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Insurance/Managed Care Plans

  

The following insurance plans are contracted with Obstetrics, Gynecology and Infertility, P.A. Due to the complexities and regulations in the insurance market, we depend upon the patient to determine whether your insurance company does or does not cover a specific service or procedure. Please understand that we cannot accept responsibility for payment or nonpayment of your insurance claims, nor can we negotiate a settlement on a disputed claim. Questions about coverage and benefits are between you and your insurer.

Plans that require a referral for you to be seen by one of our physicians or nurse practitioners are noted as such below. If your insurance company requires a referral, please call your primary care physician to obtain it before you schedule an appointment with our practice. It is your responsibility to secure appropriate authorization or referral. Please call our business services office at (952) 567-7050 if have any questions on insurance, referrals or prior authorizations.

Aetna
Aetna Elect            
Notes:

Referral may be needed.  Please call the Business Office at 763-383-2138.

 
Aetna Managed Choice           website
Notes:

Referral may be needed.  Please call the Business Office at 763-383-2138.

 
Aetna Open Choice           website
Notes:

No Referral Necessary.

 

America PPO
America PPO (formerly Araz)           website
Notes: No Referral Necessary.  

Blue Cross / Blue Shield
Aware Gold   Phone:   651-662-5200   website
Notes: No referral necessary.  
BC/BS of MN   Phone:   651-662-5200   website
Notes:

No Referral Necessary.

 
Blue Care   Phone:   651-662-5200   website
Notes:

Blue Care requires their patients to designate a network through their family practice physician/clinic (for network OB/GYN access) or designate an OB/GYN clinic as the "co-primary clinic" for open access to a specific OB/GYN clinic.  Obstetrics, Gynecology and Infertility belongs to the FPA (Fairview Physician Associates) network. 

To receive access to our clinic for your OB/GYN care without a referral must:                                                                  1. Choose a family practice physician/clinic that belongs to the FPA (Fairview Physician Associates) network.
2. Designate Obstetrics, Gynecology and Infertility, P.A. as your co-primary clinic.

 
Blue Choice   Phone:   651-662-5200   website
Notes:

No Referral Necessary.

 
Comprehensive Care Services   Phone:   651-662-5940    
Notes: No referral necessary.  
Federal Employees   Phone:   651-662-5200   website
Notes: No referral necessary.  
PPO (Out of State)            
Notes:

No Referral Necessary.

 
Preferred Gold   Phone:   651-662-5200   website
Notes:

Referral may be needed.  Please call the Business Office at 763-383-2138.

 
Primary Plus   Phone:   651-662-5200   website
Notes: Referral may be needed.  Please call the Business Office at 763-383-2138.  
Secure Blue   Phone:   651-662-5200   website
Notes:

Blue Plus requires their patients to designate a network through their family practice physician/clinic which then allows open access to OB/GYN care within the network. 

Obstetrics, Gynecology and Infertility belongs to both the FPA (Fairview Physician Associates) network and the MHN (MN Health Network). 

If you designate your primary care clinic in either of these two networks, you can access your OB/GYN care through our clinic without a referral.

 
State Health Plan   Phone:   651-662-5200   website
Notes:

The State Health Plan requires their patients to designate a network through their family practice physician/clinic (for network OB/GYN access) or designate an OB/GYN clinic as their "co-primary" clinic for open access to a specific OB/GYN clinic.  Obstetrics, Gynecology and Infertility belongs to the FPA (Fairview Physicians Associates) network. 

To receive access to our clinic for your OB/GYN care without a referral, you must: 
1. Choose a family practice physician/clinic that belongs to the FPA (Fairview Physician Associates) network.
2. Designate Obstetrics, Gynecology and Infertility, P.A. as your co-primary clinic.

 

 
Triple Gold   Phone:   651-662-5200   website
Notes: Referral may be needed.  Please call the Business Office at 763-383-2138.  
Vantage Blue   Phone:   651-662-5200   website
Notes:

No Referral Necessary.

 

Blue Plus
Blue Plus   Phone:   651-662-5200   website
Notes:

Blue Plus requires their patients to designate a network through their family practice physician/clinic which then allows open access to OB/GYN care within the network. 

Obstetrics, Gynecology and Infertility belongs to both the FPA (Fairview Physician Associates) network and the MHN (MN Health Network). 

If you designate your primary care clinic in either of these two networks, you can access your OB/GYN care through our clinic without a referral.

 
Care MA   Phone:   651-662-5200   website
Notes:

Blue Plus requires their patients to designate a network through their family practice physician/clinic which then allows open access to OB/GYN care within the network. 

Obstetrics, Gynecology and Infertility belongs to both the FPA (Fairview Physician Associates) network and the MHN (MN Health Network). 

If you designate your primary care clinic in either of these two networks, you can access your OB/GYN care through our clinic without a referral.

