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Insurance

The fees that Sutton Orthopaedics and Sports Medicine charge for services are reasonable and customary. We bill all insurance plans that we participate with. It is the patient’s responsibility to pay copays, coinsurance, and deductibles that are due at the time of service. The patient is responsible for obtaining a referral from the Primary Care physician if required, before they can be seen. It is the patient’s responsibility to provide us with your current insurance, and to notify us if anything changes during your course of treatment.
Please note that if your visit is related to an accident of any kind you must contact your insurance company with accident details or your claim may be denied or delayed.
Please contact your Insurance provider if you have questions about coverage or benefits. Remember that we are only the medical provider and have no ability to negotiate on your behalf.

Participating Insurance Plans

  • Aetna PPO, Open, Choice POS II, Managed Choice & AEXCEL
  • Amerigroup
  • Beechstreet PPO
  • BC/BS PPO
  • Cigna - All Products
  • Choice Care
  • Coventry Healthcare HMO/POS
  • First Health
  • Humana PPO, POS, HMO
  • Kaiser Multichoice POS CCN
  • Medicaid Standard
  • Medicare
  • Multiplan
  • Sheet Metal Workers
  • Team Care PPO
  • Tricare Prime & Standard
  • United Healthcare

Hospitals

  • Piedmont Henry Hospital | Active Staff Privileges
  • Piedmont Fayette Hospital | Active Staff Privileges
  • Spivey Station Surgery Center | Active Staff Privileges