12207 Pecos Street, #300
Westminster, CO 80234
Call us at
(303) 466-3261

Insurance and Billing Information

We accept most major medical insurance plans (for a complete list see below). Most of the services provided at Restoration Plastic Surgery, P.C. are covered by insurance. Some insurance plans require a written referral. If your insurance plan requires a written referral, you must obtain the referral prior to your visit or you may be responsible for the entire cost of the visit. (Note: you are not responsible for obtaining authorization for any surgical procedures. We will take care of that for you if needed.)

With the possible exception of some emergencies, any applicable copayments and/or deductibles are due at the time of service. When possible, we will try to provide you with an estimate of any out-of-pocket costs for any surgical procedure prior to the date of service. If it is unclear if a surgical service will be covered, you may be asked to sign a document indicating financial responsibility if the claim is denied by your insurance. If it appears certain that a service will not be covered by insurance or if you do not have insurance, we will provide you with an out-of-pocket cost for the procedure. Any amounts not covered by insurance and not collected prior to the date of service will be billed. Payments not received prior to the next billing cycle will be billed again and will be subject to a $7 reprocessing fee.

The following is a list of insurance plans with which we participate. This list may not include all plans with which we participate. If you do not see your plan here, please contact the office and we would be happy to check for you. You can also call the information number on your insurance card to confirm that we are in-network providers for your plan, however these numbers are not always reliable and may list us as being out of network when we are actually in network.

  • AARP Medicare Complete (requires referral)
  • Aetna
  • Anthem Blue Cross/Blue Shield HMO (Exceptions: CU Exclusive Mountain/Enhanced, Pathway, HPN)
  • Anthem Blue Cross/Blue Shield PAR/PPO
  • Assurant Health
  • Averde Health
  • Beech Street
  • Blue Cross/Blue Shield of Colorado
  • Casualty Management Network
  • Choice Care
  • Cigna (Exception: Preferred Medicare HMO/Health Spring Preferred)
  • Cofinity
  • Colorado HealthOp
  • First Health/Coventry
  • GEHA (USA Health Network)
  • Great West Healthplan
  • Health Management Network PPO
  • Health Payors Organization, LTD PPO
  • Humana
  • Humana X (always requires a referral)
  • Medicare
  • Medicare Advantage (requires a referral)
  • Medicare AARP (may require a referral)
  • Medicare Railroad
  • Medicare Solutions (requires a referral)
  • Multiplan
  • National Provider Network (National Preferred Provider Network)
  • Pacificare (most plans require referral)
  • Plan Care
  • Private Healthcare Systems (PHCS)
  • Rocky Mountain Health Plans
  • Secure Horizons (requires a referral)
  • Three Rivers Provider Network
  • Tricare (exception: Tricare Prime)
  • United Healthcare (exception: Dual Plan)
  • US Healthcare
  • USA Managed Care Network
  • Worker’s Compensation (we accept most work comp insurance)

The following is a list of plans with which we do NOT participate:

  • Kaiser Permanente (we are happy to see Kaiser patients who feel they are not receiving satisfactory care at Kaiser but any visits to our office will not be covered by your Kaiser insurance and you will be personally responsible for all payments.)
  • Medicaid (please note that if you currently participate in Medicaid, you cannot be seen in our office even if you are willing to pay out of pocket. The State of Colorado has enacted legislation that prevents us from receiving any payment for medical services from patients who are actively enrolled in Medicaid. It is therefore not legal for us to bill you for services if you have Medicaid and it is also not legal for you to obtain services from our office by not informing us that you are actively enrolled in Medicaid.)
  • the following 7 closed network HMO plans which requires members to utilize hospital systems with which we do not participate or are Medicaid plans: 4 BCBS HMO plans: (CU Exclusive, Mountain/Enhance, Pathway, and HPN), UHC Dual-Plan Medicaid, TriCare Prime and Cigna Preferred Medicare HMO/Health Spring Preferred.

The following is a list of plans which we will no longer accept due to repeated billing issues:

  • OWCP/USPS work comp (we will no longer accept government employee workers’ compensation claims)
  • Walmart workers’ compensation