 
MinnesotaCare   Phone:   651-662-5200   website
Notes:

Blue Plus requires their patients to designate a network through their family practice physician/clinic which then allows open access to OB/GYN care within the network. 

Obstetrics, Gynecology and Infertility belongs to both the FPA (Fairview Physician Associates) network and the MHN (MN Health Network). 

If you designate your primary care clinic in either of these two networks, you can access your OB/GYN care through our clinic without a referral.

 
Secure Blue   Phone:   651-662-5200   website
Notes:

Blue Plus requires their patients to designate a network through their family practice physician/clinic which then allows open access to OB/GYN care within the network. 

Obstetrics, Gynecology and Infertility belongs to both the FPA (Fairview Physician Associates) network and the MHN (MN Health Network). 

If you designate your primary care clinic in either of these two networks, you can access your OB/GYN care through our clinic without a referral.

 

Choice Plus
Choice Plus   Phone:   800-588-7104   website
Notes:

Please refer to Patient Choice.

 

Fairview Physician Associates Network
Fairview Physician Associate Network   Phone:   952-925-1250   website
Notes: No referral necessary.  

Great West Healthcare
POS           website
Notes: No referral necessary.  
PPO           website
Notes: Referral may be necessary to receive OB/GYN services.  

HealthPartners
65 +   Phone:   952-883-5000   website
Notes:

HealthPartners has open access to OB/GYN providers for most of the employer groups and do no need a referral. 

If you are unsure if a referral is required, please call our business office at 763-383-2138.

 
HealthPartners   Phone:   952-883-5000   website
Notes:

HealthPartners has open access to OB/GYN providers for most of the employer groups and do no need a referral. 

State of Minnesota employees do not have open access and do need a referral to be seen for their OB, GYN or infertility care.

If you are unsure if a referral is required, please call our business office at 763-383-2138.

 
HealthPartners Care / MA   Phone:   952-883-7979   website
Notes:

HealthPartners has open access to OB/GYN providers for most of the employer groups and do no need a referral. 

If you are unsure if a referral is required, please call our business office at 763-383-2138.

  
HealthPartners MinnesotaCare   Phone:   952-883-7979   website
Notes:

HealthPartners has open access to OB/GYN providers for most of the employer groups and do no need a referral. 

If you are unsure if a referral is required, please call our business office at 763-383-2138.

  
Partners for Seniors   Phone:   952-883-5000   website
Notes:

HealthPartners has open access to OB/GYN providers for most of the employer groups and do no need a referral. 

If you are unsure if a referral is required, please call our business office at 763-383-2138.

 
State of MN Employees   Phone:   952-883-5000   website
Notes:

State of Minnesota employees do not have open access and do need a referral to be seen for their OB, GYN or infertility care.

If you have any questions regarding referrals, please call our business office at 763-383-2138.

 

Medica
Advantage Solution   Phone:   952-945-8000   website
Notes: No referral necessary.  
Direct   Phone:   952-945-8000   website
Notes: No referral necessary.  
MCHA   Phone:   952-945-8000   website
Notes: No referral necessary.  
Medica Choice   Phone:   952-945-8000   website
Notes: No referral necessary.  
Medica Choice Care   Phone:   952-945-8000   website
Notes: No referral necessary.  
Medica Choice Insights   Phone:   952-945-8000   website
Notes: No referral necessary.  
Medica Choice Self-Insured   Phone:   952-945-8000   website
Notes:

No referral necessary.

  
Medica Dual Solution   Phone:   952-945-8000   website
Notes: No referral necessary.  
Medica Elect   Phone:   952-945-8000   website
Notes: Referral may be needed.  Please call the Business Office at 763-383-2138.  
Medica Essentials   Phone:   952-945-8000   website
Notes:

Medica Essentials requires their patients designate a network through their family practice physician/clinic which then allows patients open access to OB/GYN care within the network. 

Obstetrics, Gynecology and Infertility belongs to the the FPA (Fairview Physician Associates) network.  If you designate a family practice physician/clinic in the FPA network, you can access our clinic for your OB/GYN care without a referral.

 
Medica Minnesota Care   Phone:   952-945-8000   website
Notes: No referral necessary.  
Medica Premier   Phone:   952-945-8000   website
Notes: Referral may be needed.  Please call the Business Office at 763-383-2138.  
Medica Prime Solution   Phone:   952-945-8000   website
Notes: No referral necessary.  
Medica Select Solution   Phone:   952-945-8000   website
Notes: No referral necessary.  
Medica-Mpls Public Schools Care System   Phone:   952-945-8000   website
Notes:

Medica/Minneapolis School Care System requires their patients designate a network through their family practice physician/clinic which then allows patients open access to OB/GYN care within the network. 

