At FunctionSmart, we accept most PPO plans and some HMO plans that have contracted with us. We will work with you to determine insurance coverage prior to your first visit so you will know what your coverage is.
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For assistance with insurance questions, please call us or e-mail our insurance specialist.
PPOs
We are in network with most PPO plans with the most common listed to the right. If you do not see yours listed, please contact insurance@functionsmart.com and we can further verify.
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We are OUT OF NETWORK with the following PPO plans:
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Aetna and Meritain
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Cigna
In Network With:
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Anthem Blue Cross
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Blue Shield of California
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Blue Shield Federal Employees
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Blue Cross Blue Shield Out of State plans (Blue Card)
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CHAMPVA
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GEHA
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Healthcomp (OON with Scripps EPOs)
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HealthNet
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Humana
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Medicare and Medicare Advantange
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Multiplan/PHCS
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Tricare
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United Healthcare
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UMR
HMOs
We are contracted with the medical groups listed to the right with some only for pelvic floor PT.
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For ones not listed, we are out of network as we do not have a direct contract with them. For pelvic floor PT, since it is a specialty service, we can request for a single case agreement to be processed to us. Contact insurance@functionsmart.com for more information!
- CPMG/RCHN (including Molina, CHG, and Blue Shield Promise) for pediatric pelvic floor and orthopedics
- Some HealthNet HMOs through Direct Network and some medical groups
- Mid County, SoCal Physician's, and UCSD Physician's Network for pelvic floor
- Scripps Clinic
- Scripps Coastal
- Sharp Rees Stealy for pediatric pelvic floor
- Triwest/VA CCN
Self Pay
For anyone who is out of network or seeking services that are not covered by the terms of their plan, we do have self pay options and will provide current rates on request prior to scheduling. We will also provide a "Good Faith Estimate" for the evaluation if requested and for any follow up care once the evaluation has been completed.