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Insurance

Below are some general considerations, followed by a detailed list of insurances we accept and do not accept.

Medicare / Medicaid

We take traditional Medicare and most Medicare Advantage plans.

Due to constantly changing plans and rules and the large volume of existing insurance plans, it is always good to confirm with your insurance if you have any questions about our participation.

We do not participate in Medicaid or any Medicaid managed plan.

Uninsured / Hardship Care

We offer Care Credit

For uninsured patients, the initial visit is $300, which covers the visit, blood work, biopsies, minor procedures and any other lab work. This is due in full at the initial visit. If surgery is required, we have structured guidelines and payment plans. Once you are established as an uninsured patient, subsequent visits are $90.

For hardship cases, please provide the previous year's tax return, three months of bank statements, and three months of utility bills. Based on this information, we will set up a sliding fee schedule, if applicable. We typically follow the national guidelines for poverty levels in the United States.

Molina Marketplace Plans

All patients who make an appointment are required to have a referral, whether written or generated, from the PCP listed on thier insurance card. There are many variations on the insurance for Molina Marketplace and it is at the doctor's discretion whether we require the referral. In an effort to be consistent and correct, we do require a referral.

The PCP on your Molina Insurance card must match the referring PCP for your visit. If you have changed PCPs without updating your information with Molina, please update them before your visit.

Molina is the only marketplace plan we take in 2019. We hope to get more plans in 2020.

Accepted Plans

We accept the following insurance plans:

• AARP Medicare Complete
  • We do NOT take NTSP/WNI-DFW/Southwestern Health Resources plans
  • Requires a referral from PCP listed on card
• Aetna & Aetna Medicare Advantage
• Aetna
  • We do NOT take QHP Plans
• Aetna HMO
  • We do NOT take QHP Plans
  • Requires referral from PCP on card
• Allied Benefits Systems
• Baylor, Scott & White Plans + QHP
• BCBS TEXAS
• BCBS Health Select
  • Requires a number generated referral
• BCBS HMO
  • WE do NOT take BAV Plans
  • Requires a number generated referral
• BCBS Bluechoice
• Beech Street
• Care N Care
• Care Improvement PlusCigna + Cigna QHP
• Choice Benefits
• Cigna HMO
  • Requires a referral from PCP listed on card
• Cigna Local Plus
• Cigna Open Access
• Coventry PPO
• Golden Rule
• GPA
• Freedom Life
• Health Spring
• Health Alliance
• Humana PPO
• Humana HMO
  • Requires a referral from PCP listed on card
• Liberty Healthshare
• Medicare (Traditional)
• Medishare
• Meritain Health
• Molina & Molina Marketplace
  • Requires a referral from PCP listed on card
• Mutual of Omaha
• Nippon Life
• Oxford
• RH Admin
• Scott & White Advantage Plan (Including QHP)
• Silverback
• Tricare Standard and other Tricare Plans
• Tricare Prime
  • Requires a number generated referral
• UMR
• United Healthcare Plans
• United Healthcare Navigate
  • Requires a number generated referral
• United Healthcare Charter
  • Requires a number generated referral
• United Healthcare Care Improvement Plus MCR Advantage

Plans We Do NOT Accept

The following are commonly-used plans that we do NOT accept.

• AARP Medicare Complete (North Texas Specialty Physicians/WNI-DFW/Southwestern Health Resources)
• Aetna Care Plus
• Aetna Managed Choice Open Access (QHP)
• Advantra
• ALERACARE (No SX or Specialist benefits)
• Aliera Healthcare
• Ambetter
• BCBS Market Place (HMO Blue Advantage, BLUE SILVER, GOLD, BRONZE)
• BCBS QHP
• Bravo
• Cigna Healthspring
• Cigna Open Option LP
• Medicaid (NP with Medicare/Medicaid combination we do not see)
• Scott & White (Vital Tradition, Medicare Advantage Plan)
• Scott & White HMO GRP (Small group POS Silver 3750h10s)
• UHC Compass
• UHC Dual Complete Gr #DSNP
• United Healthcare Heritage Plus