We Accept Most Insurance Plans
Your Gastro Doctor accepts most insurance plans and welcomes patients without insurance. Our team is here to verify benefits or explain affordable self-pay office visit rates, so you can focus on your health with confidence.
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Insurance Directory
Based on your provided payer enrollment list. Please still confirm benefits, network status, and referral requirements before your visit.
This directory is provided for general guidance only and does not guarantee coverage or payment. Please confirm benefits, network status, referral requirements, deductibles, co-insurance, and prior authorization requirements before your visit.
| # | Insurance Plan | Plan Type | Status |
|---|---|---|---|
| 001 | AETNA Healthcare - North Texas (DFW) - All Commercial | Commercial | Effective |
| 002 | AETNA Healthcare - Medicare Advantage Plans | Medicare Advantage | Effective |
| 003 | AETNA Healthcare - Prime Medicare Advantage Plan | Medicare Advantage | Effective |
| 004 | AETNA Better Health - CHIP | Medicaid / CHIP | Effective |
| 005 | AETNA Better Health - Star Kids HMO Medicaid | Medicaid / CHIP | Effective |
| 006 | AETNA Better Health - Star Medicaid HMO | Medicaid / CHIP | Effective |
| 007 | Superior Ambetter - Commercial Exchange | Commercial | Effective |
| 008 | Superior Ambetter Value - Narrow Network Exchange | Commercial | Effective |
| 009 | American Health Plan of Texas - Med Adv I-SNP | Medicare Advantage | Effective |
| 010 | Wellpoint - CHIP | Medicaid / CHIP | Effective |
| 011 | Wellpoint - Star Kids HMO Medicaid | Medicaid / CHIP | Effective |
| 012 | Wellpoint - Star Medicaid HMO | Medicaid / CHIP | Effective |
| 013 | Wellpoint - Star+Plus | Medicaid / CHIP | Effective |
| 014 | Wellpoint - Medicare Advantage HMO | Medicare Advantage | Effective |
| 015 | Wellpoint - Medicare Advantage SNP | Medicare Advantage | Effective |
| 016 | BlueCross BlueShield of TX - Blue Advantage HMO | Commercial | Effective |
| 017 | BlueCross BlueShield of TX - Blue Essentials HMO | Commercial | Effective |
| 018 | BlueCross BlueShield of TX - Blue Premier | Commercial | Effective |
| 019 | BlueCross BlueShield of TX - CHIP | Medicaid / CHIP | Effective |
| 020 | BlueCross BlueShield of TX - HPN High Performance Network | Commercial | Effective |
| 021 | BlueCross BlueShield of TX - Med Adv HMO | Medicare Advantage | Effective |
| 022 | BlueCross BlueShield of TX - Med Adv PPO | Medicare Advantage | Effective |
| 023 | BlueCross BlueShield of TX - MyBlue Health | Commercial | Effective |
| 024 | BlueCross BlueShield of TX - Blue Choice PPO | Commercial | Effective |
| 025 | BlueCross BlueShield of TX - Star | Medicaid / CHIP | Effective |
| 026 | BlueCross BlueShield of TX - Star Kids | Medicaid / CHIP | Effective |
| 027 | BlueCross BlueShield of TX - Star+Plus | Medicaid / CHIP | Effective |
| 028 | CareWorks fka Rockport - NWI | Workers Comp / Auto | Effective |
| 029 | CareWorks fka Rockport - Work Comp Certified NW | Workers Comp / Auto | Effective |
| 030 | ChoiceCare (Humana) - Medicare Advantage HMO | Medicare Advantage | Effective |
| 031 | ChoiceCare (Humana) - Medicare Advantage PFFS | Medicare Advantage | Effective |
| 032 | ChoiceCare (Humana) - Medicare Advantage PPO | Medicare Advantage | Effective |
| 033 | Cigna Healthcare - HMO/POS/Network | Commercial | Effective |
| 034 | Cigna Healthcare - Local Plus Network | Commercial | Effective |
| 035 | Cigna Healthcare - Open Access Plus | Commercial | Effective |
| 036 | Cigna Healthcare - PPO/Choice Fund PPO | Commercial | Effective |
| 037 | CorVel Healthcare - Auto | Workers Comp / Auto | Effective |
| 038 | CorVel Healthcare - NonSubscriber Work Injury | Workers Comp / Auto | Effective |
| 039 | CorVel Healthcare - Workers Comp | Workers Comp / Auto | Effective |
| 040 | COVENTRY - Auto | Workers Comp / Auto | Effective |
| 041 | COVENTRY - Workers Comp | Workers Comp / Auto | Effective |
| 042 | First Health - PPO | Commercial | Effective |
| 043 | Galaxy Healthcare - Medical Savings Card | Commercial | Effective |
| 044 | Galaxy Healthcare - Non-Subscriber Work Injury | Workers Comp / Auto | Effective |
| 045 | Galaxy Healthcare - PPO | Commercial | Effective |
| 046 | HealthCare Highways - PPO | Commercial | Effective |
| 047 | HealthSmart Preferred Care, Inc - ACCEL | Commercial | Effective |
| 048 | HealthSmart Preferred Care, Inc - Health Payors | Commercial | Effective |
| 049 | HealthSmart Preferred Care, Inc - PPO | Commercial | Effective |
| 050 | HealthSmart Preferred Care, Inc - Workers Comp | Workers Comp / Auto | Effective |
| 051 | HealthSpring - Medicare Advantage HMO | Medicare Advantage | Effective |
