Insurance

Insurance Policy

We are contracted with most major insurers and are continuing to add more. Please contact your insurance company to verify if we are a contracted provider with your insurance. If your insurance is not listed, you can still see us and may qualify for a self-pay discounted rate

Please contact the individual care center if you are a Medicaid patient as we may or may not be accepting new Medicaid at that time. 

We advise that all patients verify that your Care Center is an in-network provider for your insurance. Also, check which lab your insurance company is contracted with. You are responsible for any fees that are not paid by your insurance carrier.

Newborn Notice: Prior to your first appointment, please be sure that you have contacted your insurance company to add your new baby to the insurance policy within the first 30 days of life. Also make sure to bring your insurance card with you to your first appointment, so we have everything we need to submit your baby’s claims after you have added baby to your plan. If your claim is denied, you will be responsible for payment.

Beginning August 1st 2020, due to the lack of compliance by cost share plans, our care centers will no longer be accepting cost share plans. Cost share plans are not actual insurance plans. They are group plans where members pool funds together to help cover those greatest in need. The cost share plan administrator is responsible for managing the funds that the members provided. Cost share plans do not have contracts as they are unable to guarantee payments for the services provided to you.

If you have any additional billing or insurance questions, please give our Billing Team a call at (512) 328-2266 and they will assist you.

Our Care Centers accept the following insurances:
Aetna HMO, PPO, EPO, Managed Choice, TRS, POS
Aetna Whole Health
Aetna Medicare
Amerigroup Amerivantage Medicare
Amerigroup STAR-
BCBS – City of Austin Tier designation
BCBS CHIP
BCBS Star
BCBS BlueChoice PPO/Blue Options
BCBS Health Select 
BCBS Blue Essentials HMO
BCBS Blue Advantage HMO
BCBS Blue Premier HMO
BCBS PAR Plan
BCBS Medicare Blue Advantage HMO
BCBS Blue Essentials PPO
BEECHSTREET WORKERS COMP
BEECHSTREET Mutliplan Network PPO
BSWHP Commercial
BSWHP PPO, EPO
BSWHP HMO (not Preferred HMO/ERS)
BSWHP Medicare Advantage
CIGNA -HMO
CIGNA- PPO
Cigna Local Plus
Cigna TX Seamless PPO
Cigna TX Seamless HMO
Dell Children’s STAR and CHIP
EHN (Whole Foods)
FIRSTCARE — HMO
FIRSTCARE — PPO
FIRSTHEALTH — PPO DIRECT BUSINESS
FIRSTHEALTH — PPO LEASED BUSINESS
FIRSTHEALTH — WORKERS COMP
GALAXY HEALTHCARE — PPO
HEALTH PAYORS ORGANIZATION/ACCOUNTABLE HEALTH PLAN,INTERPLAN HEALTH — PPO
HEALTHSMART ACCEL — PPO
HEALTHSMART PREFERRED CARE, INC. — PPO
Humana Choicecare, ChoicePOS
Humana OpenAccess, PLUS, POS, EPO
Humana HMO,PPO, PPO 2019, HMO Premier, Preferred PPO
Humana ChoiceCare Netwwork PPO, ChoiceCare +
Humana GoldChoice NTWK PFFS, GoldChoice Ntwk PFFS 19
Humana Medicare PPO 2019, Employer PPO Plus
Humana Medicare Advantage PPO, HMO and PFFS
Humana National EPO
Humana National POS OpenAccess, OpenAccess Plus
Humana Medicare Advantage HMO
IMS
INTEGRATED MEDICAL SYSTEMS–PPO
MULTIPLAN, INC.–PPO
Medicare (SNIP)
Medicaid Traditional
Oscar Healthcare
PHCS PPO- Pending all effective dates
PHCS Healthy DIrections-Pending all effective dates
RR Medicare
Seton Health Alliance
Seton Health Plan
Seton Smart Health (TPA is ABS)
Southwest ACO
Superior Medicaid, STAR, CHIP, Ambetter (medicaid only)
TRICARE/HUMANA East
Tricare for Life
UHC AARP Medicare Complete PPO Plan1 & 2
UHC Group Medicare Advantage HMO
UHC PPO. POS, EPO, NEXUS, Select Plus
UHC HMO
UHC Allsavers, Golden Rule
UNITED STUDENT RESOURCES (UT STUDENT DIVISION) PPO
USA MANAGED CARE-PPO