SUN HEALTH MEDICAL CLINIC
HEALTH INSURANCE
PRIMARY CARE
Open to all patients with contracted insurance (see below), including patients of retired Dr. David Ryan. For HMO plans, we do not accept expedited PCP transfers. See bottom of page for what is considered expedited. *
AVIATION / IMMIGRATION
Regardless of insurance (including no insurance, military, Kaiser, or any insurance listed below), we are available for Aviation and Immigration medical examinations.
IN NETWORK
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PPO
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Medicare Advantage HMO
We are contracted In Network with the following insurances:
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Blue Shield PPO Federal Employee Plan FEP
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Blue Shield PPO High Performance Network HPN
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Blue Shield PPO Tandem
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HMO
- NOT EPPO for IFP
(individual Family Plan), apologies
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Government Employee Health Association GEHA
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HMO only
INSURANCE CHANGE
For Established patients, we are open to all of the above health plans. For HMO, please read below regarding the importance of planning ahead.
PLAN TYPES
PREFERRED PROVIDER ORGANIZATION (PPO) PLANS
PREFERRED PROVIDER ORGANIZATION (PPO) PLANS
With PPO plans, no Primary Care Provider (PCP) is mandated, however it is important to have a PCP for optimal quality care. With PPO plans you can self refer and if you do, inform us so we can coordinate care and exchange information with the specialist.
We are closed to New patients for some plans so please see above for details. For Aviation or Immigration medical examinations, if we are contracted with your insurance then we will still bill them on your behalf. If you are already established with us, we are loyal and will continue you care no matter what plan you choose.
HEALTH MAINTENANCE ORGANIZATION (HMO) PLANS
Managed Care
HEALTH MAINTENANCE ORGANIZATION (HMO) PLANS
Managed Care
Managed Care health plans such as Health Maintenance Organizations (HMOs) require that you designate a Primary Care Provider (PCP) in an affiliated medical group. PCP = Dr. Sunita Shailam in Mercy Physicians Medical Group.
* MANAGED CARE (HMO) PRIMARY CARE PROVIDER (PCP) CHANGE TIMELINE
It usually takes up to 6 weeks for a PCP change to be effective.
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PCP activation timeline depends on whether you call before or after the 15th of the month. If you call to change your PCP the 1st-14th of the month, it will be effective the following month. If you call to change your PCP on the 15th-31st of the month, it will be effective in two calendar months.​​
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For example,
if you call 14 December -> PCP change effective 1 January
if you call 15 December -> PCP change effective 1 February
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Plan in advance because we do not accept expedited transfers! If you need care before then, call your insurance and switch to another PCP who accepts expedited transfers.