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Patient Resources / Insurance & Self Pay

Insurance & Self Pay

We accept most major commercial insurance plans. Learn about accepted insurances, Medicare, and self-pay options.

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Accepted Insurance Plans

Commercial & Marketplace

  • Aetna / Meritain (Commercial)
  • Blue Cross Blue Shield (PPO/POS/HMO/Marketplace)
  • Cigna (Commercial)
  • United Healthcare (Commercial)
  • Ambetter (CORE plans only โ€” Value not accepted)
  • Community Health Choice
  • Molina
  • Oscar
  • Modivcare (requires authorization)
  • Memorial Hermann
  • Multiplan / PHCS Networks
  • UnitedHealth (UMR, UHSS, All Savers, etc.)

Medicare & Senior Care

  • Traditional Medicare (Red, White & Blue card)
  • Medicare Advantage PPO (all carriers)
  • Medicare Advantage HMO (requires referral/authorization)
  • WellPoint (including ViCare and VAN LANG)
  • Aetna Medicare Advantage
  • Blue Cross Blue Shield Medicare Advantage
  • Cigna Medicare Advantage
  • Humana
  • UnitedHealth networks including WellMed
  • Wellcare

Plans NOT Accepted

  • Medicaid (standalone)
  • Medicaid with commercial insurance
  • Aetna CVS Marketplace
  • UnitedHealth Marketplace
  • My Blue HMO / Blue Advantage HMO
  • Cigna HMO plans

HMO Plans: HMO plans generally require insurance authorization. You will be billed at the self-pay rate if you are seen without a valid referral on file. Please confirm your authorization before your visit.

Understanding Your Patient Responsibility

Your financial responsibility is determined by your insurance plan. We follow your insurance plan's decisions regarding deductibles, copays, and coinsurance. We do our best to estimate costs upfront, but the final amount is confirmed after your insurance processes the claim.

We will send you an email invoice after insurance claim processing โ€” please pay on time. We provide services in good faith that balances will be paid. If you overpay, we keep the amount as a credit for future visits. Contact us if you prefer a refund.

Medicare vs. Medicare Advantage

If you have enrolled in a Medicare Advantage plan, it is extremely important that you provide us with that information at your visit. While you will always retain your traditional Medicare number, you must use your Medicare Advantage plan information when visiting our clinic.

Self-Pay Options

Affordable Self-Pay Fees

We offer competitive self-pay rates for patients without insurance or those seeking straightforward care. Fees are based on complexity of the visit.

Please note: we cannot provide comprehensive services to self-pay patients due to limited labs and medication availability.

New Patient Consultation$250
Follow-Up Visit$175
Basic Lab PanelFrom $50
Comprehensive LabsVaries

For questions about your insurance coverage or self-pay options, please call us at 832-968-7003 before your appointment.

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