Accepted Insurance Plans

If you have plan questions call the number listed on your Member ID Card or the general Member Services phone number listed by your Insurer below.

Commercial

Aetna Commercial PPO, HMO, QPOS, Elect Choice, Managed Choice POS, Aetna Choice POS II, Aetna Select, Open Access Student MC, Passport to Healthcare, National Advantage 888-632-3862
Ambetter

Ambetter Everyday Gold, Ambetter Standard Gold, Ambetter Complete Gold, Ambetter Everyday Gold+Vision+Adult Dental, Ambetter Standard Gold+Vision+Adult Dental, Ambetter Complete Gold+Vision+Adult Dental, Ambetter Standard Silver, Ambetter Focused Silver, Ambetter Complete Silver, Ambetter Focused Silver+Vision+Adult Dental

877-687-1196
BCBS TX HMO Blue Texas, Blue Choice PPO/POS, ERS (Health Select of TX, Consumer Directed Health Select - In Area & Out-of-State) 800-451-0287
BCBS TX Exchange Blue Advantage Bronze HMO Standard, Blue Advantage Bronze HMO 204, Blue Advantage Plus Bronze 305, Blue Advantage Plus Bronze Standard, Blue Advantage Plus Bronze 303, Blue Advantage Gold HMO 206, Blue Advantage Gold HMO 706, Blue Advantage Plus Gold 803, Blue Advantage Plus Gold 203,  Blue Advantage Plus Gold Standard, Blue Advantage Silver HMO 205, Blue Advantage Silver HMO Standard, Blue Advantage Plus Silver 202, Blue Advantage Plus Silver Standard, Blue Advantage Plus Silver 605 800-451-0287
Cigna HMO, POS, EPO, PPO, Open Access Plus, POS Open Access, OAP, Local Plus, Network Open Access, HMO Open Access, Indemnity 800-882-4462
HealthSmart (Cigna) PPO 800-687-0500
Molina Healthcare of Texas Exchange Bronze, Silver, and Gold 866-449-6849
MultiPlan PPO 800-950-7040
Prime Health Services Auto, PPO 866-348-3887
Scott and White Health Plan HMO, PPO, EPO, Self-Funded Plans 888-316-7947
Three Rivers Provider Network (TRPN) Auto, PPO 800-966-8776
Tricare (Includes Dental) Standard, Prime, & For Life (supplemental) 800-444-5445
United HealthCare UHC Character, UHC Choice & Choice Plus, UHC Core & Core Essential, UHC, EDGE, UHC HealthSelect, UHC Navigate, UHC Options PPO 877-842-3210
USA Managed-Care Organization Auto, PPO 800-876-0820
Wellpoint (January 2025) Medicare Advantage/MMP 866-805-4589

Medicare

Aetna Medicare Advantage: MA PPO/HMO, HMP Prime 888-632-3862
BCBS TX Medicare Medicare Advantage 877-774-8592
Cigna HealthSpring (includes Behavioral Health Medicare Advantage HMO, PPO 800-230-6138
Medicare Traditional Medicare 800-633-4227
Molina Healthcare of Texas Medicare Advantage/MMP 866-449-6849
Scott and White Health Plan Medicare Advantage 866-334-3141
Superior Health Plan (Note: New Name - Allwell) Medicare Advantage/MMP 877-391-5921
United Healthcare Medicare Advantage AARP Medicare Complete Secure Horizons (HMO), Care Improvement Plus Medicare Advantage (Regional PPO), AARP Medicare Complete Secure Horizons 866-579-8811
WellCare Medicare Advantage Dividend (HMO), Value (HMO, POS), Access (HMO SNP) 855-538-0454
Wellpoint Medicare Advantage/MMP 866-805-4589

Medicaid

Aetna Better Health STAR, CHIP, CHIP Perinate

800-306-8612 STAR

800-245-5380 CHIP

Children's Medical Center Health Plan (includes Behavioral Health) STAR, STAR KIDS, STAR+PLUS, STAR HEALTH, CHIP 800-947-4969
Cook Children's Health Plan STAR, STAR KIDS, CHIP 800-964-2247
Cigna HealthSpring STAR+PLUS 877-653-0331
Medicaid Traditional Medicaid 877-541-7905
Monlina Healthcare of Texas (includes Behavioral Health) STAR, STAR+PLUS, STAR KIDS, CHIP, CHIP Perinate 866-449-6849
Point Comfort Underwriters Medicaid 844-210-2010
Scott and White Health Plan STAR, STAR+PLUS, STAR KIDS, CHIP, CHIP Perinate 866-449-6849
Superior Health Plan STAR, STAR+PLUS, STAR KIDS, STAR HEALTH, CHIP, CHIP Perinate 877-391-5921
United Healthcare STAR, STAR+PLUS, STAR KIDS, STAR HEALTH, CHIP, CHIP Perinate 888-887-9003
Wellpoint STAR, STAR+PLUS, CHIP 800-454-3730

Behavioral Health

Aetna BH 888-632-3862
BCBS TX 800-451-0287
Carelon STAR, STAR+PLUS, STAR KIDS, STAR HEALTH, THSteps, CHIP 844-998-3753
Evernorth 888-736-7009
Magellan Healthcare (DOES NOT INCLUDE BCBSTX HMO MEMBERS) Medicaid - STAR, STAR+PLUS, CHIP, Medicare Advantage 800-788-4005
Scott and White Health Plan All Plans 888-316-7947
Superior Health Plan 877-391-5921
Tricare Standard, Prime, & For Life (supplemental) 877-391-5921
UBH/Optum PPO, Medicare 877-614-0484

Worker's Compensation