Accepted Health Care Plans

EPIC IN-NETWORK PLANS

AETNA

  • Open Access EPO HMO (REF.REQUIRED)
  • Aetna Select EPO (REF.REQUIRED)
  • Open Access Elect Choice EPO PPO (NON Texas Exchange)
  • Aexcel Plus Choice POS II PPO
  • Choice POS II
  • Choice POS II (First Health) PO Box 14079
  • Managed Choice/Open Access POS (NON QHP)
  • Choice POS Open Access POS
  • Open Access Elect Choice EPO
  • Aetna Select Open Access EPO
  • Continental Benefits (Signature Administrators) PO BOX 3610
  • Nippon Life

ALLIED

  • ALLIED- AETNA PO Box 909786
  • ALLIED- CIGNA PO Box 909786
  • Any other networks ask for the PO BOX address

ALLSAVERS

  • Allsavers POBox 31375 Salt Lake City, UT 84131

APWU

  • APWU-Cigna PO Box 182223
  • Any other networks ask for the PO BOX address

ASSURANT

  • Assurant Health-Aetna PO Box 91604
  • Assurant Health-First Health PO Box 2806
  • Assurant Health-PHCS PO Box 2806

Baylor Scott and White 21800 Eagan, MN 55121

  • Scott and White Health Plan PPO
  • Scott and White Health Plan HMO
  • Scott and White Medicare-

BLUE CROSS/ BLUE SHIELD P.O. Box 660044 Dallas, TX 75266

  • BCBS/TX PPO
  • BCBS/ POS
  • BCBS/ EPO
  • BCBS / ANTHEM
  • BCBS Federal
  • BCBS HMO (REF. REQUIRED) (NON Texas Exchange)
  • BCBS HEALTH SELECT POS (REF. REQUIRED) (JEA or any Health Select Plans)
  • Out of state BCBS PPO

BOON CHAPMAN

  • Boon Chapman-Aetna PO BOX 9201
  • Boon Chapman-PHCS PO BOX 9201
  • Boon Chapman-Healthsmart PO BOX 1749
  • Boon Chapman-Texas True Choice-PO BOX 250089

CHAMP VA- IS COVERAGE FOR A DEPENDANT

  • CHAMP VA-PO Box 469063
  • CHAMP VA (Active Military) -PO Box 7031
  • CHAMP VA (Tricare Supplement) -PO Box 7890

CIGNA

  • Cigna Open Access Plus PPO
  • Cigna PPO
  • Cigna Local Plus
  • Cigna Focus Network EPO QHP Texas Individual
  • Samba- Cigna- PO Box 188007
  • Cigna Care Network
  • Cigna/ Allegiance Benefits Plan- POBox 182223
  • Cigna- NALC PO Box 188004

CHRISTIAN BROTHERS

  • Aetna- 1205 Windham Parkway

COLONIAL LIFE (PRIVATE SECONDARY) (NOT MEDICARE SUPPLEMENT)

  • PO BOX 1365 COLUMBIA, SC 29202

CORESOURCE

  • Cigna- POBox 182223
  • PHCS- POBox 2920
  • Aetna- POBox 2920

CONVENTRY

  • Has several claims address- refer to card

DART MEMBER CARE

  • PO BOX 173129 TAMPA, FL 33672 (PHCS)

FIRST HEALTH

  • First Health- (GPA) PO Box 749075
  • Aetna- Choice POS II (First Health) PO Box 14079

GEHA

  • GEHA First Health-PO BOX 7818
  • GEHA-Aetna- POBox 981707
  • GEHA United Healthcare Shared Services-PO BOX 30783

GPA

  • Cigna- PO Box 182223
  • First Health- PO Box 749075
  • Healthsmart- PO Box 749075

GREATWEST-GPA-Cigna PO BOX 188061 Chattanooga TN 37422

  • Greatwest-GPA PPO uses the Cigna Network

Golden Rule-United Health One

  • United Health One-Po Box 31374

Health Choice

  • Po Box 24870

HCCMIS

  • Po Box 2005 (First Health Network)

HEALTHSMART P.O. Box 53010, Lubbock, TX 79453 (except ICON)

