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  3. The doctor does not take or refused to accept my plan. What should I do?

The doctor does not take or refused to accept my plan. What should I do?

Here are benefit verification instructions for providers:

1.Tell your provider Pivot Health plans are underwritten by insurance carrier Companion Life Insurance Company.

2. This fully-insured insurance plan has no PPO network restrictions or requirements. All

licensed healthcare providers are accepted.

3. Payment is up to 25% more than what Medicare pays for doctor office visits and up to 50%

more for facilities.

4. If the provider would like to verify insurance benefits, contact the benefit verification line:

866-323-2985.

5. Copay plans (when applicable) can be collected at the time of service for the office visit.

6. Get pre-certified taken care of in advance if necessary. All hospitalizations, other inpatient

care, inpatient surgeries or surgical procedures and outpatient IV infusion therapy, radiation

therapy and cardiac surgery, must be pre-certified. Contact the pre-certification line at

866-317-5273.

Updated on May 9, 2023

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