Insurance Plans
We understand insurance contracts change frequently so we will be updating this list as often as possible. Please use this list as a reference only and confirm coverage with your individual plan.
Contracted Networks
- Access Direct
- Aetna
- BCBS
- BeechStreet
- Cigna
- Coventry/First Health Commercial
- Decent Healthcare
- Fairprice Network
- First Care (Scott & White)
- First Health
- Friday Health Plan
- Galaxy Health Network
- GEHA
- Golden Rule
- GPA/Texas MedClinic
- Healthcare Highways
- Healthsmart Complete
- Healthsmart Preferred
- Humana
- Integrated Medical Systems
- Mediview
- Multiplan
- OccuNet Provider Alliance
- Oscar
- Pan American Life
- Partners Direct Health
- PHCS
- Point Comfort Underwriters
- Scott and White HealthPlan
- Seton Health Plan
- Surgery Plus (Employer Direct Healthcare)
- Tricare – all
- United Medical Resources (UMR)
- United Healthcare
- US Family Health Plan
- USA Managed Care Organization/Student Assurance
Exchange Plans
- Humana Austin HMOx
- Humana POS
- Molina Healthcare
- Oscar HealthPlan
- Sendero IdealCare
- Superior Ambetter
Medicaid Plans
- Aetna Better Health Medicaid
- BCBS Medicaid
- Cigna Medicaid
- Dell Children's Health Plan (formerly Seton)
- Molina Healthplan
- Superior/Superior Chip (existing patients only)
- TMHP (Traditional Medicaid)
- UHC Community Plan Star Plus
Medicare Plans
- AARP Medicare Complete
- Aetna Medicare
- BCBS HealthSelect Medicare
- BCBS Medicare Advantage PPO & HMO
- Cigna Medicare Advantage
- Friday Health Plan Medicare Advantage
- Humana Medicare
- Imperial Medicare Advantage
- Medicare DME Jurisdiction C
- Medicare Novitas Solutions
- Molina Medicare Replacement and Dual
- Oscar Medicare Advantage
- Railroad Medicare
- Scott and White Medicare
- Superior Wellcare
- UHC Community Plan Dual Complete
- UHC Medicare Advantage
- UHC Medicare Solutions (formerly Secure Horizons)
- UHC West Medicare Solutions (formerly Pacificare)
- USA Care Medicare Replacement
- WellMed AARP Medicare Advantage HMO
- WellMed Amerivantage Medicare Replacement and Dual Coordination
- WellMed Humana Medicare Gold Plus HMO
- WellMed UHC Dual Complete Focus
- WellMed UHC Medicare Advantage PPO
Referrals Required
- AARP Medicare Complete Plan H4514-007
- Aetna Select
- Aetna HMO
- Austin State Hospital
- BCBS HealthSelect
- BCBS COA Blue Essentials
- BCBS TRS ActiveCare Blue Essentials
- Blue Essentials
- Cigna HMO (written from PCP)
- Crime Victims (must have case number and doctor approval to be seen)
- Humana HMOx
- Humana Medicare Gold Plus HMO
- Texas Free Market (requires voucher)
- Texas Workforce Commission (DARS)
- Tricare Prime and Direct Care
- Triwest (includes Veteran’s Choice)
- UHC Medicare Advantage Referral Required Plans
- UHC Nexus ACO
- WellMed Humana Gold Plus, UHC Dual Complete Focus
- Careworks/Sedgewick
- Corvel
- Coventry
- IMO
- Political Subdivision Alliance
- Prime Health
- Texas Mutual
- US Department of Labor
Worker's Comp
- AIG - Coventry via AIG HCN
- Broadspire - Coventry via Coventry HCN
- Careworks/Sedgwick
- CNA - Coventry via Coventry HCN
- CCMSI - via IMO network or non-network
- Chartis - Coventry
- Corvel
- Coventry via Coventry HCN
- ESIS - Coventry via Coventry HCN
- Gallagher Bassett - Coventry via Coventry OR First Health HCN
- Hartford - Coventry via First Health HCN
- HEB (Salus Workers Comp)
- IMO (Injury Management Organization)
- Liberty Mutual - Coventry via Liberty HCN
- Nexcaliber
- Paradigm Specialty Network
- Political Subdivision Alliance
- Prime Health
- Service Lloyds - Coventry
- Texas Mutual
- Travelers - Coventry via Travelers HCN
- US Department of Labor
- Zenith - Coventry
- Zurich - Coventry via Coventry HCN
Not Contracted
- Amerigroup
- Amerivantage Medicare Replacement or Dual Coordination - unless through WellMed PCP
- Baylor Scott and White Preferred HMO
- BCBS HMO Blue Advantage Exchange
- BCBS High Performance Network (EPO)
- Bright Health
- Care N Care (Medicare Advantage)
- Christus Health Plan
- Indigent County
- Medicaid CSHCN & Healthy Woman (Perinate)
- Medicaid Texas Healthy Steps
- MedPartners
- Principal Edge Network
- Seton MAP
- Three Rivers
Call (512) 439-1001 or schedule an appointment online at any of our Texas Orthopedics locations in Northwest Austin, Central Austin, South Austin, Kyle, Cedar Park, Round Rock, and Lakeway.
