Insurance Information

If you have medical insurance, we strive to help you receive your maximum allowable benefits. As a courtesy to you, we will contact your insurance company and obtain a general estimate of your insurance coverage and benefits.  We will provide you with a copy of the general estimate of benefits at your first appointment. This estimate will be the basis for the patient portion due at the time of service.  Your insurance company WILL NOT guarantee any quote of benefits or coverage and all claims are subject to policy limitations and guidelines in force when the claim is processed.

Please remember your insurance coverage is a contract between you and your insurance company.  Our office encourages patients to be educated about and proactive in obtaining benefit information prior to treatment. We recommend that you contact your insurance company or benefit administrator to discuss your coverage and benefits, including pre-certifications, referrals and authorization requirements.

In order to help you maximize your insurance benefits we will need your assistance in providing us with your current insurance information and copy of your current insurance card.  If you receive a new insurance card, even if you don’t think anything has changed, please present it at the time of service and we will make a copy of the new card.

All co-payments, co-insurance and deductible amounts, are due at the time services are rendered unless payment arrangements have been approved in advance by our staff. We accept cash, checks, MasterCard, Visa and Discover Card. We will gladly submit fees for your covered medical services to your insurance company. However, we expect payment of all services within 60 days.

We Accept:

  • Aetna HMO/PPO/POS
  • Benefit Planners PPO
  • Blue Cross Blue Shield Plans (All plans both in and out of state, except Medicaid)
  • Cigna HMO/PPO
  • First Health PPO
  • Great West PPO
  • Humana HMO/PPO/EPO
  • Principal PPO
  • Private Health Care Systems PPO including Guardian PPO and Fortis/Assurant Health
  • Seton Health Plan EPN and Expanded EPN 
  • Texas True Choice PPO 
  • United Healthcare (All plans)

We accept many other PPO plans as well. Our office encourages patients to be educated about and proactive in obtaining benefit information prior to treatment. You can always obtain allergy benefit information from your insurance company prior to treatment at our office.  

Many HMO plans require a referral to see a specialist. Consult your insurance plan or feel free to call our office with questions regarding participation.

Please Note:

MEDICARE BENEFICIARIES:

Although we are no longer contracted Medicare providers, we will be happy to enter into a private contract with you and provide medical care to you.  Our physicians have "opted out" of Medicare as permitted by the Balance Budget Act of 1997. This law allows physicians who have opted out of Medicare to enter into a private contract with Medicare beneficiaries and requires a private contract between the patient and the physician.  You will be charged our usual rates for medical care provided to you and full payment will be due at the time services are rendered.  Neither Medicare nor secondary insurance companies will reimburse you for our charges.  Please note that we can not submit any claims to Medicare or secondary insurance companies for our services.

MEDICAID BENEFICIARIES:

We are closed at this time to new Medicaid patients.