Insurance

Our Credit Card Requirement

Because of today’s managed care plans with their In-Network Deductibles and
Co-insurance Charges, we now require that we have a credit card on file for all patients.
Most visits are fully covered so this is only a precaution. Nothing will be charged to your card unless services are not covered by your insurance company or if your plan includes unforeseen charges. No charges will be made without your notification.

If you’d prefer to pay out-of-pocket, we accept cash as well as all major credit cards.

What is a Deductible?

The deductible is the amount of money that you may have to pay 100% out of pocket over the course of one year before covered healthcare is paid for by your insurance company. In most cases, copayments or coinsurance costs will not count toward your deductible, and preventive doctor visits such as regular PCP check-ups or vaccination appointments are usually covered whether the deductible has been reached or not.

What is an Out of Pocket Maximum?

This one may seem a little more self-explanatory. In addition to a deductible, some plans will have a separate, higher number which places a maximum amount that you can spend out of pocket during one year. After your out of pocket maximum is reached, one hundred percent of medical costs will be paid for by your insurance provider. Some packages are “no cost after deductible” plans, in which the deductible itself represents the out of pocket limit.

A copay is the set amount of money that you will be required to pay for various services which are covered under your health insurance. Copayments will vary from plan to plan and service to service for instance, a normal visit to your primary care provider may have a different copay than an urgent care visit or mental healthcare appointment, etc.

What is Coinsurance?

Once your deductible has kicked in, your coinsurance determines the percentage of your healthcare costs that will be shared between you and your insurance provider. So, if your coinsurance is 20%, you’ll be required to cover 20% of costs while your insurance carrier takes care of the other 80%, from the point the deductible is reached up to your out of pocket maximum. A no cost after deductible plan will show 0% under coinsurance.

NOTE! Please bring a State driver’s license or valid government ID, along with your insurance card.

We accept the following health Insurances:

