Advanced Knee Care

Participating Health Plans

Medicare Patients – Advanced Knee Care is a Private Contractor - See full explanation at the bottom of this page – for Medicare and Medicare Replacement Plans (available through companies UHC, Cigna, Blue Cross, Healthnet, etc). Please click on here to read letter of explanation from Dr. Tarlow.

Advanced Knee Care is a participating provider for the following insurance companies:

Aetna
Ameriben
Arizona Foundation for Medical Care
BC/BS – Blue Cross/Blue Shield
CIGNA (this is current as of July 1, 2012 – Cigna recently incorrectly notified some members that Dr. Tarlow is non participating)
Cofinity
Coventry Healthplans
Department of Labor
First Health Network
Fortified Provider Network
Golden Rule (through UHC)
Healthnet

Humana – Most Choice and Open Networks
Medicare – Private Contractor (not participating)
Multiplan
Pacificare – A United Healthcare Company
PHCS
Prime Network
SCF Arizona (Arizona Workers Comp.)
Southwest Service Administrators (through BC/BS)
Tricare (contact us – we may be allowed to see you at in network rates if not Medicare eligible. If Medicare eligible Private Contract applies)
United Healthcare
University Physicians HC Group of AZ

Dr. Tarlow is updating his contracting status with the following health plans. If you have one of the plans that we have stopped contracting with: Check with your plan manager to find out if you are covered by “Out Of Network” benefits or decide to see us as a cash pay patient.

Effective June 26, 2012 he will be non participating with AmeriPlan, Beech Street, Corvel, Great West, some Humana HMO/other plans (check Humana Website), Integrated Health Plan, Prime Health, SCAN, Three Rivers, and USA Managed Care.

Medicare Patients

I want to continue to treat you for your knee problems. I enjoy caring for people that have Medicare coverage. I see and treat Medicare Beneficiaries in my office and at the hospital. Dr. Tarlow has opted out of Medicare effective 1/1/2011. He is NOT a participating physician with Medicare. Medicare has specific and strict rules regarding payments to Dr. Tarlow – He can NOT accept any payments from Medicare. There are no exceptions made by Medicare. Medicare will pay Dr. Tarlow ZERO dollars for his services. Supplemental, Secondary and Medicare Replacement Plans will pay Dr. Tarlow Zero dollars for his services. Medicare patients treated by Dr. Tarlow pay Advanced Knee Care directly at the time or prior to services being rendered. The cash fee schedule is the amount that you will pay directly to Dr. Tarlow for treatment rendered. If you are a Medicare Beneficiary and would like to be treated by Dr. Tarlow that would be wonderful – please call to schedule an appointment. All other services related to your care including hospital, anesthesia, assistant surgeon, physical therapy, outside Xray/MRI/CT scan and lab work IS covered by Medicare/Supplemental and paid for by Medicare/Supplemental at prevailing terms.