Insurance & Self-Pay Information

We Accept Most Insurance Plans

A Gastro Doc 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.

Search Insurance Plans

98 Effective Plans

98 Payer Enrollments

1:1 Verification Support

No Insurance? Self-Pay Options Available

Search your planUse the directory as a starting point for payer enrollment guidance.

Verify benefitsCall the number on your card to confirm network status and copays.

Bring referralsIf required, bring referral paperwork and authorization details.

Insurance Directory

Based on your provided payer enrollment list. Please still confirm benefits, network status, and referral requirements before your visit.

Important Insurance Notice

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.

#	Payer Contract	Category	Status
001	AETNA Healthcare - North Texas (DFW) - All Commercial (100) North Texas Gastroenterology	Commercial	Effective
002	AETNA Healthcare - Medicare Advantage Plans (300) North Texas Gastroenterology	Medicare Advantage	Effective
003	AETNA Healthcare - Prime Medicare Advantage Plan (300) North Texas Gastroenterology	Medicare Advantage	Effective
004	AETNA Better Health - CHIP (400) North Texas Gastroenterology	Medicaid / CHIP	Effective
005	AETNA Better Health - Star Kids HMO Medicaid (400) North Texas Gastroenterology	Medicaid / CHIP	Effective
006	AETNA Better Health - Star Medicaid HMO (400) North Texas Gastroenterology	Medicaid / CHIP	Effective
007	Superior Ambetter - Commercial Exchange (100) North Texas Gastroenterology	Commercial	Effective
008	Superior Ambetter Value - Narrow Network Exchange (100) North Texas Gastroenterology	Commercial	Effective
009	American Health Plan of Texas - Med Adv I-SNP (300) North Texas Gastroenterology	Medicare Advantage	Effective
010	Wellpoint - CHIP (400) North Texas Gastroenterology	Medicaid / CHIP	Effective
011	Wellpoint - Star Kids HMO Medicaid (400) North Texas Gastroenterology	Medicaid / CHIP	Effective
012	Wellpoint - Star Medicaid HMO (400) North Texas Gastroenterology	Medicaid / CHIP	Effective
013	Wellpoint - Star+Plus (400) North Texas Gastroenterology	Medicaid / CHIP	Effective
014	Wellpoint - Medicare Advantage HMO (300) North Texas Gastroenterology	Medicare Advantage	Effective
015	Wellpoint - Medicare Advantage SNP (300) North Texas Gastroenterology	Medicare Advantage	Effective
016	BlueCross BlueShield of TX - Blue Advantage HMO (100) North Texas Gastroenterology	Commercial	Effective
017	BlueCross BlueShield of TX - Blue Essentials HMO (100) North Texas Gastroenterology	Commercial	Effective
018	BlueCross BlueShield of TX - Blue Premier (100) North Texas Gastroenterology	Commercial	Effective
019	BlueCross BlueShield of TX - CHIP (400) North Texas Gastroenterology	Medicaid / CHIP	Effective
020	BlueCross BlueShield of TX - HPN High Performance Network (100) North Texas Gastroenterology	Commercial	Effective
021	BlueCross BlueShield of TX - Med Adv HMO (300) North Texas Gastroenterology	Medicare Advantage	Effective
022	BlueCross BlueShield of TX - Med Adv PPO (300) North Texas Gastroenterology	Medicare Advantage	Effective
023	BlueCross BlueShield of TX - MyBlue Health (100) North Texas Gastroenterology	Commercial	Effective
024	BlueCross BlueShield of TX - Blue Choice PPO (100) North Texas Gastroenterology	Commercial	Effective
025	BlueCross BlueShield of TX - Star (400) North Texas Gastroenterology	Medicaid / CHIP	Effective
026	BlueCross BlueShield of TX - Star Kids (400) North Texas Gastroenterology	Medicaid / CHIP	Effective
027	BlueCross BlueShield of TX - Star+Plus (400) North Texas Gastroenterology	Medicaid / CHIP	Effective
028	CareWorks fka Rockport - NWI (200) North Texas Gastroenterology	Workers Comp / Auto	Effective
