Confirm Your Coverage and PCP Information.
Some health plans require patients to designate a primary-care provider before services are covered correctly. Use this guide to confirm your plan’s requirements.
Understanding PCP Requirements.
Some insurance plans (like HMOs) require you to officially designate a Primary Care Provider. If ABF is not listed as your PCP on these plans, your visit may not be covered or may require a higher out-of-pocket cost.
Not every plan requires PCP designation.
If you are unsure, you must contact your insurance provider to verify your plan's specific rules.
The Verification Process
Verification is the process of confirming your active coverage. Please note that verification is not a guarantee of payment. Final coverage is determined by your insurance provider after the claim is processed.
Active Status
We confirm your plan is currently active and you are eligible for benefits.
Benefit Review
We check for copays, deductibles, and any specific requirements like referrals.
Call Checklist
Use this guide when calling your insurance provider's customer service number (found on the back of your card).
Designation Check
Ask the representative: "Does my plan require a designated Primary Care Provider?"
Update Provider
If yes, request to update your PCP to: Dr. April Gant or A Brighter Future Healthcare Services.
Effective Date
Ask: "What is the effective date of this change?" and record it.
Reference Number
Ask for a confirmation or reference number for the call.
Insurance Plans We Accept
ABF is currently enrolled with the insurance payers listed below and may accept patients covered by their plans. Network participation can vary by plan type, product, employer group, and service. Insurance eligibility and network status must be verified before your appointment.
Medicare
Medicaid
Aetna
Cigna
Humana
Blue Cross and Blue Shield
BCBSUnitedHealthcare
UHCVeterans Affairs Community Care Network
VA CCNHealthy Blue
First Health
TRICARE East
Ambetter
MultiPlan
AmeriHealth
Carolina Complete Health
Alliance Health
CHAMPVA
Some Plan Types May Be Out of Network
ABF is currently enrolled with the insurance companies listed above. However, participation may vary among individual plans. At this time, ABF may be out of network with certain plan types, including:
- UnitedHealthcare HMO Bronze plans
- Humana HMO plans
- Aetna HMO plans
- Ambetter HMO plans
ABF is actively working to obtain in-network participation for these plans. This information will be updated as payer enrollment and contracting statuses change.
Disclaimer: Insurance participation is not a guarantee of coverage or payment. Benefits, deductibles, copayments, coinsurance, referral requirements, prior authorization requirements, and network status vary by individual policy. Patients should contact their insurance company to confirm that A Brighter Future Healthcare Services, Inc. and the applicable provider are in network under their specific plan. ABF will also verify eligibility before care is established whenever possible.
Not Sure Whether Your Plan Is Accepted?
Submit your insurance information for verification before scheduling. Our team will review your plan and contact you regarding eligibility, network participation, and next steps.
Frequently Asked Questions
Does ABF accept my insurance?
ABF is enrolled with multiple insurance payers. Acceptance depends on your specific plan, product, network, and requested service. Submit your insurance information so the ABF team can verify your benefits and network status.
Why is my insurance company listed if my plan may be out of network?
Insurance companies often offer several plan types. ABF may participate with some products from an insurance company while remaining out of network with other products, such as certain HMO plans.
Does insurance verification guarantee payment?
No. Insurance verification provides an estimate based on information available from the payer. Final coverage and payment decisions are made by the insurance company after a claim is processed.
Do I need to select ABF as my primary care provider?
Some insurance plans require members to select a primary care provider. Patients should contact their insurer to confirm whether Dr. April Gant or A Brighter Future Healthcare Services, Inc. must be selected as the designated primary care provider.
What happens if my plan is out of network?
The ABF team should explain available options, which may include contacting the insurer, reviewing self-pay arrangements, selecting an eligible plan, or waiting for an applicable network contract to become effective.