Insurance Company List

AARP UHC/MEDICARE COMPLETE PLAN 1 (WELLMED AS OF 1/1/20)
AARP UHC/MEDICARE COMPLETE CHOICE PLAN 2 (WELLMED AS OF 1/1/20)
AARP UHC/MEDICARE COMPLETE WEST
ELECT CHOICE EPO      
OPEN ACCESS AETNA SELECT EPO
AETNA OPEN CHOICE
HMO Provider Service Line 800-624-0756
INDEMNITY (888) 632-3862 
POS (888) 632-3862
PPO (888) 632-3862 (Products 888-632-3862)
SELECT
AETNA OPEN ACCESS SELECT / GROUP NAME “KBR”
TRS (888) 632-3862 
TRS (WITH MEMORIAL HERMANN) 
AETNA OPEN ACCESS MANAGED CHOICE (MEMORIAL HERMANN)
AETNA MEDICARE VALUE PLAN
USA ACCESS
AETNA EXCELL
AETNA MEMORIAL HERMANN ACCOUNTABLE
AETNA EPO MEMORIAL HERMANN
AETNA GOLDEN CHOICE PPO
AETNA GOLDEN MEDICARE HMO (800) 624-0756
AETNA MEDICARE HMO PRIME
AETNA SELECT OPEN ACCESS
AETNA MEDICARE HMO PREMIERE
AETNA OPEN PRIVATE FEE FOR SVS PLAN 
AETNA SIGNATURE 
AETNA SIGNATURE / WEB TPA
AETNA MEDICARE  CHOICE PLAN PPO
ASSURANT HEALTH
BLUE  MEDICARE PPO 
BLUE MEDICARE HMO ADVANTAGE
BLUE CHOICE NETWORK    PPO//POS
BLUE CHOICE PPO // SELF FUNDED  — KROGERS & UFCW
BCBS  HMO — EFF 1/1/17 WILL BECOME BLUE ESSENTIALS
BLUE ESSENTIALS ACCESS – EFF 1/1/17
BLUE PREMIER ACCESS
BLUE PREFERRED EPP
BCBS MEDICARE BLUE CHOICE PLUS
PAR INDEMNITY/TRADITIONAL
B/C B/S  OF ALABAMA  (800) 517-6425
B/C B/S OF ILLINOIS/CENTRAL STATES         (800) 972-8088
HMO TRS // Part of Blue Choice
IND TRS
PAR TRS
PPO TRS
BCBS HEATH SYNC – PART OF ANTHEM
BCBS HIGH PERFORMANCE NETWORK (HPN)
BCBS ADVANTAGE PPO
BCBS BLUE ADVANTAGE HMO
BCBS HMO MY BLUE HEALTH
BCBS UT CARE
BCBS EPO
BCBS ADVANTAGE HMO/ IPA TX HLTHSPRING
PPO
PART OF MULTI-PLAN NETWORK
PHCS /// MULTIPLAN
SEE PHCS  HEALTHCARE SYSTEMS 
GREAT WEST  // BOON CHAPMAN EMPLOYEE PLAN
MONTGOMERY COUNTY HOSPITAL DISTRICT (HCAP MCHD)
GREAT WEST//BOON CHAPMAN GOLD CARE INDIGENT PROGRAM
CCN  NETWORK // FIRST HEALTH
MAIL HANDLERS BENEFIT PLAN // FIRST HEALTH
CHIPS
TX CHILDREN’S HEALTH PLAN // Gordon & Mac II — Processing
AMERICHOICE STAR PLUS  (CHIP PROGRAM) 713-418-6150
UNITED HEALTHCARE CHIP PROGRAM (Government Plan)
AMERIGROUP COMMUNITY CARE “CHIPS”
HMO
PPO
OPEN ACCESS PLUS
CIGNA OPEN ACCESS LOCAL PLUS
POS  (MANAGED CARE) Form of HMO ***NEED REFERRAL***
HMO (MANAGED CARE)
CIGNA // GREAT WEST HLTHCARE
CIGNA // ONE HEALTH
CIGNA HMO NETWORK
CIGNA GROUP ADMINISTRATORS
CIGNA CONNECT HMO
CIGNA TRUE CHOICE MEDICARE PPO (HEALTHSPRING)
CIGNA HEALTHSPRING HMO
CIGNA SUREFIT (MEMORIAL HERMANN)

 