029	CareWorks fka Rockport - Work Comp Certified NW (200) North Texas Gastroenterology	Workers Comp / Auto	Effective
030	ChoiceCare (Humana) - Medicare Advantage HMO (300) North Texas Gastroenterology	Medicare Advantage	Effective
031	ChoiceCare (Humana) - Medicare Advantage PFFS (300) North Texas Gastroenterology	Medicare Advantage	Effective
032	ChoiceCare (Humana) - Medicare Advantage PPO (300) North Texas Gastroenterology	Medicare Advantage	Effective
033	Cigna Healthcare - HMO/POS/Network (100) North Texas Gastroenterology	Commercial	Effective
034	Cigna Healthcare - Local Plus Network (100) North Texas Gastroenterology	Commercial	Effective
035	Cigna Healthcare - Open Access Plus (100) North Texas Gastroenterology	Commercial	Effective
036	Cigna Healthcare - PPO/Choice Fund PPO (100) North Texas Gastroenterology	Commercial	Effective
037	CorVel Healthcare - Auto (200) North Texas Gastroenterology	Workers Comp / Auto	Effective
038	CorVel Healthcare - NonSubscriber Work Injury (200) North Texas Gastroenterology	Workers Comp / Auto	Effective
039	CorVel Healthcare - Workers Comp (200) North Texas Gastroenterology	Workers Comp / Auto	Effective
040	COVENTRY - Auto (200) North Texas Gastroenterology	Workers Comp / Auto	Effective
041	COVENTRY - Workers Comp (200) North Texas Gastroenterology	Workers Comp / Auto	Effective
042	First Health - PPO (100) North Texas Gastroenterology	Commercial	Effective
043	Galaxy Healthcare - Medical Savings Card (100) North Texas Gastroenterology	Commercial	Effective
044	Galaxy Healthcare - Non-Subscriber Work Injury (200) North Texas Gastroenterology	Workers Comp / Auto	Effective
045	Galaxy Healthcare - PPO (100) North Texas Gastroenterology	Commercial	Effective
046	HealthCare Highways - PPO (100) North Texas Gastroenterology	Commercial	Effective
047	HealthSmart Preferred Care, Inc - ACCEL (100) North Texas Gastroenterology	Commercial	Effective
048	HealthSmart Preferred Care, Inc - Health Payors (100) North Texas Gastroenterology	Commercial	Effective
049	HealthSmart Preferred Care, Inc - PPO (100) North Texas Gastroenterology	Commercial	Effective
050	HealthSmart Preferred Care, Inc - Workers Comp (200) North Texas Gastroenterology	Workers Comp / Auto	Effective
051	HealthSpring - Medicare Advantage HMO (300) North Texas Gastroenterology	Medicare Advantage	Effective
052	HealthSpring - Medicare Advantage PPO (300) North Texas Gastroenterology	Medicare Advantage	Effective
053	HealthSpring - Trad Medicare PPO (300) North Texas Gastroenterology	Medicare Advantage	Effective
054	Imagine Health - EPN (100) [Includes Partner's Direct Health] North Texas Gastroenterology	Commercial	Effective
055	Imperial Insurance Company of Texas - Exchange (100) North Texas Gastroenterology	Commercial	Effective
056	Independent Medical Systems - PPO (100) North Texas Gastroenterology	Commercial	Effective
057	Molina - CHIP (400) North Texas Gastroenterology	Medicaid / CHIP	Effective
058	Molina - Dual MMP (400) North Texas Gastroenterology	Medicaid / CHIP	Effective
059	Molina - Exchange Network (100) North Texas Gastroenterology	Commercial	Effective
060	Molina - Med Adv (300) North Texas Gastroenterology	Medicare Advantage	Effective
061	Molina - Star Medicaid HMO (400) North Texas Gastroenterology	Medicaid / CHIP	Effective
062	Molina - Star Plus (400) North Texas Gastroenterology	Medicaid / CHIP	Effective
063	Multiplan - PPO (100) North Texas Gastroenterology	Commercial	Effective
064	Multiplan - Work Comp (200) North Texas Gastroenterology	Workers Comp / Auto	Effective
065	Multiplan - Work Comp Auto (200) North Texas Gastroenterology	Workers Comp / Auto	Effective
066	National Preferred Provider Network - PPO (100) North Texas Gastroenterology	Commercial	Effective
