plan

Group Ins.Svc Cntr/CCN

Group Resources Inc.

Guardian

H

Harrington

Hartford Life Insurance

Harvard Pilgrim Healthcare

HCH Administration

HCI

Health Choice Generations

Health Choice Of AZ

Health Net Commercial Claims

Health Net Medicare + Choice

Health Net Of Az/ACS

Health Net PPO / ACS

Health Plan Of Nevada- Inc.

Health Plan Services

HealthCare Group Of AZ

HealthComp

HealthEOS By Multiplan

HealthPartners Claims

HealthSmart Preferred Care

HMA

HMA- Inc.

HRM Claim Management- Inc.

Humana Claims Office

Humana Military/Tricare CHCBP

I

ILWU-PMA Coastwise Claims Ofc

IMA

IMG

IMG/Affordable Medical Ntwk

Industrial Commission Of AZ

Insurance Center

Insurer's Administrative Corp.

Interplan Health Group

J

J.F. Molloy & Associates

John Alden Insurance

K

Kaiser Permanente

Key Benefit Administrators- In

Kirke-Van Orsdel- Inc./Hartfrd

KVI/CCN Hospital Claims

L

LifeWise Of Arizona

Loomis Company

Lumenos

M

Mail Handlers Benefit Program

Mailhandlers/PHCS

Maricopa Foundation Med Care

Marsh Adv. Am

MBA

MCA Administrators

MedBen

Medical Eye Services

Medical Mutual

Medical Partners Of America

Medicare Service Center

Medico Insurance Company

Mediplus/The Hartford

Mediversal- Inc.

Mega Health Insurance Co.

Mega Life & Health Ins. Co.

Mercy Healthcare Group

Mercycare

Mercycare Advantage

Meritain Health

Met Life Vision

Metropolitan Ins/US West

Mid-West Nat'l Life/CCN

Midlands Choice

Midwest Security Administrator

Mountain States Administrative

MPI Health Plan

Mutual Of Omaha

N

NALC  Health Benefit Plan

NASE

Nat'l. Asbestos Wrkrs Medical

Nat'l. Rural Electric Co.Assoc

NECA-IBEW Local 176 Welfare Fu

NEIHPB

NGS American- Inc

NHP Group Limited Benefit

Nogales Head Start

North Amer Ad/MERITAN HEALTH

North Dakota Vision Service

Norwest Medical Claims

NTCA/SMC-Ashville Svc Cntr

NYL Care/PHCS

O

ODS/PHCS

Olympus

Olympus

Omaha Health Care Service Cent

Oper.Engineers Hlth & Welfare

Oxford Health Plans

P

P5 Electronic Health Services

P5 Health Plan Solutions

Pacific Life & Annuity Benefit

Pacificare PPO

Pacificare Senior Supplement

Pacificare-Eye Specialists AZ

Pacificare/UnitedHealthcare

PCAP

Performax

Phoenix Health Plan

Physicians Mutual Insurance

Pima County Risk Mgmt Dept

Pima Health System

Pinnacle Risk Mgmt

Pittman & Associates- Inc

Plan Handlers- Inc.

Plumbers & Steamfitters Health

Prairie States Enterprises- In

Principal Life Ins.- Co.

Priority Health

Professional Benefit Admin.- I

Providence Health Plan

Prudential

Prudential/AZ

R

RBMS- LLC

Refugee Medical Assistance Pro

Religious Comprehensive Trust

RMSCO- Inc.

Rocky Mountain Health Plans

RR Medicare/Palmetto GBA

Rural Carrier Benefit Plan

S

SAMBA

SCF Of Arizona

Schaller Anderson

Seafarers Health And Benefits

SecureHorizons By UHC

Shasta Administrative Services

SHL

Singapore Detachment

Sloans Lake Managed Care

Smith Administrators/CCN

SOI Health Plan

Solar Indust/Advanced Benefit

Southern Health Services- Inc.

Spectera

Square And Compass

SRC/Beech Street Corp

SRT Administrators

St Elizabeth Of Hungry Clinic

Star Administration Services

Starmark/PHCS

State Compensation Fund

State Farm/Group Medical

Sterling Option 1

STM Claims Department

Summitt Mgmt. Services- Inc.

Superior Vision Services- Inc.

SW Service Administrators

T

Tall Tree Administrators/Blue

TEP/Mt.States Admin

The Guardian

The Pyramid Insurance Co.

TI Benefit Payment Office

Time Insurance Company

Total Prof.Mgmt/PROAMERICA

TPA Svc.- City Of Sierra Vista

Tricare For Life-WPS

Tricare West Region

U

UHCIC Claims Department

UMR

Unicare

UNICARE-Bolingbrook Svc Cntr

Union Pacific RR Employ Health

Union Security Insurance Co.

United Agricultural Benefit Tr

United American

United Food and Commercial Workers

United Health Medicare Complet

United Healthcare

United Healthcare Dual Complet

United Healthcare Internationa

United Healthcare PPO

United Healthcare RR

United Healthcare/Anthem

United Healthcare/Mamsi Health

United Medical Resources- Inc.

United Teacher Assoc Insurance

UnitedHealthcare AZ Physicians

Universal Assistance Inc.

Universal Benefits Corporation

University Family Care

University Physicians

University Physicians Care Adv

USAA Life Insurance Company

V

Vision Care Plan

W

WEB TPA

WellCare

Wells Fargo Insurance Services

Western & Southern Financial

Western Growers

Western Teamsters Welfare Trus

Willis Of Kansas- Inc.

Woodward Health Care Serv Ctr

WPS Health Insurance

Writers Guild  Industry Health

Y

Young Life Benefits Plan

Z

Zenith Administrators

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