  • Healthsmart GPOS
  • Healthsmart GPPO
  • Healthsmart PPO-AETNA- referr to card for address

HUMANA

  • Humana PPO
  • Humana Medicare Advantage PPO (ERS)
  • Humana Medicare Advantage PPO
  • Humana Medicare Advantage HMO-SNP-PO BOX 14601
  • Humana Medicare Gold Plus HMO
  • Humana Medicare Gold Choice PFFS-PO BOX14601
  • Humana Choice Care PPO
  • Humana POS

IMAGINE HEALTH

  • PO BOX 981106 EL PASO, TX. 79998
  • PO BOX 7186 BOISE, ID 83707-1186

MEDICARE

  • TXMD- (AB) PO Box 3113
  • Railroad

MERITAIN

  • PHCS- POBox 27267
  • Aetna- POBox 853921

Multiplan Network

  • POBox 129

NALC

  • NALC Health Benefit-First Health- 20547 Waverly Crt
  • NALC Health Benefit-Cigna- PO Box 182223
  • NALC -Cigna PO Box 188004
  • Any other network ask for PO BOX Address on the card

Oscar - plan does not use group #'s

  • Oscar EPO- POBox 278

PHCS (Private Health Care Systems)

  • Please match the appropriate POBox with your selection

PRINCIPLE EDGE NETWORK (PEN)

  • P.O. Box 39710, Colorado Springs, CO 80949-3910

SMARTCARE (IMAGINE NETWORK) Aetna Administers

  • send claims to: P.O. Box 981106, 981106, El Paso, TX 79998-1106

SELF PAY

  • Please mark the self pay box in EPIC and leave note in patient messages

SIERRA HEALTH AND LIFE

  • UNHC- PO BOX 15645 Las Vegas, NV 89114-5645

TML

  • TML-PHCS-PO BOX 149190
  • TML-UNITED HEALTHCARE-PO BOX 149190
  • Any other networks ask for the PO BOX address

TPA

  • Aetna-POBox 99906

TRICARE-PROVIDED FOR MILITARY AND THEIR FAMILIES

  • TRICARE-Standard-Reserve-Indemnity P.O. Box 7031, Camden, SC. 29021
  • TRICARE-Prime-P.O. Box 7031, Camden, SC. 29021 (REF.REQUIRED)

UMR

  • UMR-United Healthcare PO BOX 30541
  • UMR-PHCS PO BOX 30541
  • Aetna-POBox 30541

UNITED HEALTHCARE

  • United Healthcare Choice Plus POS
  • United Healthcare Choice EPO
  • United Healthcare Options PPO
  • United Health One-Po Box 31374
  • United Healthcare Options POS
  • United Helathcare Health Select Plan PO Box 740809 (REF. REQUIRED)
  • United Healthcare Navigate (REF. REQUIRED)
  • United Healthcare Shared Services-PO Box 30783
  • United Healthcare HMO (REF.REQUIRED)
  • UNHC MEDICARE-Care Improvement Plus PPO-PO Box 30436
  • UNHC- ALL SAVERS (PO OBX 31375)
  • United Healthcare - Student Resources

VA / TRIWEST CHOICE NETWORK

  • Direct VA Referral - POBOX A Bonham, TX 75418
  • Triwest - VAPCCC - PO Box 7926 Maddison, WI 53707-7926

Out of Network

Aetna

  • Aetna Marketplace/Exchange Plans-QHP right corner of card
  • Aetna Plans Off Exchange- Individual Plan
  • Aetna Leap Everyday (EPO)(HMO)(PPO)- Exchange Plan
  • Aetna Medicare Advantage HMO

Ambetter Superior Healthplan Medicare Complete

Amerigroup-Medicare Advantage

Bravo Health

Blue Cross Blue Shield

  • BCBS Marketplace/Exchange Plans
  • Identified by QHP on right corner of card
  • Prefixes ZGN, ZGY, ZGI, VAL VER, VEL (HMO)
  • BCBS (ZGZ) HMO

Christian US Health Plan

  • PO Box 981654 El Paso, TX 79998

Cigna

  • Cigna Manged Plans HMO or POS
  • Cigna Open Access = HMO
  • CIGNA HMO
  • Cigna Health Spring Medicare Advantage HMO

