Maternal & Fetal Medicine Specialists of Fairfield County

Insurance Information

• Aetna

• Anthem Blue Cross and Blue Shield / Wellpoint

• Centivo

• CIGNA Healthcare

• ConnectiCare

• First Health / Coventry Health care

• Harvard Pilgrim Health Care

• Healthy-CT

• Medicaid

• Medicare

• Multiplan / PHCS / Emblem Healthcare

• Northeast Health Direct / Consumer Health Network PPO / ChoiceCare Humana

• Oxford Health Plan

• Tricare

• United Healthcare

• Wellcare

Hospital Affiliations

Patient Forms

• File Icon Anti-Discrimination Policy
• File Icon Billing Explanation
• File Icon Confidential Communication Request
• File Icon Language Services
• File Icon Medical Records Release
• File Icon Notice of Privacy 2021
• File Icon OB Ultrasound Examination Consent Form
• File Icon Registration Form
• File Icon Scheduling Referral Request Form
• File Icon Sonohysterogram Information
• File Icon Financial Policy