Tyson Foods, Inc.

SGHA Physician Listing

Allied Health Practitioners

Plan Design Summary

Claims & Eligibility Information

Pre-Cert Requirements

Laboratory Instructions

Tertiary Referrals

Physician Listing

Primary Care Physicians Internal Medicine Pediatrics Allergy &Immunology Anesthesiologist Dermatology Ear Nose & Throat (ENT) Emergency Medicine Endocrinology Gastroenterology /Internal Medicine General Surgery Gynecology /Gynecologic Oncology Nephrology /Internal Medicine Neurology Obstetrics and Gynecology Ophthalmology Optometry Orthopedic Surgery Pathology Podiatry Psychiatry Radiology Urology

Primary Care Physicians

Michael S. Busman

Audrey M. Hodge

Michael P. Raines

Internal Medicine

Fleming Burroughs

James G. Herron

Richard T. Oster

Frank H. Parrott

Cindy L. Phillips

Frank A. Wilson IV

K. Narasimha Reddy

Jamie Steinsapir

Pediatrics

Andrew C. Carlson

Judy Y. Y. Cheng

Nelson T. Madrazo

Allergy & Immunology

Dennis A. Robinson

Anesthesiologist

Judy G. Johnson

Dermatology

William G. Irwin

Ear, Nose & Throat (ENT)

Geoffrey W. Scott

Emergency Medicine

Ben C. Andrews Jr.

Linda K. Hudson

Charles R. Sheffield

Endocrinology

Jamie Steinsapir

Gastroenterology /Internal Medicine

General Surgery

Douglas R. Joyner

Harvey L. Simpson

Glenn E. Summers

Gynecology /Gynecologic Oncology

A. Gatewood Dudley

Nephrology / Internal Medicine

K. Narasimha Reddy

Neurology

Shijun (James) Pan

Obstetrics and Gynecology

Michael L. Cacciatore

T. Schley Gatewood Jr.

Wallace D. Mays

Beverly F. Womack

Ophthalmology

Optometry

Kenneth M. Moates

Valerie L. Moates

Ray D. Williams

Orthopedic Surgery

Robert A. Bartosh

Charles W. Davis

Pathology

Sandra L. Zornes

Podiatry

Leonard R. LaRussa

Psychiatry

Kenneth E. DiNella

Radiology

Emeka Sammy Oraka

Urology

Eugene S. Greenberg

Allied Health Practitioners

(select Allied Health Practitioners to view the listing)

Plan Design Summary

Plan Design	In-Network	Out-of-Network	Comments
Lifetime Maximum	1,000,000	1,000,000	none
Calendar Year Deductible	$300	$300	none
Out-of-Pocket Maximum Cost including Deductible	$2,300	no limit	none
Physician Office Visits	100% after $20 co-pay	50% after deductible	none
In-House Physician (radiologist, pathologist, anesthesiologist)	80% after deductible	50% after deductible	none
Preadmission Testing	80% after deductible	50% after deductible	none
Hospital Services	80% after deductible	50% after deductible	pre-certification is required
Emergency Room Visit	$100 co-pay, 80% after deductible	$100 co-pay, 60% after deductible	co-pay is waived if admitted
Psychiatry / Drug / Alcohol Inpatient	Basic Plan has no coverage Premium Plan 80% after deductible	Basic Plan has no coverage Premium Plan 50% after deductible	pre-certification is required
Psychiatry / Drug / Alcohol Outpatient	Basic Plan has no coverage Premium Plan 80% after deductible	Basic Plan has no coverage Premium Plan 50% after deductible	pre-certification is required
Wellness Benefit	Basic Plan has no coverage Premium Plan 80% after deductible	Basic Plan has no coverage Premium Plan 50% after deductible	Well child Immunization is covered in the basic plan up the age 17
Other Covered Expenses	80% after deductible	50% after deductible	none
Spinal Manipulation	50% after deductible	50% after deductible	$500 limit per calendar year
Home Health Care	80% after deductible	50% after deductible	none
Hospice Care	80% after deductible	50% after deductible	none
Physical/Speech Therapy	information unavailable	n/a	refer to human resources

ID Card

Obtain ID Card from patient to insure benefit status.

Claims & Eligibility

CIGNA Healthcare

P.O. Box 188023

Chattanooga, Tennessee 37422-8023

1 (800) 845-3136

Pre-Certification Requirements

1 (800) 621-4309

Laboratory Instructions

Lab work performed by Sandra L. Zornes, MD and Southern laboratory and Pathology Serviced, PC at Sumter Regional Hospital will be considered an in-network benefit.

Call Tommy Carter (924.6011, Extension 2394) to arrange for the courier service at the hospital to pick up your specimens for Dr. Zornes and the clinical laboratory.

Lab work performed at SGHA participating physician�s office will be considered an in-network benefit.

Tertiary Referrals