| 052 | HealthSpring - Medicare Advantage PPO | Medicare Advantage | Effective |
| 053 | HealthSpring - Trad Medicare PPO | Medicare Advantage | Effective |
| 054 | Imagine Health - EPN (100) [Includes Partner's Direct Health] | Commercial | Effective |
| 055 | Imperial Insurance Company of Texas - Exchange | Commercial | Effective |
| 056 | Independent Medical Systems - PPO | Commercial | Effective |
| 057 | Molina - CHIP | Medicaid / CHIP | Effective |
| 058 | Molina - Dual MMP | Medicaid / CHIP | Effective |
| 059 | Molina - Exchange Network | Commercial | Effective |
| 060 | Molina - Med Adv | Medicare Advantage | Effective |
| 061 | Molina - Star Medicaid HMO | Medicaid / CHIP | Effective |
| 062 | Molina - Star Plus | Medicaid / CHIP | Effective |
| 063 | Multiplan - PPO | Commercial | Effective |
| 064 | Multiplan - Work Comp | Workers Comp / Auto | Effective |
| 065 | Multiplan - Work Comp Auto | Workers Comp / Auto | Effective |
| 066 | National Preferred Provider Network - PPO | Commercial | Effective |
| 067 | Nexcaliber (AAGI) - PPO | Commercial | Effective |
| 068 | NOMI Health Network - Commercial | Commercial | Effective |
| 069 | PROCURA/Optum - Federal WC, WC, & Auto | Workers Comp / Auto | Effective |
| 070 | Oscar Insurance Company of Texas - EPO & HMO Exchange | Commercial | Effective |
| 071 | Prime Health Services, Inc - Auto | Workers Comp / Auto | Effective |
| 072 | Prime Health Services, Inc - Group Health | Commercial | Effective |
| 073 | Prime Health Services, Inc - Ind Medical Eval | Workers Comp / Auto | Effective |
| 074 | Prime Health Services, Inc - Workers Comp | Workers Comp / Auto | Effective |
| 075 | Private HealthCare System PPO (MPI) - PPO | Commercial | Effective |
| 076 | Provider Partners Health Plan - ISNP | Medicare Advantage | Effective |
| 077 | Provider Select - PPO | Commercial | Effective |
| 078 | The Reny Company - Workers Comp | Workers Comp / Auto | Effective |
| 079 | Scott & White Health Plan - Commercial [No exchange/No Quality Alliance] | Commercial | Effective |
| 080 | Scott & White HealthPlan - Med Adv HMO & PPO | Medicare Advantage | Effective |
| 081 | Sedgwick - Workers Compensation | Workers Comp / Auto | Effective |
| 082 | Superior HealthPlan - CHIP | Medicaid / CHIP | Effective |
| 083 | Superior HealthPlan - Foster Care Medicaid | Medicaid / CHIP | Effective |
| 084 | Superior HealthPlan - Star Medicaid HMO | Medicaid / CHIP | Effective |
| 085 | Superior HealthPlan - Star Plus | Medicaid / CHIP | Effective |
| 086 | Superior Healthplan - Star+ Medicare/Medicaid | Medicaid / CHIP | Effective |
| 087 | Aetna THR - Whole Health - Narrow Network | Commercial | Effective |
| 088 | Texas Independence Health Plan - I-SNP | Medicare Advantage | Effective |
| 089 | Contigo Health - [fka Three Rivers Provider Network] - PPO | Commercial | Effective |
| 090 | Contigo Health - [fka Three Rivers Provider Network] - Workers Comp | Workers Comp / Auto | Effective |
| 091 | Tricare West (Includes Prime, Select, 4Life) | Commercial | Effective |
| 092 | United Healthcare Commercial - All Products | Commercial | Effective |
| 093 | United Healthcare Medicaid - All Products | Medicaid / CHIP | Effective |
| 094 | United Healthcare Medicare Advantage - All Products | Medicare Advantage | Effective |
| 095 | LoneStar Athletic Injury Network (USA MCO) | Commercial | Effective |
| 096 | USA Managed Care Organization - PPO | Commercial | Effective |
| 097 | USA Managed Care Organization - Workers Comp | Workers Comp / Auto | Effective |
| 098 | Wellcare - Medicare Advantage HMO (includes Allwell) | Medicare Advantage | Effective |
About Referrals
Everything you need to know about navigating referrals and verifying your coverage before your visit.
About Referrals
HMO plans typically require a referral from your primary care physician before seeing a specialist. PPO plans generally do not require referrals.
Referral Reminder
Please confirm referral requirements with your primary care physician before your visit and bring all referral documentation, your insurance card, and a valid photo ID.
Not Sure If You Need a Referral?
Call our team and we will help you determine whether your plan requires a referral and assist with insurance verification.
Insurance Not Listed?
Insurance networks change frequently. If your plan is not listed, please check with our office directly.
Verify With Your Insurance
We recommend calling the number on the back of your insurance card to confirm in-network status, co-pays, deductibles, and authorization requirements.
Patient Financial Responsibility
Patients are responsible for deductibles, co-pays, co-insurance, and non-covered services as determined by their insurance plan.
Questions About Your Preparation?
If anything is unclear, our team is here to help.