Insurance Coverage

The Center for Prevention Heart Attack and Stroke (CPHAS) is a fee for service consultation service.  Its mission is the prevention of heart attack and stroke. 

Standard fees for consultation are billed to you, your insurance or Medicare.  Medicaid is not accepted as a form of payment. 

CPHAS is in network for some Blue Cross Blue Shield PPO plans, but out of network for all other insurers that have a network limitation on coverage.  In some cases, that means that there may be higher out of pocket costs for office consultations and any other services billed by CPHAS.  If labs, consultations or imaging studies are ordered, all efforts will be made to refer to in network providers.

All consultation recommendations and notes will be shared with your primary care physician and any appropriate specialists at your request.  The goal is collaboration with your other physicians. 

Your first experience with CPHAS will include a Carotid Intima Media Thickness Scan.  Included in the cost of that study (less than $200) is a brief personal explanation of the results.  If specific diagnosis and treatment recommendations are discussed, a consultation fee will be charged. 

Dr. Backs offers a concierge primary care option known as Personal Medicine.  This comprehensive care service with enhanced access requires a membership fee paid annually. 

Membership in Personal Medicine is not necessary to receive the more proactive preventive approach for heart attack and stroke offered by CPHAS.