067	Nexcaliber (AAGI) - PPO (100) North Texas Gastroenterology	Commercial	Effective
068	NOMI Health Network - Commercial (100) North Texas Gastroenterology	Commercial	Effective
069	PROCURA/Optum - Federal WC, WC, & Auto (200) North Texas Gastroenterology	Workers Comp / Auto	Effective
070	Oscar Insurance Company of Texas - EPO & HMO Exchange (100) North Texas Gastroenterology	Commercial	Effective
071	Prime Health Services, Inc - Auto (200) North Texas Gastroenterology	Workers Comp / Auto	Effective
072	Prime Health Services, Inc - Group Health (100) North Texas Gastroenterology	Commercial	Effective
073	Prime Health Services, Inc - Ind Medical Eval (200) North Texas Gastroenterology	Workers Comp / Auto	Effective
074	Prime Health Services, Inc - Workers Comp (200) North Texas Gastroenterology	Workers Comp / Auto	Effective
075	Private HealthCare System PPO (MPI) - PPO (100) North Texas Gastroenterology	Commercial	Effective
076	Provider Partners Health Plan - ISNP (300) North Texas Gastroenterology	Medicare Advantage	Effective
077	Provider Select - PPO (100) North Texas Gastroenterology	Commercial	Effective
078	The Reny Company - Workers Comp (200) North Texas Gastroenterology	Workers Comp / Auto	Effective
079	Scott & White Health Plan - Commercial [No exchange/No Quality Alliance] (100) North Texas Gastroenterology	Commercial	Effective
080	Scott & White HealthPlan - Med Adv HMO & PPO (300) North Texas Gastroenterology	Medicare Advantage	Effective
081	Sedgwick - Workers Compensation (200) North Texas Gastroenterology	Workers Comp / Auto	Effective
082	Superior HealthPlan - CHIP (400) North Texas Gastroenterology	Medicaid / CHIP	Effective
083	Superior HealthPlan - Foster Care Medicaid (400) North Texas Gastroenterology	Medicaid / CHIP	Effective
084	Superior HealthPlan - Star Medicaid HMO (400) North Texas Gastroenterology	Medicaid / CHIP	Effective
085	Superior HealthPlan - Star Plus (400) North Texas Gastroenterology	Medicaid / CHIP	Effective
086	Superior Healthplan - Star+ Medicare/Medicaid (400) North Texas Gastroenterology	Medicaid / CHIP	Effective
087	Aetna THR - Whole Health - Narrow Network (100) North Texas Gastroenterology	Commercial	Effective
088	Texas Independence Health Plan - I-SNP (300) North Texas Gastroenterology	Medicare Advantage	Effective
089	Contigo Health - [fka Three Rivers Provider Network] - PPO (100) North Texas Gastroenterology	Commercial	Effective
090	Contigo Health - [fka Three Rivers Provider Network] - Workers Comp (200) North Texas Gastroenterology	Workers Comp / Auto	Effective
091	Tricare West (Includes Prime, Select, 4Life) (100) North Texas Gastroenterology	Commercial	Effective
092	United Healthcare Commercial - All Products (100) North Texas Gastroenterology	Commercial	Effective
093	United Healthcare Medicaid - All Products (400) North Texas Gastroenterology	Medicaid / CHIP	Effective
094	United Healthcare Medicare Advantage - All Products (300) North Texas Gastroenterology	Medicare Advantage	Effective
095	LoneStar Athletic Injury Network (USA MCO) (100) North Texas Gastroenterology	Commercial	Effective
096	USA Managed Care Organization - PPO (100) North Texas Gastroenterology	Commercial	Effective
097	USA Managed Care Organization - Workers Comp (200) North Texas Gastroenterology	Workers Comp / Auto	Effective
098	Wellcare - Medicare Advantage HMO (includes Allwell) (300) North Texas Gastroenterology	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.

We Accept Most Insurance Plans

Insurance Directory

About Referrals

About Referrals

Referral Reminder

Not Sure If You Need a Referral?

Insurance Not Listed?

Verify With Your Insurance

Patient Financial Responsibility

Questions About Your Preparation?

Appointment Hours

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