UT Insurances

The UTHSCSA accepts the following insurance plans:

NAME TYPE PRIMARY LINE OF BUSINESS EXCLUSIONS
Aetna Commercial HMO/PPO Commercial Transplants
Aetna Medicare HMO/Medicare PPO/ Medicare HMO Prime Medicare Transplants
Aetna Transplant Only EPO, HMO, PPO, EPO, MEDICARE, MEDICAID, CHIP
Aetna Better Health Medicaid STAR CHIP
CHIP Perinate
Medicaid Behavioral Health, Routine Vision, Dental, Transplants
Aetna Better Health Star Kids Medicaid Behavioral Health, Routine Vision, Dental, Transplants
AIG Transplant Only Commercial
Allegian Commercial Commercial Behavioral Health Transplants
Allegian Medicare Medicare Behavioral Health Transplants
Amerigroup Medicaid STAR CHIP
Medicare/Medicaid Demonstration Project (MMP)
Medicaid Transplants, Titanium Rib, Strip Craniectomies, Routine Vision Services
Amerigroup Star Kids Medicaid Transplants, Titanium Rib, Strip Craniectomies, Routine Vision Services
Amerigroup Amerivantage Medicare Medicare/Medicaid Demonstration Project (MMP) Medicare
Ancira Enterprises LOA Commercial
Beech Street PPO Commercial
Blue Cross Blue Shield of Texas PPO POS Commercial
Blue Cross Blue Shield of Texas HMO Blue
Blue Advantage HMO Exchange
BCBS Exchange-Simple BCBS Exchange-Classic BCBS Exchange-Saver Blue Premier
Commercial Behavioral Health
Blue Cross Blue Shield of Texas Medicare PPO Medicare
Blue Cross Blue Shield of Texas Medicare HMO Medicare Behavioral Health
CareLink County Funded Indigent
Cigna Behavioral Health HMO PPO ASO Commercial
Cigna HealthCare HMO PPO ASO Commercial Behavioral Health, Transplants
Cigna (Lifesource Transplant Network) Transplant Only Commercial
Cigna – Medicare Advantage (Lifesource Transplant Network) Transplant Only Medicare Advantage
Cigna (Lifesource Transplant Network) Pediatric Liver Transplant Only Commercial
Community First Health Plans HMO, PPO
(including “Exchange” products offered off exchange) University Family Care Plan
Commercial
Community First Health Plans Medicaid STAR CHIP
CHIP Perinatal
Medicaid
Community First Health Plans Star Kids Medicaid
CompCare Behavioral Health Commercial Medicare Medicaid CHIP Commercial Medicare Medicaid CHIP Medical
Driscoll Health Plan (LOA- Only if Referred directly by Driscol Health Network) HMO CHIP Medicaid
Driscoll Health Plan
(LOA- Only if Referred directly by Driscol Health Network)
HMO CHIP Medicaid
EBSO PPO Commercial
Entrust PPO Commercial
Envolve Behavioral Health (AKACenpatico or Superior BH) STAR
STAR+Plus CHIP
Medicaid
Envolve Vision (CFHP) Medicaid Community First Health Plan (CFHP): Star Kids; Chip;  Star
Medicaid;
Medicaid
Envolve Vision (Driscoll Health) Medicaid STAR; Chip Medicaid
Envolve Vision (Molina) Medicaid Star+Plus; Star Medicaid;
Chip; MMP
Medicaid
Envolve Vision (AKA Superior) Medicaid
Superior: Star Kids; Chip;  Star Medicaid; Star Health (foster care);  Star Plus;  MMP/  Duals; Medicare Advantage
Medicaid
Envolve Vision (United Health Care) Medicaid
Star Kids; Star+Plus; Star Medicaid; MMP/Duals
Medicaid
HealthSmart Preferred Care, Inc. PPO-  Transplant only Commercial
HealthSmart Preferred Care, Inc. Workers Compensation Workers Compensation
HealthSmart Preferred Care, Inc. ACCEL Accel Commercial
HealthSmart Preferred Care, Inc.
