• No se han encontrado resultados

o Planes de Seguro Contratados

N/A
N/A
Protected

Academic year: 2022

Share "o Planes de Seguro Contratados"

Copied!
10
0
0

Texto completo

(1)

o

Planes de Seguro Contratados

A partir del 1.° de Agosto de 2022, Children’s HealthSM tiene contrato con los siguientes planes de seguro en las instalaciones siguientes:

• Children’s Medical Center Dallas

• Children’s Medical Center Plano

• Children’s HealthSM Specialty Center Dallas Campus

• Children’s HealthSM Specialty Center Plano Campus

• Children’s HealthSM Specialty Center 1 Plano

• Children’s HealthSM Specialty Center 2 Plano

• Children’s HealthSM Specialty Center West Plano

• Children’s HealthSM Specialty Center Bass Center

• Children’s HealthSM Specialty Center Richardson

• Children’s HealthSM Specialty Center Allen

• Children’s HealthSM Specialty Center Frisco

• Children’s HealthSM Specialty Center Park Cities

• Children’s HealthSM Specialty Center Mesquite

• Children’s HealthSM Specialty Center South Rockwall

• Children’s HealthSM Specialty Center North Rockwall

• Children’s HealthSM Center for Autism & Developmental Disabilities

• Children’s HealthSM Specialty Center Cityville

• Children’s HealthSM Sleep Disorders Center

• Children’s HealthSM Specialty Center Tyler

• Children’s HealthSM Specialty Center Las Colinas

• Children’s HealthSM Specialty Center Grapevine

• Children’s HealthSM Specialty Center Waxahachie

Seguros Comerciales

Aetna Health Inc. Humana, Inc.

Baylor Scott & White Health Plan (Employees) Imagine Health Baylor Scott & White Health Plan Quality Alliance (BSWQA ACO Network) MultiPlan*

BlueCross BlueShield of Texas Point Comfort Underwriters

ChoiceCare Private Health Care Systems (PHCS)*

CIGNA Healthcare of Texas, Inc. (CIGNA Great-West) Regional Healthcare Alliance Coventry Health Care, Inc. (First Health)* Scott & White Health Plan

Employers Health Network (EHN) Texas Health Aetna Joint Venture Provider Networks (Aetna/THR) Galaxy Health Network Trinity Mother Frances (Employees & Their Dependents Only) HealthSCOPE Benefits (DART ACO) UnitedHealthcare of Texas, Inc.

HealthSelect of Texas ERS (Blue Essentials) USA Managed Care Organizations (USAMCO)

HealthSmart / HealthSmart ACCEL UT Connect (UT System Employees via BlueCross BlueShield)

*Se excluyen los planes de beneficios limitados y los planes médicos y auxiliares únicamente

Intercambio de Seguros de Salud (Ley de Cuidado de Salud Asequible)

BlueCross BlueShield of Oklahoma Advantage PPO Freedom Life Insurance Company of America via UHC/UMR FirstCare Health Plans via Scott & White Health Plan Marketplace Scott & White Health Plan Marketplace

Managed Medicaid (State of Texas Access Reform (STAR))

Aetna Better Health Humana, Inc.

AmeriGroup Community Plan Texas Molina Healthcare of Texas

BlueCross BlueShield of Texas Parkland Community Health Plan (HEALTHfirst)

ChoiceCare RightCare by Scott & White Health Plan

CookChildren’s Health Plan Texas Children’s Health Plan

FirstCare Health Plans by Scott & White Health Plan

Managed Medicaid (STAR+PLUS)

Aetna Better Health BlueCross BlueShield of Texas

AmeriGroup Community Plan Texas Molina Healthcare of Texas

Managed Medicaid (STAR Kids)

Aetna Better Health CookChildren’s Health Plan

AmeriGroup Community Plan Texas Texas Children’s Health Plan (TCHP) BlueCross BlueShield of Texas

Managed Medicaid (STAR Health – Solo tutela temporal)

SUPERIOR HealthPlan (Servicios de salud médica y conductual)

Medicaid Rural Service Area (MRSA)

AmeriGroup Community Plan Texas (Central, Noreste y Oeste) RightCare by Scott & White Health Plan FirstCare Health Plans by Scott & White Health Plan (Oeste)

(2)