FIDELIS SECURE CARE ***MEDICARE ADVANTAGE PLAN
FIRST HEALTH PPO
AFFORDABLE
MAIL HANDLERS BENEFIT PLAN // Part Of GEHA
FOCUS  (WORKERS COMP ONLY) // FIRST HEALTH 
FRIDAY INSURANCE
COVENTRY HEALTH CARE (800) 937-6824
COVENTRY MCR ADVANTAGE
ONE SOURCE HEALTH
HMO
PPO
OPEN ACCESS
POS
ONE HEALTH // CIGNA HLTHCARE
BOON CHAPMAN // GREAT WEST 01/01/2009
PPO
CAPROCK 90 DEGREE
DO NOT ACCEPT  HEALTHSMART/ ACS CARDS
INTERPLAN HLTH GRP // Closed Market
DO NOT USE**********DO NOT USE *************DO NOT USE
CHOICE CARE PPO
HMO
PREMIERE HMO  *****NEED REFERRAL******
EPO
HUMANA PREFERRED PPO
POS (NATIONAL)
HUMANA COMMERCIAL SELECT // HMO
NATIONAL POS – OPEN ACCESS & OPEN ACCESS PLUS
HUMANA MDCARE ADVANTAGE
HUMANA GOLD CHOICE / PFFS / HMO PLAN
TEXAS REFRESHED PLAN
HUMANA GOLD PLUS HMO
HUMANA GOLD PLUS HMO GROUP# X2846001 – OON
HUMANA ERS
HUMANA MEDICARE PPO
HUMAN MEDICARE POS
STANDARD —– PPO 800-403-3950 / 800-444-5445
PRIME —— HMO // NEED REFERRAL
KELSEY SEYBOLD
MEDICARE ADVENTRA // MEDICARE ADVANTAGE PLAN
MEDICARE ADVENTRA – FREEDOM
AETNA MEDICARE // Replacement plan
AMERIGROUP MEDICARE (CLASSIC)
AMERIGROUP MEDICARE (SPECIALTY)
AMERIGROUP MEDICARE AMERIVANTAGE HMO
AMERICHOICE SAME AS ***MEDICAID UNITED HEALTH CARE***
CARE IMPROVEMENT PLUS PPO (PART OF UHC)
CARE IMPROVEMENT PLUS HMO (PART OF UHC)
DEVOTED MEDICARE
HUMANA MEDICARE PPO
US FAMILY HEALTH PLAN – USFHP
MEDICARE+CARE
MEDICARE ADVANTAGE PLAN      FIDELIS Secure Care
MEMORIAL HERMANN M’CARE ADVANTAGE PLAN
MEMORIAL HERMANN M’CARE ADVANTAGE HMO
HEALTH SPRING / RPO (A MEDICARE ADVANTAGE PLAN)
RAILROAD (877) 288-7600
TRADITIONAL 800-925-9126
TEXAN COMPLETE FAX# (866) 802-8511
TEXAN PLUS  (GHPMA/MILLENNIUM/TOMBALL/MHP/HPN)
TEXAS VALUE (HMO) (888) 305-3570
TEXAS TRUE CHOICE Medicare Replacement Plan Repriced Claims
UNIVERSAL AMERICAN HMO — Formally Select Care Of Texas
MEDICARE COMMUNITY CARE OPEN ACCESS  UHC
UHC WEST (MCR Advantage Plan)
UNIVERSAL HEALTH A ****MEDICARE ADVANTAGE PLAN*****
AMBETTER – SUPERIOR MARKET PLACE
WELLCARE HMO Medicare Replacement / SELECTCARE OF TEXAS
WELLCARE / TEXAN PLUS VALUE PLAN

 

TRADITONAL MEDICAID
AETNA BETTER HEALTH MCO (MCAID)
AMERIGROUP MEDICAID
AMERIGROUP (STAR)
AMERIGROUP DUAL PREMIER (TXMCR000)
AMERIGROUP DUAL POLICY (TXMMP)
AMERIGROUP (STAR PLUS)
AMERIGROUP STAR KIDS
AMERIGROUP COMMUNITY CARE 713-218-5127
AMERICHOICE TEXAS MEDICAID // STAR //  United Healthcare    
COMMUNITY PLAN (HMO) // United Healthcare
UHC COMMUNITY PLAN TEXAS STAR
UHC DUAL (MCR & MCD) STAR PLUS (PLAN TXMMP)
CARE SOURCE  HMO /// DO NOT ACCEPT PER SHERRY !!
COMMUNITY HEALTH CHOICE HMO (CHIP)
COMMUNITY HEALTH CHOICE // TEXAS STAR MEDICAID
COMMUNITY HEALTH CHOICE // HARRIS HEALTH INDIGENT (FORMERLY HARRIS COUNTY INDIGENT)
UHC COMMUNITY CHOICE MEDICAID TEXAS STAR KIDS
UHC COMMUNITY PLAN TEXAS CHIP
MEDICAID SUPERIOR NOT IN NETWORK 
MEDICAID UNITED HEALTHCARE // AMERICHOICE
MOLINA CHIP
MOLINA STAR PLUS
PCCM IS NO LONGER PCCM EFF: 09/01/2011
SUPERIOR (FOSTER CHILDREN)
TX STAR PROGRAM UNITED HEALTHCARE
TEXAS CHILDREN’S HEALTH PLAN STAR/ MEDICAID  CHIPS
TEXAS CHILDREN’S STAR KIDS MEDICAID
TRADITIONAL (QMB) 100% Medicaid Allowable
TEXAN PLUS HMO // ONLY DR MILES FROM GHPMA
TEXAN PLUS FULL DUAL – HERITAGE SPECIAL NEEDS
TEXAS TRUE CHOICE Part of Multi-Plan Network

