Allergist Accepting Insurance in Atlanta GA
The Allergy & Asthma Center is committed to making allergy and asthma care accessible by accepting a wide range of insurance plans. We participate with major providers including Aetna, Cigna, United Healthcare, Humana, and Blue Cross Blue Shield, among others. Additionally, we accept government sponsored plans such as Medicare, Medicaid, and Tricare, ensuring comprehensive coverage options for their patients. For more information, contact us or book an appointment online. We are conveniently located at 2987 Clairmont Rd #175, Atlanta, GA 30329.
Table of Contents:
How do I confirm that my insurance will cover allergy skin testing?
Are seasonal allergy treatments covered by insurance?
How do I know if my insurance covers both in-person and virtual visits?
Is a referral required for insurance coverage of allergy treatments?
If you are considering allergy skin testing at the Allergy & Asthma Center, it’s important to verify your insurance coverage beforehand to avoid unexpected costs. Here’s how you can ensure your allergy testing is covered:
Review Your Insurance Policy: Start by looking through your insurance documents to see if allergy skin testing is listed as a covered service. Pay attention to any requirements such as referrals or prior authorization, which are sometimes necessary for specialty care at centers like ours.
Contact Your Insurance Company: Call the customer service number on the back of your insurance card. Ask the representative if allergy skin testing performed at the Allergy & Asthma Center is covered under your plan. You may need to provide specific procedure (CPT) codes for the tests—our staff can provide you with these codes if needed.
Ask About Limitations: Insurance plans may have restrictions, such as requiring you to use in-network providers, limiting the number of tests per year, or needing a referral from your primary care doctor. Confirm that the Allergy & Asthma Center is an in-network provider for your plan, and ask about any other requirements that might apply.
Clarify Costs: Be sure to ask about your deductible, co-pay, and co-insurance responsibilities for allergy testing at our center. Understanding these details ahead of time will help you anticipate any out-of-pocket expenses.
Get Written Confirmation: Request a confirmation of your coverage—either by email or mail—for your records. This documentation can be useful if there are any billing questions later.
Talk to Our Team: Once you have this information, feel free to discuss it with your provider at the Allergy & Asthma Center. Our staff is happy to assist you with any paperwork or authorizations required by your insurance, and we want to ensure the process is as smooth as possible before you schedule your allergy testing.
If you have any questions about the insurance process or need help obtaining procedure codes, please contact the Allergy & Asthma Center directly. We’re here to help you every step of the way!
Are Seasonal Allergy Treatments Covered by Insurance at Allergy & Asthma Center?
We frequently help patients manage bothersome seasonal allergy symptoms such as sneezing, runny nose, itchy eyes, and congestion. One of the most common questions we receive is whether insurance will cover the evaluation and treatment of seasonal allergies.
Insurance Coverage for Allergy Care
Most health insurance plans do cover visits to specialists like our board certified allergists for the evaluation, diagnosis, and management of allergies. Your initial consultation, allergy testing, and follow-up visits are often covered, but the amount of coverage and possible copays or deductibles will depend on your specific plan.
Medications
Prescription medications—including antihistamines, nasal corticosteroids, and leukotriene modifiers—are commonly prescribed by our providers and are typically included in many insurance formularies. Coverage levels and copayments may vary, so we recommend checking with your insurance provider or speaking with our staff for guidance.
Over-the-counter allergy medications, which are sometimes recommended for mild symptoms, are generally not covered by insurance unless you have a prescription and your plan specifically allows it.
Allergy Shots (Immunotherapy)
For patients with moderate to severe allergies who don’t respond well to medications, our allergists may recommend allergy shots (immunotherapy). Many insurance plans do cover allergy shots, but may require prior authorization or documentation showing that other treatments were not effective. Coverage often includes a specific number of injections per year. Our administrative team can help you navigate these requirements and handle any necessary paperwork.
What Should You Do Next?
Insurance benefits can be complex and vary from one plan to another. Before your visit to Allergy & Asthma Center, we encourage you to:
• Review your insurance policy details regarding allergy evaluations and treatments.
• Contact your insurance provider to verify coverage and ask about copays, deductibles, and any referral or pre-authorization requirements.
• Reach out to our office with your insurance questions—our staff is experienced in helping patients understand and maximize their benefits.
By taking these steps, you can avoid unexpected costs and ensure a smooth experience as you seek relief from seasonal allergies at Allergy & Asthma Center.
