PARTICIPATING INSURANCE

Doctors of Waikiki is not participating with all Quest and Medicaid Plans. Please be sure to obtain an authorization or referral from your health insurance prior to scheduling an appointment. Health plans that require an authorization or referral, in order to be treated by a healthcare provider at Doctors of Waikiki include, but not limited to HMO plans (e.g. HMSA HMO, Kaiser HMO, EPO plans, etc.). Please include a scanned image of your health plans authorization or referral approval form when scheduling your appointment.

Patient is responsible for knowing their health insurance policy (e.g. patient coinsurance/copayment amount and/or percentage, deductible, etc.). Please contact your health insurance directly to obtain more information on your health insurance benefits. Based on the patient's out-of-pocket expense, under their health insurance plan benefit, the patient is expected to pay an estimated out-of-pocket at the time services are rendered. Thank you.

Patient Disclosure Form