 

MHEALTH // Memorial Herman Health Systems, MED HMO/PPO
MEMORIAL HEMANN EMPLOYEE PLAN // PHCS
MHEALTH THE EDGE
MEMORIAL HERMANN M’CARE ADVANTAGE PLAN
MEMORIAL HERMANN ACCOUNTABLE PLAN/SELECT OPEN ACCESS
MEMORIAL HERMANN ELECT BROZE 6550 HSA HMO
MEMORIAL HERMANN M’CARE ADVANTAGE HMO
M’HEALTH WALKER, CHOICE, AND SELECT PLAN
MEMORIAL HERMANN CARE PLAN
MOLINA DUAL POLICY MMP
MOLINA MEDICARE
MOLINA STAR
MOLINA STAR PLUS

MONTGOMERY COUNTY HOSPITAL DISTRICT

PHCS // MULTI-PLAN /// A PPO PLAN ///
MULTIPLAN // MEDVERSANT
BEECH STREET A VIANT COMPANY NOW W/MULTIPLAN
PAN AMERICAN LIFE
 PLANCARE AMERICA PPO

 

AETNA SILVER/ELECT (TX EXCHANGE)
AETNA ADVANTAGE OFF EXCHANGE
BLUE CROSS BLUE SHIELD HMO (ZGN)
COMMUNITY HEALTH CHOICE MARKET PLAN / NO REF REQ
HUMANA HMO X
HUMANA ONE PPO ACA
UHC COMPASS BALANCED (OBAMACARE)
CIGNA CONNECT
MOLINA MARKETPLACE
MAGNOLIA HEALTH
PPO
HMO
SECURE HORIZON
PACIFICARE /// UNITED HEALTHCARE
BANKERS LIFE & CASUALTY CO. (800) 734-4760
BENEFFIT PLANNERS
OPEN ACCESS
PPO
HEALTHY DIRECTIONS
BOON-CHAPMAN BENEFIT ADMINISTRATORS
UNICARE // PHCS EFF: 07/01/2010
MEDICARE /// AMERIVANTAGE
UNIVERSAL HEALTH CARE  ALL HMO’S NEED REFERRAL
PRIME HEALTH SERVICES
Heritage Physician Networks  (HPN) ( IPA  3RD PARTY  ADM.)
TEXAN PLUS (MILLENNIUM/TOMBALL/MHP ONLY) & HPN
TEXAN PLUS (GHPMA)
TEXAN PLUS (CLASSIC HOUSTON DIRECT PLAN) HMO
PARTNERD WITH THE FEDERAL GOVERNMENT
TEXAN PLUS (MCA – MEMORIAL CLINICAL ASSOC. N HOUSTON)
SOUTH CENTRAL UNITED FOOD (UFCW – KROGER)

THREE RIVERS PROVIDER NETWORK (TRPN)

DR. JERRY K. MILES ONLY
Part of Humana Military
TRICARE PRIME
TRICARE RESERVE SELECT
VA CHOICE PROGRAM – COMMUNITY CARE NETWORK (CCN)
PATIENT-CENTERED COMMUNITY CARE (PC3) ***INACTIVE JUNE 2019
PPO Part of Multi-Plan & PHCS Networks
Part of Memorial Hermann Health Network ( Individually contracted)

UMR

HMO,PPO UNICARE PLANS ENDED 06/30/10
MHEALTH —NETWORK // Part of Memorial Hermann & Unicare
PHCS // SEE PHCS
B.U.P.A. /// UHC OPTIONS PLAN 
CHOICE
EPO
HMO
PPO
UNITED HEALTHCARE MEDICARE PPO (WELLMED)
UNITED HEALTHCARE GOLD EXCHANGE PLAN (MARKETPLACE)
UNITED HEALTHCARE OPTIONS PLAN (UMR)
UNITED HEALTHCARE
UHC COMPASS BALANCED (OBAMACARE)
AARP UHC/MEDICARE COMPLETE
AARP UHC/MEDICARE COMPLETE WEST
UHC DUAL (MCR & MCD) STAR PLUS (PLAN TXMMP)
UHC STAR PLUS – MEDICAID
UHC COMMUNITY PLAN TEXAS STAR
UHC COMMUNITY CHOICE MEDICAID TEXAS STAR KIDS
UHC HEALTHSELECT
UHC DUAL PLAN (M’CARE / M’CAID)
UHC SHARED SERVICES (GEHA) PPO NO REF REQ
ALLSAVERS CHOICE
UHC WEST (MCR ADV PLAN)
 UNIVERSAL HEALTH // 877-661-3920 Provider Services
 UNIVERSAL MEDICARE ADVANTAGE HEALTH PLAN
USA MCO PPO

PLEASE CALL OFFICE TO VERIFY DOCTOR'S PARTICIPATION
IN YOUR INSURANCE PLAN