Insurance Coverage for Allergy & Asthma Center Visits: In-Person and Virtual Care
If you’re planning to schedule an appointment at the Allergy & Asthma Center, it’s important to know whether your health insurance covers both in-person and virtual visits for allergy or asthma care. Start by reviewing your health insurance policy documents, and look specifically for sections labeled “covered services,” “telemedicine,” or “virtual care.” These areas will usually indicate if allergy consultations, asthma check-ups, and related services are included under your plan—whether you’re visiting our office or connecting with your provider online.
If the policy language is unclear, or if you have trouble finding this information, call your insurance company directly. When speaking with a representative, ask these key questions:
Does my plan cover in-person visits to the Allergy & Asthma Center?
Are video or phone consultations with allergy and asthma specialists included?
Are there differences in copays, deductibles, or network requirements for telehealth versus in-person appointments?
Are allergy testing, asthma management, or prescription refills included in virtual visits?
Many insurance companies also list this information online, so check your insurer’s website or member portal for coverage details about telemedicine and in-person services. In some cases, the Allergy & Asthma Center team can help verify your benefits if you provide us with your insurance details.
Please remember: insurance coverage can vary based on your specific plan, location, and the reason for your visit—such as allergy testing, asthma management, or immunotherapy follow-ups. To avoid unexpected costs, we recommend confirming your benefits each time you schedule an appointment, especially if you’re considering a new type of visit (such as a virtual asthma follow-up or remote allergy consultation).
If you have any questions, feel free to contact our office, and we’ll be happy to assist you in understanding your coverage and getting the care you need.
At Allergy & Asthma Center, we want to make your journey to better health as simple and stress free as possible. One common question our patients have is whether a referral is required for insurance coverage of allergy or asthma treatments at our practice.
Referral Requirements Depend on Your Insurance Plan
HMO Plans: If you have a Health Maintenance Organization (HMO) plan, you will typically need a referral from your primary care physician before scheduling an appointment with our allergists. Your primary doctor will assess your symptoms and, if necessary, provide a referral so you can receive specialized allergy or asthma care with us.
PPO Plans: Patients with Preferred Provider Organization (PPO) plans often do not need a referral to see one of our specialists at Allergy & Asthma Center. However, you may save on out-of-pocket costs by choosing a provider within your insurance network. Some PPO plans may still require prior authorization for certain treatments.
Other Insurance Plans: Coverage for services such as allergy testing or immunotherapy (allergy shots) may vary by plan. Some insurance providers require documentation of a referral or prior authorization before covering these treatments at Allergy & Asthma Center.
To avoid any unexpected expenses and to ensure your allergy and asthma treatments are covered, we recommend reviewing your insurance policy details or contacting your insurance provider directly. You can also reach out to our billing team at Allergy & Asthma Center—we’re happy to help you navigate your insurance requirements, including referrals and authorizations.
If you’re unsure whether you need a referral or have questions about your insurance coverage for services at Allergy & Asthma Center, please contact our office. Our staff is experienced in working with a wide range of insurance plans and can guide you through the necessary steps to receive the care you need. For more information, contact us or schedule an appointment online. We serve patients from Atlanta GA, Northlake Pkwy, GA Fairoaks Rd, Decatur, GA Convurt®, GA Dominos, Doraville, GA Sandy Springs, GA Norcross, GA Harbins Rd NW, Lilburn, GA Tucker, GA Church St, Clarkston, GA Third Ave, Scottdale, GA and surrounding areas.
