Participating Health Plans
Active Managed Care Plans as of August 2011
|
Payor |
Type |
|
ACCOUNTABLE |
PPO |
|
AETNA HMO |
HMO |
|
AETNA GOLDEN CHOICE PPO |
MDCRE |
|
AETNA GOLDEN MEDICARE PLAN HMO |
MDCRE |
|
AETNA PRIVATE FEE FOR SERV. (MEDICARE REPLACEMENT PLAN) |
MDCRE |
|
AETNA POS |
PPO |
|
AETNA PPO |
PPO |
|
AFFILIATED HEALTHCARE, INC. |
PPO |
|
AMERIGROUP/AMERICAID MEDICAID HMO |
MDCD |
|
AMERIGROUP/AMERICAID CHIP |
CHIP |
|
AVERDE HEALTH |
PPO |
|
BEECH STREET/CAPP CARE PPO |
PPO |
|
BEECH STREET WORK. COMP. |
W/C |
|
BLUECHOICE SOLUTIONS |
PPO |
|
BLUE CROSS/BLUE SHIELD PAR PLAN |
TRAD |
|
BLUE CROSS/BLUE SHIELD PPO/POS |
PPO |
|
BCBS MEDICARE PPO/POS |
MPPO |
|
BRAVO HEALTH (MEDICARE REPLACEMENT) |
MDCRE |
|
CHOICECARE NETWORK PPO |
PPO |
|
CHOICECARE NETWORK for HUMAN INS. CO. EMPL. |
PPO |
|
CHAMPUS |
MDCRE |
|
CIGNA HEALTH PLAN HMO |
HMO |
|
CIGNA HEALTH PLAN PPO |
PPO |
|
COASTALCOMP HEALTHNETWORK |
W/C |
|
COMMUNITY HEALTH CHOICE |
MDCD |
|
COMMUNITY HEALTH CHOICE 3 SHARE PLAN |
MDCD |
|
COMMUNITY HEALTH CHOICE CHIP |
CHIP |
|
CORVEL |
W/C |
|
ELDERHEALTH MEDICARE ADVANTAGE |
MDCRE |
|
ETHIX SOUTHWEST PPO |
PPO |
|
FIDELIS SECURECARE OF TEXAS ADVANTAGE |
MDCRE |
|
FIESTA PPO |
PPO |
|
FIRST HEALTH PPO/COVENTRY HEALTH CARE |
PPO |
|
FIRST HEALTH WORK. COMP. |
W/C |
|
FORMOST PPO |
PPO |
|
GALAXY HEALTH NTWRK. |
PPO |
|
GATEWAY TO CHARITY/PROVIDER HEALTH NETWORK |
CHARITY |
|
HAS/PREMIER PPO |
PPO |
|
HEALTHSMART PPO |
PPO |
|
HEALTHSMART (ADVANCED PROVIDER PAYOR PARTNERSHIP (AP3) |
PPO |
|
HHPO PPO/PPONEXT/MEDICAL CONTROL |
PPO |
|
HMO BLUE |
HMO |
|
HUMANA HMO |
HMO |
|
HUMANA PPO |
PPO |
|
HUMANA MEDICARE ADVANTAGE |
MDCRE |
|
HUMANA VETERANS HEALTH SERVICES |
MDCRE |
|
IHI (INTERNATIONAL HEALTH INSURANCE) |
PPO |
|
IMS (INTEGRATED MEDICAL SYSTEMS) |
PPO |
|
INDEPENDENT MED. SYSTEMS (DOMESTIC BUSINESS) |
|
|
KELSY LOA FOR U/S |
PPO |
|
KELSEY SEYBOLD MEDICARE ADVANTAGE |
MDCRE |
|
MAJORIS/OMNI |
W/C |
|
MEDICAID-TEXAS HEALTH NETWORK/PCCM |
MDCD |
|
MEDICAID TRADITIONAL |
MDCD |
|
MEDICAID LONESTAR |
MDCD |
|
MEDICARE - PART A & B |
MRC |
|
MEMORIAL HEALTH TPA |
LOA |
|
MOLINA HEALTHCARE OF TEXAS (MDCD HMO+CHIP) |
MDCD |
|
MULTIPLAN PPO |
PPO |
|
NATIONAL CHOICECARE WORK. COMP. |
W/C |
|
NATIONAL HEALTHCARE ALLIANCE EPO |
PPO |
|
NATIONAL HEALTHCARE ALLIANCE HMO |
HMO |
|
NATIONAL HEALTHCARE ALLIANCE PPO |
PPO |
|
NATIONAL HEALTHCARE SOLUTIONS, INC. |
PPO |
|
ONE HEALTH PLAN HMO/GREAT WEST (CIGNA) |
HMO |
|
ONE HEALTH PLAN PPO/POS/GREAT WEST (CIGNA) |
PPO/POS |
|
PACIFICARE HMO |
HMO |
|
PACIFICARE PPO |
PPO |
|
PACIFICARE MEDICARE HMO |
HMO |
|
PHYSICIAN'S COOPERATIVE of TEXAS WORK. COMP. |
W/C |
|
PHCS PPO (PRIVATE HEALTHCARE SYSTEMS) |
PPO |
|
PRIME HEALTH SERVICES |
W/C |
|
PRUDENTIAL PLUS PPO/POS |
PPO |
|
ROCKPORT WORK. COMP. |
W/C |
|
SELECTCARE OF TEXAS |
MDCRE |
|
STUDENT ACCIDENT NTWK. AGREEMENT by TX. TRUE CHOICE |
PPO |
|
TEACHERS RETIREMENT SYSTEM PPO |
PPO |
|
TEXAS CHILDRENS HMO |
HMO |
|
TEXAS CHILDREN'S CHIP |
CHIP |
|
TEXAS HEALTHSPRING ADVANTAGE |
MDCD |
|
THE TEXAS ATHLETIC NETWORK, INC. |
PPO |
|
UNICARE HMO (FORMERLY METHODIST HMO) |
HMO |
|
UNICARE PPO (CLASSIC NETWORK & PERFORMANCE |
PPO |
|
UNITED HEALTHCARE - CHIP |
MDCD |
|
UNITED HEALTHCARE COMMUNITY PLAN |
MDCD |
|
UNITED HEALTHCARE EPO |
PPO |
|
UNITED HEALTHCARE HMO |
HMO |
|
UNITED HEALTHCARE POS |
PPO |
|
UNITED HEALTHCARE PPO |
PPO |
|
UNITED HEALTHCARE MEDICARE (EVERCARE) |
MDCRE |
|
UNITED HEALTHCARE WORK. COMP. |
W/C |
|
UNIVERSAL HEALTH CARE OF TEXAS ADVANTAGE |
MDCRE |
|
UTMB - TUHP POS |
PPO |
|
UTMB - ChOICEONE HMO |
HMO |
|
WELLCARE MEDICARE ADVANTAGE |
MDCRE |
