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Insurance Networks and Out of Network Claims


Our office staff will file claims with any insurance company, whether it is an out of network claim, in network claim, workers compensation, auto insurance, or travel insurance. We will gladly assist you in determining your insurance benefits and what services are covered by your insurance. We do recommend that you verify with your insurance company whether or not you need a referral to see an orthopaedic specialist like Dr. Tobin. If you do need a referral prior to seeing a specialist, please let us know and we will be happy to assist you in arranging the referral. 

Below are SOME of the insurance networks Dr. Tobin participates in. Networks are constantly changing and merging. If it is important to you that you only see doctors in your particular network, you should provide your insurance information prior to your first visit and request that our staff verify that Dr. Tobin is a network provider. You also may contact your insurance company yourself and ask if Dr. Tobin or Tobin Bone and Joint Surgery are network providers for your particular policy.

Dr. Tobin is a participating provider with the following insurance networks:

  • Blue Cross and Blue Shield PPO, and South Carolina State, and most Federal Plans (South Carolina & Georgia)
  • Unitedhealthcare
  • CIGNA PPO plans
  • AETNA PPO plans and Open Access Plan
  • Aetna
  • Medicare Advantage
  • Multiplan Network
  • Ambetter PeachState (excluding the Medicaid Plan)
  • PHCS network also known as Private Healthcare Systems
  • First Health network
  • Medcost network
  • ChoiceCare of South Carolina
  • Humana- only if the insurance card says ChoiceCare network
  • Humana Healthy Horizons
  • SuperMed Network, formerly known as Carolina Care Plan
  • Memorial Health Partner, also known as Georgia Healthcare Partnership
  • The Care Network- St. Joseph Hospital
  • Coventry Healthcare
  • SouthCare Network
  • Premier Health Systems
  • Prime Health Services
  • CCN network
  • Medicare
  • Most Medicare Advantage and HMO plans
  • Tri Care
  • Molina Healthcare
  • Carolina Crescent HealthPlan
  • First Choice VIP Care
  • Amerigroup
  • Coresource
  • Most Worker’s Compensation Insurances Accepted


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