Barloworld Handling Distribution

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 Anesthesiologist 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

Anesthesiologist

Judy G. Johnson

Ear, Nose & Throat (ENT)

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

Radiology

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	2,000,000	2,000,000	none
Calendar Year Deductible	$200	$400	none
Out-of-Pocket Maximum Cost including Deductible	$1,500	$3,000	none
Physician Office Visits	100% after $20 co-payment	65% after deductible	none
In-House Physician (radiologist, pathologist, anesthesiologist)	85% after deductible	65% after deductible	none
Preadmission Testing	100% deductible waived	100% deductible waived	none
Hospital Services	85% after deductible	65% after deductible	none
Emergency Room Visit	85% after $100 co-payment	65% after $100 co-payment	deductible waived
Psychiatry / Drug / Alcohol Inpatient	85% after deductible	65% after deductible	30 days maximum per calendar year
Psychiatry / Drug / Alcohol Outpatient	85% after deductible	65% after deductible	30 visits maximum per calendar year
Wellness Benefit	100% after co-payment	100% after co-payment	$750 calendar year maximum
Other Covered Expenses	85% after deductible	65% after deductible	none
Spinal Manipulation	50% after deductible	50% after deductible	$1,000 maximum per calendar year
Home Health Care	85% after deductible	65% after deductible	none
Hospice Care	85% after deductible	65% after deductible	$10,000 lifetime maximum for inpatient and outpatient services
Physical/Speech Therapy	80% after deductible	60% after deductible	none

ID Card

Obtain ID Card from patient to insure benefit status.

Claims & Eligibility

Corporate Benefits Services, Inc.

P.O. Box 12953

Charlotte, NC 28220-2953

1 (800) 277-9476

Pre-Certification Requirements

1 (800) 373-4454

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.

Lab work performed at Phoebe Putney Memorial Hospital or a Phoebe Health Partner�s physician�s office will be considered in-network.

Any other laboratory charges will be considered out-of-network.

Tertiary Referrals