Insurance Plans
We accept a wide range of insurance plans to ensure you receive the exceptional shoulder care you deserve
Aetna
- Aetna Open Access Select EPO, Open Access Elect Choice EPO, Open Access Managed POS, Choice POS II, Open Choice PPO, Health Network option
- Aetna HMO, Select EPO, EPO Plus, Quality QPOS, Managed Choice POS – REFERRAL
- Aetna Whole Health (Austin only: Seton Health Alliance)
- Aetna Premier Care TH+A Network – Texas Health
- Aetna Texas Health Open Access Managed Plus
- Aetna Aexcel network (details forthcoming)
- Aetna Medicare Advantage PPO, PPO Prime – NO REFERRAL
- Aetna Premier Care Network (APCN)
- Meritain Health – NO REFERRAL
Blue Cross Blue Shield
- BCBS PPO, Blue Choice Plus PPO
- BCBS POS
- Blue Essentials HMO & Plus HMO – REFERRAL
- Blue Essentials Access – NO REFERRAL
- BCBS TRS Care (Teacher’s Retirement System) – T2S – NO REFERRAL, T2U – REFERRAL
- HealthSelect POS (State employees) – REFERRAL
- BCBS FEP (Federal Employee Program)
- BCBS Medicare Advantage PPO
- BCBS Medicare Supplement
Cigna
- In Network all Plans: PPO, Open Access Plus, Performance Health PPO
- Cigna HMO, HMO POS Plans, POS Plans – REFERRAL
- Cigna Bravo Healthspring Medicare Adv PPO
- (Other health plans accessing Cigna network include: Allegiance Benefit Plan Mgmt, Allied Benefit Systems, Group Pension Administrators, Healthgram, HealthPartners, NALC, Scott & White, S&S Healthcare Strategies, Tufts. See card for Clms address.)
Humana
- Humana – see commercial networks by market below
- Humana Medicare Advantage PPO
- Wellmed Humana Gold Plus Mcare Adv (see card WELM2) – REFERRAL
- PPO, POS, EPO, Mcare PPO, Mcare PFFS, Mcare HMO
Medicare & Other Medicare Advantage
- Medicare Novitas Solutions Part B (Part A-for Hospitals, Part D-Drugs)
- Railroad Medicare Palmetto GBA
- Medicare DME Jurisdiction C (CGS)
- Episode Solutions (Case Policy for Medicare Bundles)
- Imperial Medicare Advantage
- Memorial Hermann Medicare Advantage
- Scott and White Medicare
- USA Care Medicare Replacement
TMHP & Other Medicaid
- Cook Children’s Health Plan
- Dell Children’s Health Plan (formerly Seton)
- Molina Healthplan
Tricare & VA
- Tricare West PRIME (active duty service members, retired, and dependents) – IN NETWORK – REFERRAL
- Tricare West SELECT – IN NETWORK
- Tricare for Life (secondary to Medicare)
- TriWest (VA CCN Region 4) add as a case policy – IN NETWORK – REFERRAL
United Healthcare
- In Network all plans: Options PPO, Choice, Choice Plus, Select, Select Plus, Core, Doctors, Freedom, AllSavers, Empire, GEHA, Golden Rule, Nexus, Oxford, UMR, Student Resources
- Compass, Charter, Navigate Plans, NexusACO (R&RB) – REFERRAL
- Premium Providers – Tier 1 copay (see list)
- AARP Medicare Complete – REFERRAL
- UHC Community Plan Dual Complete (Mcare/Mcaid)* – REFERRAL
- WellMed UHC Dual Complete Focus* – REFERRAL
- UHC Community Plan (Medicaid) Star Plus – REFERRAL
- Southwestern Health Res UHC Mcare Adv (TOA/CC) – REFERRAL
Workers Comp Networks
- Coventry – each of the below networks have a provider nomination process, see Provider Portal lookup.
- AIG HCN
- AIG HCN Productivity Edge HCN
- Coventry HCN (inc Broadspire, CNA, Zurich, Svc Lloyds)
- First Health HCN (includes Hartford)
- Liberty HCN (includes Liberty Mutual)
- Travelers HCN
- Zenith HCN
- WC Integrated Network (includes Genex)
- Blackstone Network (DFW only)
- Careworks/Sedgwick
- Corvel
- HEB (Salus Workers Comp)
- IMO (Injury Management Organization)
- My Texas Direct/504 & DISD 504 Network (DFW only)
- Nexcaliber
- Paradigm Specialty Network
- Political Subdivision Alliance
- Prime Health
- Reny Company
- Texas Mutual (Texas Star & WorkWell networks)
- US Department of Labor
Other Commercial Plans
- 90 Degrees Benefits (accesses Aetna, PHCS and other INN Networks) Beech Street Network (Multiplan agreement) Community Health Choice Exchange
- Gharboui & Brock – NO REFERRAL Coventry/First Health Commercial
- Decent Healthcare
- First Care PPO (Scott & White)
- Fringe Student Ins/Lonestar Athletic Net (USA MCO) – CLAIM FORM REQ
- Healthcare Highways
- Healthsmart Complete
- Healthsmart Preferred
- HMA (Hawaii Mainland Administrators)
- Memorial Hermann Commercial
- Multiplan
- OccuNet Provider Alliance
- Partners Direct Health
- PHCS Network (Multiplan agreement)
- Scott and White Healthplan (BSW): PPO, BSW Plus HMO (Only TRS Grp), Convent Health EPO, BSW
- BSWQA (Quality Plan) – HMO, Preferred HMO Marketplace, Employee Plan (EQA)
- Seton Health Plan Student Assurance/LoneStar Athletic Net (USA MCO) – CLAIM FORM REQ
- USA Managed Care Org
Misc Other
- Austin State Hospital – PURCHASE ORDER
- Texas Workforce Commission (DARS) – PURCHASE ORDER
Contact Us
If listed – Your insurance is accepted for the majority of office charges and procedures.
For any questions regarding specialist fees for surgery, medicare coverage, and/or to fast track your appointment, please contact our office directly at 214-750-4590
For any questions regarding specialist fees for surgery, medicare coverage, and/or to fast track your appointment, please contact our office directly at 214-750-4590
