Managed Care Gonzaba Medical Group (GMG) accepts original Medicare and Certain Medicare Advantage plans (listed below). If you want more information about Medicare Advantage plans and those accepted by GMG, please call on us at (210) 485-1073, or visit Medicare.gov. Plans accepted at Gonzaba Medical Group: Amerigroup Amerivantage Select Amerivantage Classic Amerivantage Dual Coordination Amerivantage Dual Secure Amerivantage Select Plus (New 1/1/2021) Amerivantage Classic Plus (New 1/1/2021) Amerivantage Dual Coordination Plus (New 1/1/2021) Amerivantage Dual Secure Plus (New 1/1/2021) Devoted Health Devoted Health Core San Antonio (HMO) (New 1/1/2021) Devoted Health Prime San Antonio (HMO) (New 1/1/2021) Humana Humana Gold Plus HMO Humana Gold Plus SNP-DE Humana Gold Plus – Diabetes and Heart UnitedHealthcare AARP Medicare Advantage SecureHorizons AARP Medicare Advantage SecureHorizons Essential UnitedHealthcare Dual Complete UnitedHealthcare Chronic Complete Patient Resources How to change your Primary Care Physician (PCP) Notify the Patient Advocates in the lobby/front desk area at your GMG clinic or call (210) 905-4606. Call your health plan. The number is located on the back of your insurance ID card. How to obtain a referral from your Primary Care Provider Discuss the request with your PCP at your next visit. Call (210) 921-3800 and let the Patient Services Representative know that you are calling to request a referral. Call the Patient Advocates (210) 905-4606. They can help determine how and when to obtain referrals and authorizations for specific services. Patient Advocates can also assist with pricing for specific services and help define the patient’s financial responsibility. Find a Gonzaba Medical Group Contracted Specialist GMG provides information to help members and prospective members identify network physicians and hospitals. The link below provides a searchable list. GMG Preferred Provider Directory Patient Advocates can provide the GMG Physician Directory / Hospital directory via print or telephonically. Patient Advocates are available face-to-face at Main Clinic, Northwest Clinic, and Woodlawn Clinics Monday – Friday 8 AM – 5 PM. Or reach out to them for assistance by telephone (210) 905-4606. After hours, please leave a Voice Mail. Messages will be returned the next business day. Provider Resources How to obtain UM criteria and or find a GMG Contracted Specialist Click here to find a Gonzaba Medical Group Specialist. To obtain UM Criteria please call GMG referral department at (210) 921-3801, Monday- Friday 8AM- 5 PM. Information can be provided over the phone, via fax, email, or US mail. Please be prepared to provide the following: Patient’s name Patient’s date of birth The service description The date of the service or date of the request for service Click here to view the Provider Manual. IMPORTANT AFFIRMATIVE STATEMENT Notice for all patient Managed Care Providers/ Practitioners & Employees who make UM decisions Gonzaba Medical Group affirms the following: UM decision making is based only on appropriateness of care and service and existence of coverage The organization does not specifically reward practitioners or other individuals for issuing denials of coverage Financial incentives for UM decision makers to not encourage decisions that result in underutilization IMPARTIALITY STATEMENT – PRACTITIONERS / PROVIDERS Gonzaba Medical Group makes this Impartiality Statement that practitioners are ensured independence and impartiality in making referral decisions with no impact on: Hiring Compensation Termination Promotion Any other similar matters U Find A Doctor $ Find a Location $ Contact Us (210) 921-3800 Request an Appointment $ Menu Our Story Our Doctors Locations Careers Sitemap Locations Main Medical Center Northwest Medical Center Woodlawn Medical Center Downtown Clinic Guadalupe Clinic North Central Clinic Southeast Clinic Resources Medicare Guide Managed Care Provider Manual Call (210) 921-3800 Follow Us © 2021 Gonzaba Medical Group | Privacy Policy | Compliance