Insurance Plans

Accountable Health Plans

ACA – Affordable Care Act:

• Aetna
• Allied
• Ambetter
• BCBS-HMO/PPO
• Cigna
• Community Health Choice
• Molina Healthcare
• Pan American
• United Healthcare Compass,
• Balanced, and Plus

Admar/Med Network
Administrative Concepts
Aetna – Memorial Hermann Accountable Care Network only
Aetna – all plans except Memorial Hermann (see above), HCA (can be seen with authorization),
Aetna Medicare Advantage
Aetna Alief ISD – needs referral for ultrasounds and biopsies
Affiliated Healthcare/PHN
Aliera (PHCS) *authorization needed for all services*
Allied Insurance through Aetna
Allwell Medicare Advantage
Ambetter MarketPlace
Amerigroup this includes Children’s Medicaid
Amerivantage Select HMO thru Renaissance
Anthem
Beechstreet A Multiplan Network
Blue Choice
BCBS Health Select and BCBS Consumer Directed Health Select
Blue Cross & Blue Shield with Medicare Advantage HMO with Renaissance
Blue Cross Medicare Advantage PPO and FFS
Blue Essentials and Blue Essentials Access
Blue Premier
Bright Health Insurance
Boon Chapman
Care Improvement PPO
CCN
Champ VA
Cigna Health Springs
Cigna – all plan except Kelsey Seybold,
Cigna HealthSpring
Cigna Texas Children’s Medicaid
Community Health Choice
Coventry Healthcare – GEHA only
Devoted Health
Evercare of Texas
Fiesta
First Health
Friendswood ISD
Friday Insurance
Galaxy Network
GPA – Group and Pensions Administrators
Great West part of Cigna
Healthnet Pro
Healthmedpro
HealthSmart ACCEL, Preferred and Payers Organization (HPO)
HHPO – PPO Next
HMO Blue (with referral)
Humana – PPO & HMO – Not HMOx or MMP
Indemnity – Non-contracted
Liberty Healthshare
Medcorp Southwest
Medicaid includes * HTW Healthy Texas Women’s Program effective 06/29/16

Medicaid HMO Plans:

• Amerigroup/Americaid/Amerihealth
• Star+Plus
• Community Health Choice Star program, CHIP
• Evercare Star / Star+Plus
• Molina Healthcare MCD/CHIP
• Texas Health Network / PCCM
• United Healthcare Community Health Plan

Star & StarPlus
Medical Control – HHPO
Medicare Traditional

Medicare Advantage Plans:

• Advantra Freedom PPO Not HMO
• Aetna PPO
• Aetna HMO referral thru ins required for all services except screening mammo
• Amerigroup-Amerivantage HMO
• Amerigroup – Integranet Gulf Coast
• AARP-Medicare Complete
• BC/BS of Texas: Blue Medicare PPO/HMO
• Care Improvement Plus
• Community Health Choice, Bronze, Silver, Gold
• Evercare of Texas, LLC: Plan MH
• Health Med Pearl
• Health Net Pro
• Humana Ins Co: Humana Gold Choice, Humana Choice PPO
• Molina
• Secure Horizons Medicare Replacement
• Texas HealthSpring: Advantage, Metro
• Advantage Plus, True Choice
• United Healthcare:
• Well Care TexanPlus

Medicare Railroad
MetLife
Molina all plans
Multiplan
MyBlue Health
NAPP
National Preferred Provider Network (NPPN)
Pacificare
PHCS
Point Comfort Underwriters
PPC – Patient Physician Cooperative
PPONext – HHPO
Preferred Plan of Texas
Premier/HAS
Pronet
Prudential
Randalls
Renaissance – Texas Health Spring, Amerivantage Select HMO, Blue Advantage HMO
Secure Horizons
Select Care – WellCareTexans Plus
Superior Medicaid/Chip
Superior MMP Medicare/Medicaid Plan
TX Annual Conf. of United Methodist Churches
Texas HealthSpring
Texas True Choice – Beechstreet
Texas Municipal League (TML)
TriCare Standard
TriCare Prime with Authorization only
TRS Care – Aetna Not in network TRS Active Care group 866344
TSBH
UMR – United Medical Resources
Unicare – Performance, Classic, PPO, HMO
United Healthcare
United Healthcare Shared Services (student ins)
United Healthcare Compass, Balanced, and Plus (Marketplace/ACA)
United Healthcare Community Plan Star & Star Plus
United Healthcare MMP
**United Healthcare Nexus ACO – R requires a referral AO does not need a referral.
United Health One
USA Managed Care
Van Lang IPA
WellCare
90 Degree

Updated 3/3/2022