Planes de Seguro Contratados

A partir del 1.° de Agosto de 2022, Children’s HealthSMtiene contrato con los siguientes planes de seguro en las instalaciones siguientes:

• Children’s Medical Center Dallas

• Children’s Medical Center Plano

• Children’s HealthSM Specialty Center Dallas Campus

• Children’s HealthSM Specialty Center Plano Campus

• Children’s HealthSM Specialty Center 1 Plano

• Children’s HealthSM Specialty Center 2 Plano

• Children’s HealthSM Specialty Center West Plano

• Children’s HealthSM Specialty Center Bass Center

• Children’s HealthSM Specialty Center Richardson

• Children’s HealthSM Specialty Center Allen

• Children’s HealthSM Specialty Center Frisco

• Children’s HealthSM Specialty Center Park Cities

• Children’s HealthSM Specialty Center Mesquite

• Children’s HealthSM Specialty Center South Rockwall

• Children’s HealthSM Specialty Center North Rockwall

• Children’s HealthSM Center for Autism & Developmental Disabilities

• Children’s HealthSM Specialty Center Cityville

• Children’s HealthSM Sleep Disorders Center

• Children’s HealthSM Specialty Center Tyler

• Children’s HealthSM Specialty Center Las Colinas

• Children’s HealthSM Specialty Center Grapevine

• Children’s HealthSM Specialty Center Waxahachie

Children’s Health Insurance Program (CHIP, CHIP Perinate and CHIP RSA)

Aetna Better Health CHIP/CHIP Perinate Humana, Inc.

AmeriGroup Community Plan Texas CHIP/CHIIP Perinate Molina Healthcare of Texas CHIP/CHIP Perinate/CHIP RSA*

BlueCross BlueShield of Texas Parkland Community Health Plan CHIP/CHIP Perinate (KIDSfirst)**

ChoiceCare RightCare by Scott & White Health Plan

CookChildren’s Health Plan CHIP/CHIP Perinate Texas Children’s Health Plan FirstCare Health Plans CHIP/CHIP Perinate by Scott & White Health Plan

*Includes CHIP Perinate & CHIP Perinate RSA

**Includes CHIP Perinate Newborns Only

Medicaid Tradicional

Texas Medicaid & Healthcare Partnership (TMHP) (Texas Medicaid) Oklahoma Health Care Authority (OHCA) (CMC Dallas & Plano)

Seguros de Salud Conductual

Aetna Health Inc. (Solo comercial) Managed Health Network (MHN)*

AmeriGroup Community Plan Texas OptumHealth Behavioral Solutions (Commercial)

Beacon Health Strategies (STAR, STAR+PLUS, STAR Kids, CHIP) OptumHealth Behavioral Solutions (STAR, STAR+PLUS, CHIP) BlueCross BlueShield of Texas (comercial) (se excluye el HMO Blue) OptumHealth Behavioral Solutions (STAR Kids)

BlueCross BlueShield of Texas (STAR, STAR+PLUS, STAR Kids, CHIP) RightCare by Scott & White HealthPlan (MRSA Only)

CompCare (Solo comercial) Scott & White Health Plan (Solo commercial para trastomos de la alimentación) FirstCare Health Plans by Scott & White Health Plan SUPERIOR HealthPlan (STAR Health – Solo tutela temporal)

HealthSCOPE Benefits (DART ACO) Texas Children’s Health Plan (TCHP) (STAR, STAR Kids, CHIP) HealthSelect of Texas ERS (Blue Essentials)

*Se excluyen las terapias y pruebas psicológicas si el paciente no está internado

Redes de Trasplante

Blue Distinction Centers for Transplant – Corazón, Higado INTERLINK – TMO, CHD, Corazón, Hígado

CIGNA LifeSOURCE Network – TMO, Corazón, Riñón, Higado OptumHealth – TMO, CHD, Corazón, Riñón, Hígado, Multivisceral Emerging Therapy Solutions (anteriormente LifeTrac) – TMO, Corazón OptumHealth – UnitedHealthcare Compass W500 (COE)

Intestino, Riñón, Hígado, Multivisceral Protocol Tertiary Network – TMO, Corazón, Riñón, Hígado Humana National Transplant Network – TMO, Corazón, Riñón, Higado

Planes de Costos Compartidos y Beneficios Limitados

Los planes de costo compartido y beneficio limitado no son seguros tradicionales ni están regulados por ninguna entidad regul adora estatal o federal.Los pacientes con este tipo de cobertura se gestionarán como autopago.

