The clinic does accept several forms of insurance, including:
Aetna
Blue Cross/Blue Shield
Cigna
Humana (including Medicare Advantage PPO)
Medicare (Part B coverage required)
Optum/United HealthCare/United Behavioral Health/UMR
TriCare East including TriCare Select, TriCare Reserve Select, TriCare Retired
Reserve, TriCare Young Adult Select, Medicare/TriCare for Life, & TriCare Prime
Insurance Companies Not Accepted:
CHRISTUS Spohn Health Network and Christus Health Plans (Although we previously did accept these plans, we will no longer accept these plans in future)
Magellan (which includes Blue Cross/Blue Shield BAV plans that are managed by Magellan)
Medicaid (which has no out-of-network benefits)
Please check back as the above list will be adjusted as new information is received.
Some out-of-network benefits may be accepted as well. BCBS BAV plans (that are managed by Magellan), however, do not appear to have any out of network benefits. Additionally, if you have Medicaid as a secondary, they will not pay anything if you see an out-of-network provider (meaning that you will be responsible for any amount not covered by your primary insurance). For other plans or questions, please contact the clinic with your insurance information, and we can verify any potential coverage.
A Private Pay option is also available. Please contact the clinic for additional information regarding charges based on the type of evaluation needed. A comprehensive evaluation paid out-of-pocket can range from $1000 to $3000. The doctor will put together an estimate of cost prior to scheduling a private pay appointment.
Payment of any co-pays or remaining deductible (based on your own health insurance requirements), if known, are expected on the day of your appointment. Private-pay individuals are also expected to pay the full amount owed on the day of their appointment.
Referral for evaluation by a treating physician or primary care may be required based on your individual health insurance. For example, typically, HMO plans, Tricare Prime, and Medicare require a referral. You may need to contact your own insurance company in order to verify whether a referral for an evaluation is required or not.
If you would like to verify coverage and charges for procedures completed in our office with your own insurance company, please contact our office so we can provide you with a list of codes typically utilized for our appointments.
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