- AARP
- AARP Medicare Advantage HMO
- AARP Medicare Advantage POS
- AARP Medicare Advantage PPO
- AARP Personal Health Insurance Plan
- ACE
- Workers’ Compensation
- APWU
- Consumer Driven Option
- High Option
- Advantage Health
- Advantage HMO
- Advantage HMO Sho Boone
- Advantage HMO Sho Hancock
- Advantage HMO Sho Hendricks
- Advantage Medicaid
- Advantage Medicare HMO – Franciscan St Francis Health Network
- Advantage Medicare HMO – St. Vincent Health
- Advantage Medicare HMO (Community ProHealth Network)
- Advantage Medicare PPO – All PPO Plans
- Aetna
- Aetna Choice POS (Aetna HealthFund)
- Aetna Choice POS II (Aetna HealthFund)
- Aetna Choice POS II on the Altius Network
- Aetna Choice® POS (Open Access)
- Aetna Choice® POS II (Open Access)
- Aetna Health Network Only (Open Access)
- Aetna Health Network Only (Open Access) on the Altius Network
- Aetna Health Network Option (Open Access)
- Aetna Health Network Option (Open Access) on the Altius Network
- Aetna HealthFund HMO (available in CA only)
- Aetna HealthFund® Aetna Health Network Only (Open Access)
- Aetna HealthFund® Aetna Health Network Option (Open Access)
- Aetna Select
- Aetna Signature Administrators (PPO)
- Aetna Value Network HMO (available in CA and NV only)
- Aexcel Aetna Select
- Aexcel Aetna Select (Open Access)
- Aexcel Choice POS II
- Aexcel Choice POS II (Aetna HealthFund)
- Aexcel Elect Choice EPO
- Aexcel Elect Choice EPO (Open Access)
- Aexcel Managed Choice POS
- Aexcel Managed Choice POS (Open Access)
- Aexcel Open Access Aetna Select (Aetna HealthFund)
- Aexcel Open Access Elect Choice (Aetna HealthFund)
- Aexcel Open Access Managed Choice POS (HealthFund)
- Aexcel Plus Aetna Select
- Aexcel Plus Aetna Select (Open Access)
- Aexcel Plus Choice POS II
- Aexcel Plus Choice POS II (Aetna HealthFund)
- Aexcel Plus Elect Choice EPO
- Aexcel Plus Elect Choice EPO (Open Access)
- Aexcel Plus Managed Choice POS
- Aexcel Plus Managed Choice POS (Open Access)
- Aexcel Plus Open Access Aetna Select (Aetna HealthFund)
- Aexcel Plus Open Access Elect Choice (Aetna HealthFund)
- Aexcel Plus Open Access Managed Choice POS (HealthFund)
- Aexcel Plus PPO
- Aexcel Plus PPO (Aetna HealthFund)
- Aexcel PPO
- Aexcel PPO (Aetna HealthFund)
- Behavioral Health Program
- CA Medicare HMO Orange/San Bernadino/Losa Angeled CA Prime Plan
- CO Medicare HMO Denver CO Prime Plan
- CO Medicare PPO Denver CO Prime Plan
- Elect Choice EPO
- Elect Choice EPO (Open Access)
- Elect Choice EPO (Open Access) on the Altius Network
- Employee Assistance Program
- Golden Medicare Plan (HMO)
- HCA Well Care (Levels 1, 2 & 3)
- HMO
- HMO Deductible Plan (CA members only)
- LM HealthWorks Plan
- Managed Choice (Open Access)
- Managed Choice (Open Access) on the Altius Network
- Managed Choice POS
- Medicare Open (Private Fee-for- Service)
- National Advantage Program
- NJ Medicare HMO Northern New Jersey Prime Plan
- NY Medicare PPO Onondaga NY Prime Plan
- Open Access (HMO)
- Open Access Aetna Select (Aetna Health Fund)
- Open Access Elect Choice EPO (Aetna Health Fund)
- Open Access Managed Choice POS (Aetna Health Fund)
- Open Choice PPO
- Open Choice® PPO (Aetna Health Fund)
- PCP Referral Plan (TX only)
- Peak Preference HNOnly (Open Access) on the Altius Network
- Peak Preference HNOption (Open Access) on the Altius Network
- QPOS
- Select (Open Access)
- Student Health Plans
- Traditional Choice® Indemnity
- USAccess®
- Vitalidad Plus California con Aetna
- Voluntary Plans
- Workers’ Comp Access
- AmeriGroup
- Georgia Medicaid
- Medicaid
- Assurant Health
- Coventry Health Care
- Blue Cross Blue Shield
- BlueCard PPO
- BlueCard PPO Basic
- BlueCard Traditional (Indemnity)
- Blue Cross Blue Shield of Georgia
- Blue Choice PPO
- Blue Choice PPO, PPO, EPO
- Blue Open Access HMO
- Blue Open Access POS
- BlueChoice Option (POS)
- National PPO (BlueCard PPO Basic)
- Traditional
- CHAMPVA
