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Insurance Plans Accepted

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By /Published On: December 9, 2020/Last Updated: October 1, 2021/1749 words/8.7 min read/
Insurance Plans Accepted2021-10-01T20:58:43-10:00

It is a difficult time after an injury and is very frustrating trying to navigate your medical bills especially after a major trauma. While we are often able to file your bills with the insurance company in a timely manner, there is a great deal of variation in when our claims are processed. As a result, you may end up waiting longer than expected to receive a bill from us. Please be patient with the process. We will maintain close communication with your insurance company. If you have any issues, please do not hesitate to reach out to our billing department.

Insurance Plans Accepted

Healthcare Plans Accepted by Dr. Morton

Dr. Morton accepts most insurance plans that are available in Hawaii. Payments for medical plans can often be confusing. We have excellent billing staff that can answer all of your questions.

Call Ahead to Determine Your Insurance Plan Coverage

Please call ahead to confirm insurance coverage. If you do not have a PPO, you may require seeing your primary care physician first and obtain a referral. Some healthcare plans require you to obtain pre-authorization prior to your visit.

For patients without healthcare plans, we do have cash plans available as well as CareCredit. If you do not plan to pay with insurance, please call ahead to determine how much you will be responsible prior to your visit. We can help determine how much your visit will cost.

Clients are responsible for payment of their co-payments and fees that are not covered by insurance. We accept personal checks, cash, Visa, and Mastercard.

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Hawaii Insurance Plans that Do Not Typically Require PCP referral or Prior Authorization

HMSA PPO
HMSA Medicare Advantage
Ohana Medicare
Medicare
HMAA

Hawaii Insurance Plans Require PCP Referral (Insurance Contract is Pending)

UHA
MDX

Hawaii Insurance Plans Require Prior Authorization from your PCP

Veteran’s Affairs (VA)
Tricare Prime

Hawaii Insurance Plans Require PCP Referral

HMSA HMO
HMSA Quest
Alohacare
Ohana-Medicaid
UHC-Medicaid
HMA HMO

I didn’t have Surgery, but I Received a Bill for Surgery! What’s Going on?

Insurance billing can be very complicated.  Sometimes when billing for treatment of an injury, a bill for non-operative care of a broken bone will flag the treatment as “surgery”. This type of treatment falls under “fracture care”. With fracture care, the bill covers the first 90 days of your treatment and covers many of the costs including your initial casting and subsequent visits in the first 90 days.

Similarly, sometimes an injection is billed as a surgery, even if it is administered in a clinic visit.

If you have any questions about your bill, don’t hesitate to reach out to our billers.

Medicaid, Quest, United Healthcare-Community – No Problem.

We accept most insurances. For managed care plans and Medicaid, you need a referral from your PCP. Once you have this referral, we can schedule an appointment. If you are not set up with a PCP, we are happy to help send you in the right direction.

If you are referred from an Urgent Care or Emergency Department, we can see you without PCP referral.

We do not accept Kaiser Permanente. Please review the private pay section.

Private-Pay

Call ahead if you do not have insurance or do not plan to use an insurance plan at your visit. We will discuss the costs of your visit up-front. We will maintain transparency in our billing. Please do not hesitate to discuss costs. If you require surgical intervention – there is variation in costs between hospitals. We may be able to help you estimate the costs of any surgery or hospitalization that you may have with us. In complex surgical cases such as revision hips or knees, there may be significant variation in your private-pay costs.

Worker’s Compensation (Workman’s Comp), Third Party Liability, No-fault insurance, and Auto-Related Injuries

Dr. Morton accepts worker’s compensation, third-party liability, no-fault insurance, and auto-related patients. Please make sure you have all of your documentation and prior-authorization set up prior to your appointment. We cannot get started until after your claim has been filed.

You will need the following information:

  • Nature of the injury
  • Injury date
  • Policy Number
  • Employer name
  • Worker’s Compensation Company
  • Adjustor’s Name
  • Phone for Adjustor
  • Fax for Worker’s Compensation
  • Also, please bring any other insurance you have.

If you would like to be seen for separate problems at the same time as your visit – you will need to be booked for two appointment spots. This is because worker’s compensation and third-party liability companies will only allow us to bill for the treatment of conditions that you have been pre-authorized. Please let the staff know when you set up the appointment before arriving at the office.

Frequently Asked Questions

What Is Dr. Paul Morton’s Fax Number?2021-04-24T16:21:24-10:00

(808)439-6202

What’s the phone number can I call to create an appointment?2021-04-24T16:20:38-10:00

(808)439-6201

Does Dr. Morton accept my insurance?2021-02-28T20:39:21-10:00

Most likely. I accept most insurance plans including HMSA, HMAA, Medicare, Medicaid, MDX, UHA, and United. Call our office to confirm.

Does Dr. Morton accept new patients?2021-02-28T20:38:59-10:00

Absolutely! Call our office today at (808) 439-6201

Where does Dr. Morton Practice?2021-03-21T08:34:09-10:00

Dr. Morton practices in Honolulu, Hawaii at the Queen’s Medical Center, Physicians Office Building 1, Suite 808.

What insurance plans Does Dr. Morton take?2021-02-27T17:23:30-10:00

We accept many health care plans. Please call before your appointment to make sure that your visit will be covered. Health care plans we accept include:

Aetna Health Plans, Cigna HealthCare, Deseret Mutual Benefit Administrators (DMBA), Healthcare Management Administrators (HMA), Hawaii Medical Assurance Association (HMAA), Blue Cross Blue Shield HMSA, HYGEIA Travel Health, MDX Hawaii, Medicare, The Queen’s Health Systems Health Care Plan, Tricare (Will require referral from PCP), University Health Alliance (UHA), United HealthCare.

Does Dr. Morton accept my insurance?2021-02-27T16:47:48-10:00

Most likely. I accept most insurance plans including HMSA, HMAA, Medicare, Medicaid, MDX, UHA, and United. Call our office to confirm.

Does Dr. Morton accept new patients?2021-02-27T16:46:48-10:00

Absolutely! Call our office today at (808) 439-6201.

Where does Dr. Morton practice?2021-02-27T16:45:16-10:00

Dr. Morton’s practice locations are at the Physician Office Building1, Suite 808, Queen’s Medical Center, Honolulu, Hawaii 96813. He also operates at Queen’s Medical Center West, Queen’s Medical Center Honolulu, North Hawaii Community Hospital, Castle Medical Center and Kuakini Health System.

What orthopedic services does Dr. Morton provide?2021-02-27T16:42:57-10:00

Dr. Morton is a hip and knee specialist who provides clinical and surgical services. His focuses are on joint replacements, complex reconstruction, robotic-assisted surgery, sports surgeries, and trauma care.