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East Bay Rheumatology Frequent Asked Question

East Bay Rheumatology Frequent Asked Question

1.) What insurance carriers are accepted by East Bay Rheumatology?

Insurance-Agencyes-californiaWe accept most major PPO and HMO plans

  • Aetna PPO
  • Affinity
  • Alta Bates
  • Anthem Blue Cross
  • PPO (But NOT Covered California plans)
  • Blue Shield PPO (But NOT Covered California plans)
  • Community Health Center Network (CHCN)
  • Cigna PPO (Open Access Plus)
  • Healthnet PPO (excluding Covered California Plans)
  • Hills Physicians Medical Group
  • Medicare
  • Tricare
  • United Health Care (excluding Covered California Plans)

(This list is subject to change. Please contact your insurance carrier before booking an appointment with us to see if our doctors are in network providers of your insurance. Please call our office at 510 357 1303 for more information)

2.) Do I need a referral to see the doctor?

All HMO plans require a referral from Primary Care Physicians (PCPs). Referrals must be faxed to our office at 510 3575463. Some HMO plans would require Prior Authorization for an office consultation and / or follow up office visits. Please be sure to have your primary care doctor obtain prior authorization from your insurance carrier before referring you to us.

PPO plans typically does not require a referral. If you are uncertain, please consult your PCP or call your insurance carrier.

3.) What do I need to bring for my appointment?

Please bring your insurance card(s), a valid photo ID, any pertinent medical records(consultation notes from your doctors, labs, and imaging), medication list and a method of payment for your office visit. We ask that you kindly come 20-30mins prior to your appointment.

4.) What types of payment does East Bay Rheumatology accept?

We accept cash, check, visa and mastercard

5.) What is a rheumatologist?

A rheumatologist is a medical doctor who specializes in diagnosis and treatment of musculoskeletal disease (involving bones, joints and muscles) and autoimmune conditions such as Rheumatoid Arthritis and Systemic Lupus Erythematosus.

6. What are the different diseases treated by a rheumatologist?

There are hundreds of rheumatic diseases, including degenerative conditions such as osteoarthritis, inflammatory conditions such as rheumatoid arthritis and autoimmune diseases such as lupus.

Some of the diseases are listed below:

  • Rheumatoid Arthritis
  • Systemic Lupus Erythematosus
  • Psoriatic Arthritis
  • Ankylosing Spondylitis
  • Gout
  • Osteoporosis
  • Osteoarthritis
  • Polymyalgia Rheumatica
  • Vasculitis
  • Fibromyalgia
  • Sjogren’s
  • Scleroderma
  • Giant Cell Arteritis
  • Spondyloarthropathy
  • Back pain
  • Bursitis/tendonitis
  • Neck pain
  • Sarcoidosis
  • UCTD