Healthcare

Accepted Insurance

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Insurance Accepted by Baylor Medicine

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Baylor Medicine contracts with many managed care plans. For questions about the specific procedures your plan covers, please contact your healthcare plan/insurance company directly.

This list was last updated Sept. 12, 2023.

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No Surprise Act

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Effective Jan. 1, 2022, the No Surprise Act addresses billing for emergency and post-stabilization services furnished by out-of-network providers, facilities, and non-emergency services furnished by out-of-network providers to patients at in-network facilities.

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InsuranceProduct Type
AetnaHMO, EPO, POS, PPO, Medicare Advantage HMO and PPO
Aetna Marketplace – Aetna CVS HealthHMO (Note: Specialists only, Primary Care not included)
AmerigroupMedicare Advantage HMO and PPO
Beech Street NetworkPPO
Best DoctorsPPO
Blue Cross Blue ShieldHMO, EPO, POS, PPO, Medicare Advantage HMO and PPO
Blue Cross Blue Shield – Marketplace  Blue Advantage HMO and My Blue Health HMO
Blue Cross Blue Shield ParPlanIndemnity
CignaChoice Fund, HMO and Network, Indemnity, Local Plus (Specialists only), Open Access Plus, Point of Service (POS), Preferred Provider Organization (PPO), GWH-Cigna
Cigna MedicareMedicare Advantage (Note: Specialists only, Primary Care not included)
Cigna LifesourceTransplant Care
Community Health ChoiceHMO, EPO, POS, PPO
Community Health Choice - MarketplacePremier Plans
Select Plans (Will be out of network as of Jan. 1, 2024)
Coventry Health Care 
Devoted HealthMedicare Advantage HMO
Evolutions Healthcare SystemPPO
EyeMed Vision Care (Access Networks Only)Vision Care
First HealthPPO
Galaxy Health NetworkPPO
HealthSmartPPO
Independent Medical SystemsPPO
InterLinkTransplant Care
Kelsey-SeyboldCommercial, KelseyCare Advantage, Well-Care Texan Plus (Note: By Authorized referral only)
LifeTracTransplant Care
Medicaid (Texas)Traditional Medicaid
MedicareTraditional Medicare
MultiPlanPPO
OptumHealth (formerly URN)Transplant Care
Private Healthcare Systems (PHCS and PHCS Savility)PPO
Provider SelectPPO
Superior Health PlanCHIP, CHIP Perinatal, Medicare Advantage, STAR Health (Foster Care), STAR Medicaid, STAR Kids Medicaid
Superior Health Plan - Marketplace

Ambetter Core Gold and Silver (Complete, Clear, Focused, Everyday, Standard)

Ambetter Value Gold and Silver (Complete, Clear, Focused, Everyday Standard)

Non-contracted with  Virtual plans.

Texas Children's Health Plan (TCHP)CHIP, CHIP Perinatal, STAR Medicaid, STAR Kids Medicaid
TriWest Health AllianceClinical Care Network
United Behavioral Health (UBH)Behavioral Health
United HealthcareHMO, EPO, POS, PPO, CHIP, CHIP Perinatal, Medicare Advantage, Medicare-Medicaid Plan (MMP), STAR Medicaid, STAR+PLUS Medicaid, STAR Kids Medicaid
United Healthcare-Marketplace HMO
USA Managed Care OrganizationHMO, EPO, POS, PPO
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Contact Information and Hours

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Insurance Verification Hotline
(713) 798-9001

Hours:
Monday-Friday
8 a.m. – 5 p.m.