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PATIENT RESOURCES
New Patient Forms
In order to have a quicker, more comfortable visit, we provide the necessary registration and health forms below. We encourage you to print these forms and fill them out ahead of time in preparation for your visit.
Insurance Information
 
For your convenience, we have included a list of insurance companies that our office is contracted with. For questions regarding extent and details of coverage, please contact your insurance company. Furthermore, to ensure that no out-of-pocket costs occur, patients whose insurance companies require a referral must confirm that the referral was received by our office prior to making an appointment. Patients who do not have insurance or who have insurance that we are not contracted with can be seen, but will pay out-of-pocket.

AARP

Aetna 

Aetna Senior Supplemental

Aetna Student Health

Assurant Health

Blue Cross-CA

Blue Shield-CA

CenCal Health

Champus Tricare For Life

Champus Tricare North/South

Champus Tricare West

Cigna

Community Health Group (CA)

Delta Health Systems

GEHA

Health Net of CA/OR

Humana

Kaiser Permanente

Kaiser Permanente of Northern California

Medcost

Medi-Cal

Medicare PIN

Mega Life & Health

Meritain Health

Molina Healthcare of CA

NGS Coresource

Nippon Life Ins Co of America

Oxford

PHCS

Starmark

The Plan Handlers

Unicare

United American Ins

United Healthcare - The Empire Plan

United Healthcare Student Resources

United Medical Resources

Work Comp

5333 Hollister Ave, Suite 295

Santa Barbara, CA 93111

LIZA PRESSER BELKIN, M.D.

805.569.3377

805.277.9661

© 2020 Liza Presser Belkin, M.D.