Insurance and billing

Insurance Information

Insurance plans and provider networks can change frequently. We strongly recommend contacting your insurance carrier directly to confirm whether our office is in network for your specific plan.

The list below is provided as a general guide. Participation can vary by employer group, plan type, and effective date.

How to Verify Your Coverage

Call the member services number on the back of your insurance card and ask whether Dr. Joan Sy Medical Corporation is in network for your specific plan. This is the fastest and most reliable way to confirm your benefits before your appointment.

Contact the Office
Government Plans
  • Medicare
  • TRICARE West
  • CHAMPVA
  • Veterans Affairs Patient-Centered Community Care (VAPC3)
HMO Plans
  • Monarch Medical Group (panel currently closed to new patients)

PPO / EPO / POS Plans

Aetna

We participate in many Aetna EPO and PPO plans, including Elect Choice EPO, Open Choice PPO, and Managed Choice POS. Some Aetna EPO plans are out of network; please verify your specific plan. We are also out of network for Aetna Medicare Signature (PPO) plans.

Anthem Blue Cross

We are out of network for some narrow or Select EPO/PPO plans, including plans such as California Choice and Prudent Buyer Exclusive. We are in network for standard Anthem PPO plans, including Prudent Buyer and Anthem High Performance.

Blue Shield of California

We are out of network for Covered California plans. We are also out of network for plans in group X0001000 and plans with ID prefixes XED, XEK, XET, XEW, XES, and XEF. We are in network for BlueHPN and the Tandem PPO Network as of January 1, 2025.

Cigna

We participate in many Cigna PPO plans. Coverage varies by plan type. Please verify your specific benefits directly with Cigna.

Health Net

We are out of network for Covered California plans, including Ambetter PPO. Additional exclusions may apply. Please verify your plan with Health Net.

Humana

We participate in select Humana PPO plans. Please verify network status and benefits for your specific policy.

Interplan

We participate in Interplan PPO. Coverage depends on your employer group and the details of your individual plan.

UnitedHealthcare

We are not accepting new UnitedHealthcare patients at this time. We are also out of network for UnitedHealthcare Group Medicare Advantage PPO plans.

We accept many out-of-network plans, but out-of-pocket costs may be higher depending on your plan benefits.

Billing

After your visit is processed by your insurance company, you may owe a balance. Please make payment promptly after receiving your statement. Payment plans are available for eligible balances.

If no payments are made over an extended period, balances may be forwarded to a collection agency and ongoing care may be affected.

Billing
Payment Options
  • Online: Via patient portal (including one-time payment options)
  • Mail: Send check with statement stub
  • Phone: Credit card payments during business hours
  • In person: Cash, check, or credit card during office hours

Mail Payments To

Dr. Joan Sy Medical Corporation
PO BOX 5704
BELFAST, ME 04915-5700