Your Account: Insurance & Billing Information

Financial Assistance Eligibility Requirements
  • Patient has received emergency care 
  • Patient has received or is scheduled for medically necessary care and resides in the Northeast Georgia Health System service area (defined below):
    • Medically necessary care means care which is appropriate and consistent with the diagnosis and if not received could adversely affect or fail to improve the patient’s condition.  It is care that is not cosmetic, experimental or deemed to be non-reimbursable by traditional insurance carriers and governmental payers.  It is care that is deemed medically necessary by an examining physician’s determination.
  • Patient’s gross family income is between 0 and 300% of the Federal Poverty Guidelines, adjusted for family size
Applying for Financial Assistance

Downloadable forms and resources are located at the bottom of this page.

The Financial Assistance application and policy may be found below in the related documents section. You may contact the ASC at 770-848-1730 (select option 4 for financial assistance) or through MyChart for any assistance needed in completing the application or for any questions you have.

Contact the Financial Assistant Department

Have questions? Call 770-848-1730 and select option 4 for financial assistance. The MyChart instructions will continue to apply.

Accepted Insurance

We currently accept the following insurance plans:

  • Aetna Commercial
  • Aetna Medicare Advantage
  • Amerigroup
  • Anthem Medicare Advantage
  • BCBS Anthem
  • CareSource (Medicaid CMO)
  • Cigna (Cigna commercial, Cigna Local Plus, Cigna + Oscar)
  • Cigna Medicare Advantage
  • First Health/Coventry
  • Health Partners Self-Funded  (not HP Union General)
  • Health Partners Union General (ALL HP Self-funded groups)
  • Kaiser PPO
  • Medicare w/ Medicare Supplement
  • Multiplan
  • QuikTrip
  • Tricare Prime (Humana Military)
  • Traditional Medicaid  (no CMO’s yet)
  • Traditional Medicare
  • Tricare Prime (Humana Military)
  • Tricare Select (also referred to as Tricare Standard
  • VA-CCN
  • Work Comp

Advance Directive

Advance Directive Step by Step Guide

Patient Rights & Responsibilities

Download Patient Rights & Responsibilities

Patient Privacy Notice

Download Patient Privacy Notice

Your Medical Records

To access copies of your medical records, please visit:

Request Medical Records