OPAL HW Insurances Accepted-2023
The insurance list is subject to change. Please call our office for further information.
Last updated on 12/22/2022
COMMERICAL PLANS
AETNA
- Aetna POS II
- Aetna PPO
- Aetna EPO
- Aetna HMO
- Meritain Health- Aetna POS II
- Meritain Health- Aetna PPO
- Allied Benefit Systems (PPO)-Aetna
- Aetna-Texas Health- **Effective 03/01/2022
- Aetna Select/Select (Open Access)
- Aetna Managed Choice POS
- Aetna Open Choice PPO
- Aetna Open Choice POS II (Open Access)
- Aetna Elect Choice EPO (Open Access)
- Managed Choice POS (Open Access)
- Aetna Choice POS/Aetna Choice POS II (Aetna HealthFund)
- Open Access Aetna Select (Aetna HealthFund)
- Open Choice PPO (Aetna HealthFund)
***Aetna Baylor Scott & White- **NOT ACCEPTING/NOT IN-NETWORK
BCBS/ANTHEM
- BCBS HMO-*TRS Active Care Plans
• BCBS- Blue Essentials HMO
• BCBS- Blue Advantage HMO - BCBS POS-*Health Select of Texas/ERS of Texas
- BCBS EPO-*City of Dallas PPO/EPO Plans
- BCBS Federal Employee Plan (FEP)
- Anthem Healthsync
- Blue Access Choice
- Blue Advantage HMO [BAV] (Bronze, Silver, Gold, Security)
- Blue Advantage Plus (Plus Bronze, Plus Silver, Plus Gold)
- Blue Alternative
- Blue Choice PPO (BCA)
- Blue Cross Group Medicare Advantage PPO
- Blue Cross Medicare Advantage PPO
- Blue Essentials HMO
- Blue Open Access POS
- Blue Preferred
- Blue Preferred POS
- Blue Value
- BlueChoice Advantage Open Access
- BlueChoice Open Access POS
- Blueprint Health
- Community Blue
- Empire POS
- High Value Network
- Horizon Managed Care Network
- Network Blue
- Preferred Care Blue
- Premier Select BlueChoice
- Select PPO
- ***MyBlueHealth HMO*NOT ACCEPTING/NOT IN-NETWORK
Cigna
- Cigna OpenAccess Plus
- Cigna PPO
- Cigna- Assured Benefits Administrators (PPO)
- Cigna- Benefit Administrative Systems (PPO)
- Cigna- Benefit Plan Administrators (PPO)
- Cigna- Group & Pension Administrators (PPO)
- Cigna - THE HEALTH PLAN (PPO)
- Cigna- TrustMark Health Benefits (PPO)
- EMI Health- Cigna PPO
- Cigna Healthcare of North Texas HMO-POS
- Cigna Healthcare of North Texas NET POS
- Cigna Healthcare of North Texas
- Cigna OpenAccess Plus with CareLink
- ***Cigna LocalPlus-*NOT ACCEPTING/NOT IN-NETWORK
Humana
- Humana PPO
- Humana POS
- ChoiceCare Network PPO
- Humana Preferred PPO
- Humana Choice POS
- Humana/ChoiceCare(+) Network PPO
- Humana Preferred POS-Open Access
- National POS-Open Access
- National POS-Open Access Plus
- Oscar+Humana National Network
- Sapphire
- ***Humana EPO-*NOT ACCEPTING
- ***Humana HMO-*NOT ACCEPTING
PHCS-MultiPlan (Private Healthcare Systems, Inc.)
- Must have Multiplan/PHCS Logo on Back of Card
Scott & White Health Plan
- Scott & White Health Plan (PPO)
- ***SWHP (HMO/SEQA/EQA)*Not Accepting
United Healthcare (UHC)
- United Healthcare PPO
- United Healthcare CHOICE HMO/EPO/POS/Plus
- United Healthcare CORE EPO/HMO/Choice Plus
- United Healthcare NAVIGATE HMO/HMO Plus/EPO/ POS
- United Healthcare SELECT EPO/ Plus HMO/ Plus POS
- United Healthcare Shared Services PPO
- United Medical Resources (UMR)
- All Savers- UHC Choice Plus (PPO)
- US Health Group (UMR)
- United HealthOne
- ***United Healthcare CHARTER EPO/HMO/HMO PLUS/POSNOT ACCEPTING/NOT IN-NETWORK
- ***United Healthcare COMPASS EPO/HMO/HMO PLUS/POSNOT ACCEPTING/NOT IN-NETWORK
GOVERNMENT PLANS
- Humana Military TRICARE SELECT ONLY
- ***TriCare PRIME *Not Accepting
- ***We DO NOT accept MEDICAID***
MARKETPLACE PLANS
- Aetna CVS Health Marketplace Exchange Plans (Bronze, Silver, Gold)
- Ambetter by Superior Health Plan Marketplace Exchange Plans (Standard,
Everyday, and Complete Silver and Gold) - BCBS-TX: Blue Advantage HMO Marketplace Exchange Plans (Bronze,
Silver, Gold)-*Marketplace Plan
MEDICARE PLANS
- Medicare-TX (Traditional Red, White & Blue Card)
- Medicare Supplement Plans (Most accepted, must be entered as Secondary Payer)
- Aetna Medicare PPO
- AllWell by Superior Health Plan Medicare Advantage HMO
- Cigna Health Springs-TX (Medicare Replacement/Advantage-PPO)
- Humana (Medicare Replacement/Advantage – PPO)
- United Healthcare (Medicare Replacement/Advantage – PPO)
- OPAL HW Providers are not officially on any United Healthcare
Medicare contracts, but since we are contracted with United Health through their commercial products as well as Traditional Medicare, we are able to accept the United Healthcare Medicare PPO plans and patients will pay their in-network rate when seeing our providers. We are unable to accept the UHC Medicare HMO plans.
AARP Medicare Complete PPO (WellMed)
- *** WellMed Group*** Must have WELM2 for Payer ID
WellCare of TX by Superior Health Plan (Medicare Advantage) HMO
Cigna Health Springs of Texas Medicare Advantage-*NOT ACCEPTING/NOT IN-NETWORK
HUMANA Medicare Advantage HMO [60678] *NOT ACCEPTING
AARP Medicare Advantage HMO (WellMed) – [81753] ** **NOT ACCEPTING/NOT IN-NETWORK
United Healthcare (Medicare Replacement/Advantage – HMO) [2718] **NOT ACCEPTING/NOT IN-NETWORK