Our goal is to provide you with the the best-in-class diagnosis
and treatment for a wide spectrum of respiratory and sleep
conditions, disorders and diseases.
You Come First
Our goal is to provide you with the the best-in-class diagnosis
and treatment for a wide spectrum of respiratory and sleep
conditions, disorders and diseases.
New Patients
Call our office at 904-253-6910 to make an appointment and discuss your needs. You can also submit an appointment request form.
Patient Portal
Online Payments
You can now pay co-pays and balances through our secure and private platform, Phreesia.
Accepted Insurance
- Aetna HMO – auth required for office and testing Aetna POS, QPOS, USACCESS – auth required testing
- Aetna Open Choice PPO
- Assurant Health – Aetna ASA – ACA Exchange Plans
- Avmed
- Avmed HMO & Engage –auth required for office and testing
- Blue Cross Blue Options (Network Blue)
- Blue Cross Blue Shield – BH Employees
- BlueCare HMO – No Referral Required
- Blue Cross Blue Shield HMO (Health Options/MyBlue HMO) – auth required for office and testing **VMAH, VMYH, VMBH, CJNH, XJGH, XJRH
- Blue Cross Blue Shield Indemnity (PHS) Blue Cross Blue Shield PPO (PPC)
- First Health PPO
- Golden Rule
- Humana HMO – auth required for office and testing
- Humana PPO & EPO & Open Access
- Medicaid Secondary Only
- Multiplan
- Northeast Florida State Hospital
- Private Healthcare Systems
- UHC Open Access & PPO & POS
- UHC HMO – auth required for office and testing
- Tricare Select, Tricare for Life
- Tricare Prime – auth required for office and testing
- New Effective 11/15/19 – AARP Medicare Complete Focus & HMO – Auth required for office visit
- Aetna/ Coventy Medicare PPO HMO – auth required for office and testing
- BCBS Medicare PPO HMO – auth required for office and testing
- Blue Cross Blue Shield Advantage 65
- Coventry/ Aetna
- UHC Medicare Dual Complete HMO – auth required for office and testing
- UHC Medicare Complete *Must have Out of Network Benefits*
- Wellcare PPO *Must have Out of Network Benefits*
- Ambetter
- Amerigroup Community Care of Georgia
- BCBS Alignment Health Care
- BCBS Select
- Care Plus
- CIGNA HMO – auth required for office and testing
- CIGNA PPO
- Coventry Care Link — Ages 18 and below
- Coventry Health Care of Florida HMO
- Coventry Health Care of Georgia
- Coventry POS — All States
- Coventry PPO — All States
- Coventry summit
- Coventry VISTA
- Health Ease Medicaid HMO
- Magellan Complete Care
- Mayo / Only if OON benefits
- Medicaid of Florida
- Medicaid of Georgia
- Molina Healthcare of Florida — Commercial, Medicaid,MCR
- Peach State Health Plan
- PedICare
- Staywell Health Plan of Florida
- Sunshine State Health Plan — Commercial, Medicaid, MCR
- UHC Medicaid
- UHC HMO The Villages (group 82943) example
- VA & VA Choice (Veterans Administration)
- Wellcare of FL
- Wellcare of Georgia
- Wellcare Medicaid
- Limited Medical Plans (Administrative Concepts)
We are not able to accept self-pay or workers compensation claims at this time.
Prescription Drug Information
Prescriptions
RCCSMA understands that prescription medication costs can be overwhelming. Medication coverage, also known as formularies, vary with each insurance company and within each plan within that company. This makes the task of keeping up with each patient’s plan impossible.
If the cost of your prescribed medication is excessive, there may be alternative medications within the same class that your insurance will cover. To assist RCCSMA in finding an alternative medication, we need to explore your insurance plan formulary. We ask that you call your insurance company to ask about alternative medication and coverage options. The insurance company number is located on the back of your insurance card.
Once you have this information, you can call RCCSMA at 904-253-6910 option 3 (Triage). We can then help get the covered medication prescribed. If the medication is not felt to be an acceptable alternative, we can arrange a follow up clinic appointment for discussion with your doctor. If you call without the formulary information, you will be asked to complete this step before we can help.
CPAP Supplies and Machines
CPAP machine and/or CPAP supplies orders will be sent to your Durable Medical Equipment (DME) company. Your DME company obtains authorization from your insurance company and then will contact you. The DME company can then answer questions about cost and delivery. This process can take up to 4 weeks.
If you have financial questions regarding your CPAP machine and supplies, please direct these to your DME company or your insurance.
Insurance will cover the following CPAP supplies at the following intervals: (additional supplies outside these windows will be an out of pocket expense)
| Machine | 1 every 5 years (depending on insurance) |
| Headgear | 1 every 6 months |
| Chinstrap | 1 every 6 months |
| Tubing | 1 every 3 months |
| Disposable Filters | 2 every month |
| Non-disposable Filters | 1 every 6 months |
| Water Chamber | 1 every 6 months |
| Mask | 1 every 3 months |
| Cushions for Mask | 2 every month |
Patient Resources
For more information about your pulmonary diagnosis please check out these links:
- Chronic Obstructive Pulmonary Disease patient education
- Asthma patient education
- Bronchiectasis patient education
- Sarcoidosis patient education
- Pulmonary hypertension patient education
- Facts and benefits of quitting smoking
For additional information on other topics not listed above, this extensive patient education resource on pulmonary diseases is provided by the CHEST Foundation:
Did you know that 70% of patients who use inhalers use them incorrectly?
Proper inhaler use is often the difference between you experiencing the desired improvement in your life versus not managing your lung disease effectively.
For more information about your sleep diagnosis please check out these links:
- https://foundation.chestnet.org/patient-education-resources/obstructive-sleep-apnea-osa/
- http://sleepeducation.org/essentials-in-sleep/cpap
- http://sleepeducation.org/essentials-in-sleep/narcolepsy
- http://sleepeducation.org/essentials-in-sleep/insomnia
- http://sleepeducation.org/essentials-in-sleep/restless-legs-syndrome
For additional information on other topics not listed above, sleepeducation.org is an extensive patient education resource on sleep diseases provided by the American Academy of Sleep Medicine (AASM):
Referring Physicians
We truly value our referral partners and want patients
to have the best experience possible. Please call
904-253-6910 and a representative will help connect
you with the right physician.