Obstetrics, Gynecology and Infertility belongs to the the FPA (Fairview Physician Associates) network.  If you designate a family practice physician/clinic in the FPA network, you can access our clinic for your OB/GYN care without a referral.

 
Passport   Phone:   952-945-8000   website
Notes: No referral necessary.  
Short Term Choice Solution   Phone:   952-945-8000   website
Notes: No referral necessary.  
Value Choice Solution   Phone:   952-945-8000   website
Notes: No referral necessary.  

Medical Assistance
Medical Assistance   Phone:   651-296-7675    
Notes: No referral necessary.  

Medicare
Medicare   Phone:   800-352-2762   website
Notes: No referral necessary.  
Medicare Railroad            
Notes: No referral necessary.  

MinnesotaCare
MinnesotaCare   Phone:   651-297-3862    
Notes: No Referral Necessary.  

MN Health Network
MN Health Network           website
Notes: No referral necessary.  

National Preferred Provider Network
National Preferred Provider Network   Phone:   800-557-1656   website
Notes: No referral necessary.  

Patient Choice
America Care System   Phone:   1-800-303-0542   website
Notes: No Referral Necessary.  
Insights   Phone:   1-800-303-0542   website
Notes: No referral necessary.  
Patient Choice   Phone:   1-800-303-0542   website
Notes:

Patients Choice requires their patients to designate a network through their family practice physician/clinic which then allows open access to OB/GYN care within the network.  

Obstetrics, Gynecology and Infertility belongs to both the FPA (Fairview Physician Associates) network and the MHN (MN Health Network).

If your designated primary care physician/clinic is in either of these two networks, you can access our clinic for your OB/GYN care without a referral.

 
Select   Phone:   1-800-303-0542   website
Notes:

Patients Choice requires their patients to designate a network through their family practice physician/clinic which then allows open access to OB/GYN care within the network.  

Obstetrics, Gynecology and Infertility belongs to both the FPA (Fairview Physician Associates) network and the MHN (MN Health Network).

If your designated primary care physician/clinic is in either of these two networks, you can access our clinic for your OB/GYN care without a referral.

 
Signature   Phone:   1-800-303-0542   website
Notes:

Patients Choice requires their patients to designate a network through their family practice physician/clinic which then allows open access to OB/GYN care within the network.  

Obstetrics, Gynecology and Infertility belongs to both the FPA (Fairview Physician Associates) network and the MHN (MN Health Network).

If your designated primary care physician/clinic is in either of these two networks, you can access our clinic for your OB/GYN care without a referral.

 

Preferred One
Preferred One   Phone:   763-847-4400   website
Notes: No Referral Necessary.  
Preferred One Administrative Services   Phone:   763-847-4477   website
Notes:

Preferred One Administrative Services requires their patients designate a network through their family practice physician/clinic which then allows patients open access to OB/GYN care within the network. 

Obstetrics, Gynecology and Infertility belongs to the the FPA (Fairview Physician Associates) network.  If you designate a family practice physician/clinic in the FPA network, you can access our clinic for your OB/GYN care without a referral.

 
Preferred One Community Health Plan   Phone:   763-847-4488   website
Notes:

Preferred One Community Health Plan requires their patients designate a network through their family practice physician/clinic which then allows patients open access to OB/GYN care within the network. 

Obstetrics, Gynecology and Infertility belongs to the the FPA (Fairview Physician Associates) network.  If you designate a family practice physician/clinic in the FPA network, you can access our clinic for your OB/GYN care without a referral.

 

ProNet
ProNet Network   Phone:   800-462-7554   website
Notes: ProNet is a PPO network to determine access to clinics and their physicians.  The referral requirement depends upon your insurance company and their specific plan requirements.  Please call our business office at 763-383-2138.  

Select Care
Health East   Phone:   952-945-8000    
Notes: Referral is required to see our providers.    
Select Care Labor Care   Phone:   952-945-8000    
Notes: No referral necessary.  
Select Care PPO   Phone:   952-945-8000    
Notes: No referral necessary.  
Select Care Primary Care Plan   Phone:   952-945-8000    
Notes: No referral necessary.  

TCCN Network
Twin Cities Care Network            
Notes: No referral necessary.  

Tricare
Tricare   Phone:   800-225-4816   website
Notes: No referral necessary.  

U-Care
U-care MA   Phone:   612-676-6500   website
Notes: A referral is not needed for OB/GYN services.  If you would like to see our physicians for any other type of service, you will need a referral from your primary care physician.  
U-Care MinnesotaCare   Phone:   612-676-3600   website
Notes: A referral is not needed for OB/GYN services.  If you would like to see our physicians for any other type of service, you will need a referral from your primary care physician.  

U-Care for Seniors
U-Care for Seniors   Phone:   612-676-3600   website
Notes: A referral is not needed for OB/GYN services.  If you would like to see our physicians for any other type of service, you will need a referral from your primary care physician.  

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