Synovus Financial

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

Maurice A. Crawford

Michael B. Flowers

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

Claude Gauthier

Nelson T. Madrazo

Adriana Rzeznik

Anesthesiologist

Judy G. Johnson

Ear, Nose & Throat (ENT)

Gregory A. Garth

Emergency Medicine

Ben C. Andrews Jr.

Charles R. Sheffield

Endocrinology

Jamie Steinsapir

Gastroenterology /Internal Medicine

General Surgery

Douglas R. Joiner

Harvey L. Simpson

Joseph N. Zemis

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

Joseph W. King III

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

Michael H. Baldwin

Charles M. Davis

Louis M. Weinstein

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	$250 or $500	n/a	none
Out-of-Pocket Maximum Cost including Deductible	$1,500 or $1,750	$2,500 or $2,700	none
Physician Office Visits	$15 co-pay or %15 whichever is the greater	60% after deductible	none
In-House Physician (radiologist, pathologist, anesthesiologist)	80% after deductible	60% after deductible	none
Preadmission Testing	80% after deductible	60% after deductible	none
Hospital Services	80% after $100 co-pay	60% after $150 co-pay	none
Emergency Room Visit	80% after deductible	60% after deductible	none
Psychiatry / Drug / Alcohol Inpatient	75% after co-pay	n/a	30 days maximum per calendar year pre-certification required
Psychiatry / Drug / Alcohol Outpatient	100% for the first six visits 75% after co-pay	n/a	none
Wellness Benefit	100% up to $200	no coverage	none
Other Covered Expenses	80% after deductible	60% after deductible	none
Spinal Manipulation	80% after deductible	60% after deductible	none
Home Health Care	80% after deductible	60% after deductible	none
Hospice Care	80% after deductible	60% after deductible	none
Physical/Speech Therapy	80% after deductible	60% after deductible	none

ID Card

Obtain ID Card from patient to insure benefit status.

Claims & Eligibility

Secure Health

Repricing Department

P.O. Box 4088

Macon, GA 31208-4088

1 (800) 648-7563

Pre-Certification Requirements

1 (800) 367-5826

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