Dr. Cheryl Serr
Cheryl Wiley, FNP
What Insurances Do We Take?
Note: We accept most major insurance policies. Our nurse practioners do NOT appear on insurance company lists as providers, because they are automatically a provider if Dr. Serr is a provider. If you want to be sure if our practice takes your insurance, call the number on the back of your card and ask if Dr. Serr is a provider. Check by name (Dr. Cheryl Serr) or tax ID number (68-0435436).
Note: In general, we are currently only accepting NEW patients who have an insurance with which we are a contracted, in-network provider. If you are an existing patient of our practice and lose your insurance, please call the office. You might have the option of being seen as a CASH pay patient.
Anthem, Aetna, Allstate – through Aetna, APWU (American Postal Workers – through Cigna), AARP (American Assoc of Retired Persons – through United), Cigna, Delta, First Health Coventry, GEHA, Health Net, Humana, MultiPlan, Pacific Life, Pers Choice, Pers Select, Prudent Buyer, United (including Core, Choice, Nexus, Charter, Select) – PPOs YES (EPOs and HMOs – NO). We are in-network for most (but not every) PPO version of these insurance plans.
Trans Choice Plus – NO. Patients CANNOT be seen as a cash pay patient.
Covered California : Blue Cross, Blue Shield, and HealthNet (aka “Obamacare”) – YES.
Blue Shield – PPOs YES (EPO and HMOs – NO, with one exception below).
We are in-network for most (but not every) Blue Shield PPO insurance plans.
Note: If Blue Shield denied payment for any services you received at our office between November 2018 and February 2019, please contact our billing company (CPR at 241-0473) with any questions.
Blue Shield EPO through Dignity (for Dignity Hospital employees) – YES, BUT “out-of-network”
The patient will pay a larger portion of the bill than if they see an in-network provider.
Anthem Blue Cross – EPOs and PPOs YES with exceptions as noted. (HMOs – NO). We are in-network for most (but not every) EPO/PPO version of these insurance plans. We are NOT accepting “Prime Healthcare through Anthem Blue Cross” for SRMC employees. We are NOT accepting “Medi-Cal Program through Anthem Blue Cross”.
Anthem Blue Cross : California Valued Trust – EPOs and PPOs YES. (HMOs – NO). We are in-network for most (but not every) EPO/PPO version of these insurance plans.
“Path to Health” through Anthem Blue Cross – NO. Note: effective 2014, this was switched over to “PHP” Partnership Health Plan of CA, which we do NOT accept. Patients CANNOT be seen as a cash pay patient.
Blue Cross Aim for pregnancy – YES. Note: Many patients with Blue Cross Aim were switched over to MCAP, which we do NOT accept.
“Prime Healthcare” through Anthem Blue Cross (for SRMC employees) – NO NEW PATIENTS. For existing patients: NOT FOR PREGNANCY or SURGERY. Note: we are “out-of-network”. The patient will pay a large portion of the bill. NOTE: We do not do surgery at SRMC.
Humana HMO and Kaiser HMO – NO. We are out-of-network for these HMOs. Patients CANNOT be seen as a cash pay patient.
Health Comp Prudent Buyer (employees of Shasta Community Clinic & Simpson University) – YES
Redding Rancheria Indian Health Care – LIMITED for gynecologic problems only (NOT FOR PREGNANCY) and NEEDS A REFERRAL and PRIOR AUTHORIZATION from Redding Rancheria. We need a new referral for every visit. NOTE: Services which could have been provided at Redding Rancheria (annual exams, pap smears, birth control, bladder or vaginal infections) will not be covered without a referral.
CARE Credit – NO
Champ VA / CHAMPUS – YES
Tricare under HealthNet (formerly Tricare West / East / North / South / Standard / Tricare for Life / Tricare under UHC) – YES (EXCEPT NOT Tricare Prime Policies as below). NOTE: NEEDS A REFERRAL and PRIOR AUTHORIZATION from the primary care provider. Tricare requires a new referral and authorization for every visit, and generally will not authorize services which could have been provided by the primary care provider.
