Insurance/Forms

Currently we accept the following insurance plans for each provider:
Dr. Denis Bouboulis
Accepted insurance:
Medicare (Must be primary insurance)
*Dr. Bouboulis is currently only in network with Medicare insurance. All services and procedures are considered out of network.

 

Chelsea Clemens, P.A.
Accepted insurances:
Medicare (Must be primary insurance)
Aetna
Anthem Blue Cross Blue Shield
United Healthcare
Oxford

 

It is always recommended to contact your insurance plan to verify participation.

Out of Network Patients
We do not submit to out of network insurance carriers. We can provide receipts and detailed invoices for certain services that you can submit to your insurance if you have out of network benefits. Reimbursement is based upon the individuals insurance policy.


Patient Forms

Health Questionnaire

Instructions for Allergy Testing

Medical Letter Request Form

Medical Records Request Form