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| 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) |
| INTERPLAN HEALTH GROUP |
| WORKERS COMPENSATION PLAN |
| 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 |
| PPO |
| MEDICAL DISCOUNT CARD |
| 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 |
| PPO |
| EPO |
| 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 |
| IMPERIAL HEALTH |
| 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 |
| PRODUCT OF HUMANA CHOICE |
| 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 |