Medicare ACO CI Aetna Commercial/Whole HealthACO CI Aetna Commercial/Whole Health
AetnaACO CI BCBS Essentials/Health Select/Premier HMOACO CI BCBS Essentials/Health Select/Premier HMO
CignaACO CI BCBS PPO/PPO/Blue ChoiceACO CI BCBS PPO/PPO/Blue Choice
Medicaid ACO CI MA BCBS HMO (Physicians)ACO CI MA BCBS HMO (Physicians)
RailroadACO CI MA BCBS PPOACO CI MA BCBS PPO
TricareACO CI UHC All Other CommercialACO CI UHC All Other Commercial
UHCACO CI UHC PPOACO CI UHC PPO
RailroadAetnaAETNA
DevotedAETNAAetna ISNP
Humana (Van Lang IPA)Aetna ISNPAetna Prime
Kelsey Seybold (Van Lang IPA)Aetna PrimeAmerigroup (Van Lang IPA)
Amerigroup (Van Lang IPA)Amerigroup (Van Lang IPA)Amerigroup MMP
Molina (Van Lang IPA)Amerigroup MMPAnthem MMP
SCAN Health Anthem MMPAnthem Select
Welcare (Van Lang IPA)Anthem SelectBeech Street
USFHP ChristusBeech StreetBlue Cross and Blue Shield of Texas (BCBSTX) (includes Blue Choice and Blue Essentials)
Houston Methodist Custom NetworkCHIPCHIP
NPPNCHIP PerinateCHIP Perinate
Beech StreetCHIP RSACHIP RSA
Evolutions Healthcare SystemsCI CHC MarketplaceCI CHC Marketplace
First HealthCI Cigna Commercial (Physicians)CI Cigna Commercial (Physicians)
GalaxyCI Cigna Local PlusCI Cigna Local Plus
Health smart HPOCI HC Hwys Logix/Sync (including MNA Neuro.)CI HC Hwys Logix/Sync (including MNA Neuro.)
Health smart ACCELCI MA Aetna Dual Complete HMO D-SNPCI MA Aetna Dual Complete HMO D-SNP
Health smart PPOCI MA Aetna Premier HMO/Prime HMO/Value PPOCI MA Aetna Premier HMO/Prime HMO/Value PPO
Independent Medical SystemsCI MA Amerivantage HMOCI MA Amerivantage HMO
MultiplanCI MA CHC HMO D-SNPCI MA CHC HMO D-SNP
PHCS PPO/Private Health SystemsCI MA Humana Gold Plus HMOCI MA Humana Gold Plus HMO
Provider SelectCI MA MH HMOCI MA MH HMO
USA Managed Care ORGCI MA Molina D-SNPCI MA Molina D-SNP
Zelis/PPNCI MA UHCCI MA UHC
AETNACI MH Select HMO/PPOCI MH Select HMO/PPO
Blue Cross and Blue Shield of Texas (BCBSTX) (includes Blue Choice and Blue Essentials) CI MultiPlan PPOCI MultiPlan PPO
MultiPlan / Private Health Care Systems (PHCS)CI PHCS PPOCI PHCS PPO
UNITED HEALTHCARECignaCigna
CignaCignaCigna HealthSpring
MMP MedicaidCigna HealthSpringEvolutions Healthcare Systems
MMP MedicareDevotedExchange-Ambetter Core
Exchange-Ambetter CoreEvolutions Healthcare SystemsExchange-Ambetter value
HAPDExchange-Ambetter CoreFirst Health
MedicareExchange-Ambetter valueGalaxy
CHIPFirst HealthHAPD
CHIP PerinateGalaxyHealth smart ACCEL
CHIP RSAHAPDHealth smart HPO
Star Health Foster CareHarvard Pilgrim Health careHealth smart PPO
Star kidsHealth smart ACCELHouston Methodist Custom Network
starHealth smart HPOHumana (Van Lang IPA)
Star PlusHealth smart PPOImperial
Exchange-Ambetter valueHouston Methodist Custom NetworkIndependent Medical Systems
ACO CI Aetna Commercial/Whole HealthHumana (Van Lang IPA)Kelsey Seybold (Van Lang IPA)
ACO CI BCBS Essentials/Health Select/Premier HMOImperialMC Amerigroup CHIP
ACO CI BCBS PPO/PPO/Blue ChoiceIndependent Medical SystemsMC Amerigroup Star/Star Plus
ACO CI MA BCBS HMO (Physicians)Kelsey Seybold (Van Lang IPA)MC CHC CHIP
Blue Advantage HMOMC Amerigroup CHIPMC CHC CHIP Perinate
ACO CI MA BCBS PPOMC Amerigroup Star/Star PlusMC CHC STAR
ACO CI UHC All Other CommercialMC CHC CHIPMC Molina Star Plus
ACO CI UHC PPOMC CHC CHIP PerinateMC Molina Star Plus MMP (Medicaid)
CI CHC MarketplaceMC CHC STARMC Molina Star Plus MMP (Medicare)
CI Cigna Commercial (Physicians)MC Molina Star PlusMedicaid 
CI Cigna Local PlusMC Molina Star Plus MMP (Medicaid)Medicare
CI HC Hwys Logix/Sync (including MNA Neuro.)MC Molina Star Plus MMP (Medicare)Medicare 
CI MA Aetna Dual Complete HMO D-SNPMedicaid MH Care/Catastrophic
CI MA Aetna Premier HMO/Prime HMO/Value PPOMedicareMH SafetyNet/WorkLink
CI MA Amerivantage HMOMedicare MMP Medicaid
CI MA CHC HMO D-SNPMH Care/CatastrophicMMP Medicare
CI MA Humana Gold Plus HMOMH SafetyNet/WorkLinkMolina (Van Lang IPA)
CI MA MH HMOMMP MedicaidMultiplan
CI MA Molina D-SNPMMP MedicareMultiPlan / Private Health Care Systems (PHCS)
CI MA UHCMolina (Van Lang IPA)NPPN
MH Care/CatastrophicMultiplanOscar
CI MH Select HMO/PPOMultiPlan / Private Health Care Systems (PHCS)PHCS PPO/Private Health Systems
CI MultiPlan PPONPPNProCare Advantage, LLC
CI PHCS PPOOscarProvider Select
MC Amerigroup CHIPPHCS PPO/Private Health SystemsRailroad
MC Amerigroup Star/Star PlusProCare Advantage, LLCScan Health
MC CHC CHIPProvider Selectstar
MC CHC CHIP PerinateRailroadStar Health Foster Care
MC CHC STARScan HealthStar kids
MC Molina Star PlusstarStar Plus
MC Molina Star Plus MMP (Medicaid)Star Health Foster CareTexas Independence
MC Molina Star Plus MMP (Medicare)Star kidsTricare
MH SafetyNet/WorkLinkStar PlusUNITED HEALTHCARE
Amerigroup MMPTexas IndependenceUSA Managed Care ORG
OscarTricareUSFHP Christus
Cigna HealthSpringUHCWelcare (Van Lang IPA)
Texas IndependenceUNITED HEALTHCAREZelis/PPN
ImperialUSA Managed Care ORG
Aetna PrimeUSFHP Christus
Aetna ISNPWelcare (Van Lang IPA)
Anthem SelectZelis/PPN
Anthem MMP
Harvard Pilgrim Health care