Know our Price

Insurance Plans Accepted

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.

Healthcare Plans Accepted by Pacific Bone & Joint

We accept 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.


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

HMSA PPO
HMSA Medicare Advantage
Ohana Medicare
Medicare
HMAA
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


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.


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


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

We accept 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 f 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.


Pacific Bone & Joint

At Pacific Bone & Joint, our commitment to excellence in orthopedic care is reflected in our adoption of the latest medical advancements and our personalized approach to patient treatment. Our team of specialists is dedicated to improving the lives of our patients through innovative and effective orthopedic solutions.