Insurance Plans Accepted

(Updated 11/12/2024)

As there are many specific programs that any insurance company may be offering, we urge you to contact your insurance company to ensure we are an in-network provider on their plan.

Contracted Insurance List

Marketplace Plans

Aetna CVS Health
Blue Cross Blue Shield Advantage HMO (BAV)
Oscar EPO – Existing Pediatric Associates of Austin Patients Only – we are not able to accept new patients with this plan.
United Healthcare (TXONEX) – Existing Pediatric Associates of Austin Patients Only – we are not able to accept new patients with this plan.

Individual Plans (Off Exchange)

Oscar EPO – Existing Pediatric Associates of Austin Patients Only – we are not able to accept new patients with this plan.

Commercial Plans

Accountable/Interplan Health Group – PPO
Aetna
Affiliated Healthcare, Inc. – PPO
Beach Street – PPO
Benefit Planners – PPO
Blue Cross Blue Shield – Anthem HealthSync
Blue Cross Blue Shield – Blue Access Choice
Blue Cross Blue Shield – Blue Advantage HMO (BAV, Bronze, Silver, Gold Security)
Blue Cross Blue Shield – Blue Advantage HMO Plus(BAV, Plus Bronze, Plus Silver, Plus Gold)
Blue Cross Blue Shield – Blue Alternative
Blue Cross Blue Shield – Blue Choice PPO (BCA*)
Blue Cross Blue Shield – Blue Connect
Blue Cross Blue Shield – Blue Essentials HMO (HMO*)
Blue Cross Blue Shield – Blue Open Access POS
Blue Cross Blue Shield – Blue Preferred (Oklahoma)
Blue Cross Blue Shield – Blue Preferred POS (Missouri, Wisconsin)
Blue Cross Blue Shield – Blue Priority (NY, Wisconsin)
Blue Cross Blue Shield – Blue Value
Blue Cross Blue Shield – BlueChoice Advantage Open Access
Blue Cross Blue Shield – BlueChoice Open Access POS
Blue Cross Blue Shield – Blueprint Health
Blue Cross Blue Shield – CO Pathway
Blue Cross Blue Shield – Community Blue
Blue Cross Blue Shield – Empire POS
Blue Cross Blue Shield – Health Select
Blue Cross Blue Shield – High Value Network
Blue Cross Blue Shield – Horizon Managed Care Network
Blue Cross Blue Shield – Network Blue
Blue Cross Blue Shield – Network S
Blue Cross Blue Shield – Par Plan (PAR)
Blue Cross Blue Shield – Preferred Care Blue
Blue Cross Blue Shield – Premier Select BlueChoice
Blue Cross Blue Shield – Select PPO
Cigna PPO and Open Access Plus Only (No POS or HMO)
Cigna Baylor Scott & White
Cigna LocalPlus – Effective 1-01-18
Coventry Health Care (prior First Health) – PPO (We do not accept First Health network Federal Life Insurance Company)
Detego Health- Existing Patients Only. We are closed to any other plan members, including our current patients that change from their current insurance plan to Detego Health Insurance
Fair Price Network
Galaxy Healthcare PPO
Greater Hill Country Healthcare Alliance – PPO
Great West Healthcare (ONE Health Plan) – HMO Open Access. PPO (No POS)
Health Equations – SPHN
Health Payor’s Organization
Healthsmart – PPO (Bentegrity – Existing Patients Only- we are closed to any other plan Bentegrity members, including our current patients that change from their current insurance plan to Bentegrity Insurance).
Humana – HMO, PPO and Choice Care (We do not accept Humana One)
Independent Medical Systems
MedCorp southwest – PPO
Medical Control, NetOne – PPO
Medi-Share Cost Sharing
Mega Life – UT Student Ins. – PPO, Mega Life (individual) PHCS
Multiplan – PPO – ProAmerican, Up and Up
National Healthcare Alliance – PPO, EPO, POS (Includes NPPN)
Oscar EPO – Existing Pediatric Associates of Austin Patients Only – we are not able to accept new patients with this plan.
PACT/Butler Manufacturing – PPO
PHCS – (Private Healthcare systems) – PPO (Aliera- Existing Patients Only. ASI- Existing Patients Only. We are closed to any other plan members for Aliera Insurance and ASI insurance, including our current patients that change from their current insurance plan to Aliera or ASI insurance).
Sana Benefits- PPO, Healthsmart.
Seton Health Plan
Texas Municipal League – PPO
Texas True Choice – PPO
The Boon Group
TRICARE – (Existing Patients Only) – Prime and Select
USA Managed Care Organization – PPO
United Healthcare HMO, PPO, POS

Insurances Not Accepted

We are not contracted with the insurance plans listed below and we will not file insurance for any of the insurance plans listed below:

America’s Choice Healthplan
Baylor Scott and White
Blue Cross Blue Shield – Any Medicare Policy
Blue Cross Blue Shield – Blue High Performance Network
Blue Cross Blue Shield – Blue High Performance Network with Tiers

Blue Cross Blue Shield – Blue Premier Access (HMH)
Blue Cross Blue Shield – Blue Premier (HMH)
Blue Cross Blue Shield – My Blue Health (BFT, Bronze, Silver, Gold)
Bright Healthcare
Cigna – No POS or HMO Plans
Clearwater Benefits Administrators (formerly known as Boomy Health Insurance)
Friday Health Insurance
Humana One
Liberty Healthshare
Moda Health
Oscar HMO
Sendero
Texas Chip Plans
Texas STAR Plans
Tufts Health Plan