ALL OTHER PRODUCTS
PPO HPO POS Commercial
Humana Behavioral Health (FKA Lifesynch) Commercial Medicare Commercial Medicare
Humana Medicare (Specialists Only) HMO POS
SPECIALISTS ONLY
Medicare HMO Excludes: Primary Care
Humana Medicare PPO PFFS Medicare HMO Excludes: Primary Care
Humana HMO (Primary Care) Commercial HMO, POS, Freedom Plus, National POS Commercial Lab
Humana  PPO, POS (Primary Care) PPO, POS, ASO, Indemnity Plans Commercial Specialists
Humana  PPO, POS (Specialty Care) PPO, POS, ASO Commercial Behavioral Health
Humana Transplant Only PPO, HMO , HMO Medicare, PPO Medicare
Humana Military Tricare Tricare East fka Tricare South Region TRICARE HMO/PPO Products Governmental
Imperial Medicare Advantage
Injury Management Organization (IMO) Workers Compensation Workers
Compensation
Independent Medical Systems (IMS) PPO Commercial
Interlink Transplant Only Commercial
LifeTrac Transplant Only Commercial
Magellan Healthcare Commercial
Medicaid Medicaid
Medicare Medicare
Molina Healthcare of Texas, Inc (Medicaid) Medicaid HMO CHIP
CHIP Perinate STAR+Plus
Medicaid
Molina Healthcare of Texas, Inc (Medicare) Medicare Advantage Medicare/Medicaid Demonstration Project (MMP) Medicaid Transplants, Titanium Ribs
Multiplan/ PHCS Workers Compensation Workers Compensation
Multiplan Transplant PPO Commercial
Nexcaliber PPO Commercial
Optum Transplant Commercial
PHCS PPO Commercial
PHCS Savility PPO Commercial
Plan Vista Solutions National Preferred Provider Network
(NPPN)
PPO Commercial
Point Comfort Underwriters (Adult) TPA- office of Refugee resettlement (every service needs to be authorized Mandatory Forms needed to be completed for payment Governmental
Point Comfort Underwriters (Child) TPA- office of Refugee resettlement (every service needs to be authorized Mandatory Forms needed to be completed for payment Governmental
Political Subdivision Workers Compensation Alliance/The Alliance Workers Compensation Workers Compensation
Prime Health Medicare HMO Workers Compensation Commercial Workers Compensation
Superior Health Plan CHIP CHIP EPO
CHIP Perinatal Medicaid STAR STAR+Plus STAR Health
EXCLUDES: AMBETTER
EXCHANGE PLANS
Medicaid Vision, Behavioral Health, Transplants, Titanium Ribs, Strip Craniectomies
Superior Health Plan Star Kids Medicaid Vision, Behavioral Health, Transplants, Titanium Ribs, Strip Craniectomies
Superior Health Plan Medicare Advantage HMO Medicare
Superior Vision Commercial Commercial
Texas Healthcare Foundation (HEB and other self funded entities) Workers Compensation Workers Compensation
Texas Municipal League Workers Compensation Workers
Compensation
United Behavioral Health Commercial Medicare Commercial Medicare Excludes Medicaid Excludes Exchange
United Community Health Plan (UnitedHealthcare) STAR
STAR+Plus
Medicaid
United Healthcare Star Kids Medicaid Behavioral Health
United Healthcare of Texas, Inc HMO EPO POS PPO Commercial Behavioral Health, General Ophthalmological & Refractive Services within code series: (92002-92015)
United Healthcare Transplant only
PPO
Commercial
United Healthcare West EPO, HMO, POS, PPO, SDHP Medicare
University of the Incarnate Word LOA Commercial
Wellmed Medicare Advantage Medicare
Wellmed Medicare Advantage Medicare
Wellmed Via Amerigroup HMO Medicare Must be in accordance with referral and authorization
requirements
Wellmed Via Cigna Healthspring HMO Medicare Must be in accordance with referral and authorization requirements
Wellmed Via United Healthcare HMO Medicare Must be in accordance with referral and authorization
requirements
WellCare Medicare Advantage HMO Medicare