Tricare Prime and Tricare Prime Remote (for Active Duty Family Members) – NO. These are HMO policies and we are NOT a provider. Patients CANNOT seen as a cash pay patient.
Family PACT (green card for women’s health) – NO. We are not seeing patients with these insurances. Patients CANNOT be seen as a cash pay patient.
PCIP “Pre-Existing Condition Insurance Plan” – NO. We are not seeing patients with this insurance. Patients CANNOT be seen as a cash pay patient.
PHP “Partnership Health Plan of California” – NO NEW PATIENTS and NOT FOR PREGNANCY. If you are a longstanding patient of our office and your insurance changes over to PHP, please call us to discuss this. Patients with PHP CANNOT be seen as a cash pay patient. NOTE: PHP is an HMO. Every patient with PHP is assigned a primary care provider. Our office is a specialty care (not a primary) provider. To be seen in our office, a patient NEEDS A REFERRAL / PRIOR AUTHORIZATION (e-raf) every 12 months from their assigned primary care provider. Patients who had Medi-Cal, CMSP and Blue Cross Anthem “Path to Health” have been switched (as of 2014) to PHP.
Medi-Cal and CMPS – NO. We are NOT accepting patients who have Medi-Cal as a PRIMARY OR SECONDARY. Patients CANNOT be seen as a cash pay patient. NOTE: Dr. Serr is listed as a Medi-Cal provider on their website, because the hospital requires a Medi-Cal contract of all doctors who work in the ER, but we are not accepting Medi-Cal at our private office.
MCAP (Medi-Cal Access Program) that replaced most Blue Cross Aim policies- NO. Patients CANNOT be seen as a cash pay patient.
CASH PAY – Rarely and NO NEW PATIENTS. We are currently only accepting new patients who have an insurance for which we are an in-network, contracted provider. For long-standing existing patients who lose their insurance or switch to an insurance for which we are not a provider, please call the office.
NOTE: For various reasons, patients who have insurance sometimes ask a doctor if they can “not bill” the insurance, and be seen instead as cash pay patients. If a doctor is a contracted provider with the insurance company, this is illegal.
Cash-pay prices are not negotiable. Payment is due in full on the day of service. We do not do payment plans. We do not price-match.
Medicare in general: Our office is NOT a Medicare provider. NO NEW PATIENTS. Existing patients with Medicare can choose to be seen as a CASH PAY PATIENT. Our practice has “opted-out” of Medicare, which means we are not contracted with Medicare. Neither our office (nor the patient) can submit the bill to Medicare. Please see specific insurance situations as listed below. Note: If your Primary insurance is Medicare or Medicare-linked, then any lab tests we order (Pap smear, biopsy or blood work) might, or might not, be covered by Medicare.
Medicare Primary – Our office is NOT a Medicare provider. NO NEW PATIENTS. Existing patients can be seen as a CASH PAY PATIENT. Medicare will not pay for the visit.
Medicare Primary with other insurance Secondary – Our office is NOT a Medicare provider. NO NEW PATIENTS. Existing patients can be seen as a CASH PAY PATIENT. We cannot bill either insurance if Medicare is a Primary. Medicare will not pay for the visit. NOTE: The patient can take a copy of our Medicare opt-out letter and of her face sheet and try to submit it to her secondary insurance for reimbursement.
Medicare “linked” or “Medicare supplement” or “Medicare alternative” policies Primary – These plans are all a form of Medicare and our office is NOT a Medicare provider. NO NEW PATIENTS. Existing patients can be seen as a CASH PAY PATIENT. Examples include: Medicare Advantage or Medicare Advanta (by Aetna, Cigna, United Health, Health Net Pearl, Blue Cross, Blue Shield). The visit will not be covered. If it says Medicare anywhere on the card we are still considered “opted-out”.
Medicare as a Secondary with other insurance Primary – YES. It is very rare for Medicare to be a secondary insurance, but if it truly is, then we can bill the Primary insurance. We cannot bill the Medicare secondary.
Medicare “PART D” (hospital care-only) as a Secondary with other insurance Primary – YES.
We can bill the Primary insurance.