- CHAMPVA
- Care Improvement Plus
- Medicare Advantage
- Cigna
- Choice Fund Open Access Plus
- Choice Fund Open Access Plus with CareLink
- Choice Fund PPO
- EPO
- Health Savings (all deductible levels)
- HMO
- HMO Open Access
- Indemnity
- Medicare Access
- Network Open Access
- Open Access (all deductible levels)
- Open Access Plan
- Open Access Plus
- Open Access Plus/CareLink
- Open Access Value (all deductible levels)
- POS Open Access
- Workers’ Compensation
- Coventry Health Care
- Advantra Freedom (Medicare)
- Advantra Medicare Advantage HMO
- Advantra Medicare Advantage POS
- Advantra Medicare Advantage PPO
- Coventry Health Care of Georgia
- Coventry HMO & Premier
- Coventry National Network
- Coventry POS
- CoventryOne National
- Diamond Plan – Maryland Medicaid
- First Health
- First Health (Coventry Health Care)
- First Health Network PPO
- GEHA
- PPO
- GWH-Cigna (formerly Great West Healthcare)
- HMO
- ONE +
- Open Access
- POS
- PPO
- Guardian
- PPO
- Humana
- Choice POS
- Community HMO
- Corpus Christi HMOx
- COT National POS – Open Access
- Covenant Affiliates
- EPO PPO Open Access
- GE Health Care Preferred
- Grand Rapids HMOx
- Health Maintenance Organization (HMO)
- HMO
- HMO Premier
- HMO Select
- Hospira Premier HMO Illinois
- Humana Classic
- Humana Gold Plus HMO (Medicare)
- Humana Preferred Kroger Lou
- Humana Preferred PPO
- Humana Select Network PPO
- Humana/ChoiceCare Network PFFS
- Humana/ChoiceCare Network PPO
- Humana/ChoiceCare+ Network PPO
- HumanaAccess℠
- HumanaChoice (PPO)
- HumanaChoicePPO (Medicare PPO)
- HumanaOne®
- HumanaOpen Access
- HumanaPPO
- HumanaPreferred POS-OpenAccess
- IllinoisPlatinumHMO
- IPA
- Medicare PPO/Employer PPO Plus
- National EPO
- National HMO
- National POS – Open Access
- National POS – Open Access Plus
- P&G National POS
- Point of Service
- PPO
- Progressive Acute Care
- Saint Joseph Hospital Supplement
- US Bank
- UT HMO
- Vision Care Plan (VCP)
- Kaiser Permanente
- Georgia PPO
- MagnaCare
- MagnaCare Plus
- MagnaCare PPO
- Mail Handlers Benefit Plan
- Aetna POS II
- Coventry National Network
- Medicaid
- Medicaid
- Medicare
- Medicare
- Multiplan PHCS
- Multiplan
- NovaNet
- NovaNet PPO
- Peach State Health Plan
- Ambetter
- Medicaid
- Medicare
- PeachCare for Kids
- PeachCare for Kids
- PeachCare for Kids
- Principal Financial Group
- Classic PPO Benefits (1200 Series)
- The Hartford
- Anthem Blue Cross Prudent Buyer PPO
- Coventry
- Tricare
- Prime
- Tricare North Region (Health Net)
- Tricare South Region (Humana)
- Tricare West Region (UnitedHealthcare Military & Veterans)
- Tufts Health Plan
- Advantage HMO
- Advantage PPO
- CareLink
- Medicare Complement Plan
- Navigator
- Navigator PPO
- Select EPO
- Spirit
- Steward Community Choice
- Tufts Health Plan Medicare Preferred
- USA Managed Care Organization
- USA Health & Wellness Network (Medical)
- USA Workers Injury Network
- UnitedHealthcare
- Evercare Plan
- Harvard Pilgrim Choice
- Heritage Plus- Louisiana
- M.D. IPA
- M.D. IPA Preferred
- Medica Choice with UnitedHealthcare Choice Plus
- Optimum Choice HMO
- Optimum Choice Preferred POS
- Pacificare SignatureElite Plus (TX/OK Employers Only)
- United Behavioral Health
- UnitedHealthcare Choice
- UnitedHealthcare Choice HMO/Choice Plus HMO
- UnitedHealthcare Choice Plus
- UnitedHealthcare Core
- UnitedHealthcare Dual Advantage
- UnitedHealthcare Dual Complete (HMO SNP)
- UnitedHealthcare MedicareComplete Focus (HMO)
- UnitedHealthcare Navigate
- UnitedHealthcare Navigate Plus
- UnitedHealthcare Navigate/Navigate Balanced
- UnitedHealthcare Options PPO
- UnitedHealthcare Select EPO
- UnitedHealthcare Select HMO
- UnitedHealthcare Select Plus HMO
- UnitedHealthcare Select Plus POS
- UnitedHealthcare SignatureValue (HMO)
- Vision
- Wellcare
- Georgia – P4HB
- Georgia Medicaid
- Georgia Medicare






















