DARS (Dept of Asst & Rehab Services)

Galaxy Health Network

LA CARE HEALTH PLAN

  • *LAKESIDE MEDICAL
  • *CAL MEDI-CONNECT
  • *LOCAL INITIATIVE HEALTH AUTHORITY FOR L.A COUNTY

Molina

  • Molina Marketplace/Exchange Plans
  • Molina Healthcare Dual Options Star Plus MMP

Northstar Value Options - Mental Health Plan

Optima Health

Superior Healthplan Medicare Complete

Texas Health Plus Medicare Advantage

Third Party Insurance

United Healthcare

  • UNHC Marketplace/Exchange Plans-QHP on right corner
  • UNHC plans will say Compass EPO on lower right corner
  • UNHC AARP Medicare Complete Secure Horizons HMO( PO Box 30975)
  • UNHC WELLCARE (Wellmed Medicare Advantage HMO) **IF WE HAVE A PROVIDER TO PROVIDER REFERRAL ON FILE WE CAN SCHEDULE THE PATIENT**
  • UNHC NTX Providers Medicare Advantage HMO
  • UNHC West Medicare Advantage HMO
  • UNHC Medicare Dual Complete (WEST HMO)

Well Care (Medicare Advantage Plan)

OON - WITH BENEFITS

Aetna

  • Aetna Medicare Advantage PPO (eff 02/01/2017 HTPN non participating)

BLUE CROSS BLUE SHIELD

  • BCBS Medicare Advantage PPO (ZGD) in and out not the same
  • BCBS (ZGZ) PPO
  • BCBS (ZGB) In and out of network benefits are the same
  • BCBS Marketplace/Exchange Plans Prefixes ZGN, ZGY, ZGI, VAL VER, VEL( PPO)
  • * Surgery will not be covered*

CARE N CARE

Cigna

  • Cigna Health Spring Medicare Advantage PPO- POBox 981704
  • Plan below needs to be entered as "COMMERCIAL PLAN"
  • Cigna Health Spring Medicare Advantage PPO- POBox 981706

Memorial Healthcare System

United Healthcare

  • UNHC Medicare Advantage PPO- POBox 30975
  • UNHC Group Medicare Advantage PPO POBox 31362

Health Choice

EPIC SECONDARY INSURANCE PLANS

AETNA COMPREHENSIVE MEDICAL- INDEMNITY

  • PO Box 5008

AETNA CONTINENTAL LIFE

  • PO Box 5008

AETNA (MHBP)

  • PO Box 8402

AMERICAN RETIREMENT LIFE - CIGNA

  • PO Box 30010

BLUE CROSS MEDICARE SUPPLEMENT

  • PO Box 660044 (ZGM)

HARTFORD

  • PO Box 10432

HEARTLAND NATIONAL LIFE

  • PO Box 2878

HUMANA MEDICARE SUPPLEMENT

  • PO Box 14601

MANHATTAN LIFE

  • PO Box 925568

MEDICAID-ONLY TEXAS (Secondary Only)

  • MEDICAID- ONLY TEXAS- P.O. Box 200555, Austin, TX 78720-0555

MUTUAL OF OMAHA

NEW ERA LIFE

  • PO Box 4884

STERLING PREMIER

  • PO Box 5348

TRICARE-PROVIDED FOR MILITARY AND THEIR FAMILIES

  • TRICARE FOR LIFE OVER 65 (Retired Military)(is a secondary to TXMD) - POBox 7890
  • TRICARE FOR LIFE UNDER 65 (Retired Military)(is a secondary to TXMD)- POBox 7890

UNITED HEALTHCARE AARP MEDICARE SUPPLEMENT

  • PO Box 740819

UNITED HEALTHCARE INDEMNITY MEDICARE SUPPLEMENT

  • PO Box 740809
  • PO Box 740803

UNITED HEALTHCARE SENIOR SUPPLEMENT

  • PO Box 31359

UNITED HEALTHCARE COMMUNITY PLAN STAR PLUS MEDICAID

  • PO Box 31352

USAA LIFE

  • PO Box 26001