En caso de tener preguntas, por favor lea su tarjeta de seguro, la póliza o cualquier otro material que tenga a su disposición sobre su plan de seguro. Además, recomendamos que se comunique a la compañía de seguro o con el administrador de beneficios a los empleados para verificar la cobertura o para pedir más información sobre su plan de salud.

AVISO: Los médicos tienen contratos por separado con las organizaciones de atención médica administrada. Por lo tanto, esta lista sirve solamente de referencia para los servicios del hospital. Por favor, comuníquese directamente con el médico para averiguar en cuales planes participa.

(3)

Salud de los Niños Afiliados (Proveedores del Hospital Base)

Anestesiólogos para Niños (AFC)

A partir del 1.° de Agosto de 2022, AFC tiene contratos con los siguientes planes de seguro de atención médica:

Seguros Comerciales Managed Medicaid (STAR/CHIP) Medicaid Tradicional

Aetna Health Inc. Aetna Better Health Texas Medicaid & Healthcare Partnership Baylor SWHP (Employees)

Baylor SWHP Quality Alliance (ACO) BlueCross BlueShield of Texas

AmeriGroup Community Plan Texas BlueCross BlueShield of Texas

CookChildren’s Health Plan Planes de Costos Compartidos y Beneficios Limitados

ChoiceCare Molina Healthcare of Texas Los planes de costo compartido y beneficio

CIGNA Healthcare of Texas Parkland Community Health Plan (PCHP) limitado no son seguros tradicionales ni están Coventry Health Care, Inc. (First Health)*

HealthSCOPE Benefits (DART ACO) HealthSelect of Texas ERS (Blue Essentials) HealthSmart / HealthSmart ACCEL Humana

Imagine Health

Texas Children’s Health Plan (TCHP) Managed Medicaid (STAR Health)

SUPERIOR HealthPlan (Solo tutela temporal ) Managed Medicaid (STAR Kids)

regulados por ninguna entidad reguladora estatal o federal. Los pacientos con este tipo de cobertura se gestionarán como autopago.

MultiPlan* Aetna Better Health

Point Comfort Underwriters

Private Health Care Systems (PHCS)*

Scott & White Health Plan (SWHP) Texas Health Aetna Joint Venture Provider Networks (Aetna/THR) Three Rivers Network (TRPN) UnitedHealthcare of Texas Inc.

UT Connect (Empleados del Sistema UT) Intercambio de Seguros de Salud Baylor Scott & White Plus HMO BCBS Oklahoma Advantage PPO FirstCare Health Plan Marketplace via Scott & White Health Plan (SWHP) FirstCare HealthSelect Plus HMO via Scott & White Health Plan

Freedom Life Insurance Company of America via UHC/UMR

Scott & White Health Plan Insurance Marketplace (BSW Preferred HMO) Scott & White Health Plan Marketplace SHA, LLA dba FirstCare Health Plans HMO Via Scott & White Health Plan (SWHP)

AmeriGroup Community Plan Texas BlueCross BlueShield of Texas CookChildren’s Health Plan

Texas Children’s Health Plan (TCHP) Managed Medicaid (STAR+PLUS) Aetna Better Health

AmeriGroup Community Plan Texas BlueCross BlueShield of Texas Molina Healthcare of Texas Managed Medicaid (MRSA) AmeriGroup Community Plan Texas (Central, Noreste y Oeste)

*Se excluyen los planes de beneficios limitados y los planes medicos y auxiliares únicamente

(4)

Salud de los Niños Afiliados (Proveedores del Hospital Base) Continuó Anestesiólogos para el Manejo del Dolor Infantil (AFC-Pain Management)

A partir del 1.° de Agosto de 2022, AFC-Pain Management tiene contratos con los siguientes planes de seguro de atención médica:

Seguros Comerciales Managed Medicaid (STAR/CHIP) Medicaid Tradicional

Aetna Health Inc. Aetna Better Health Texas Medicaid & Healthcare Partnership Baylor SWHP (Employees)

Baylor SWHP Quality Alliance (ACO) BlueCross BlueShield of Texas

AmeriGroup Community Plan Texas BlueCross BlueShield of Texas

CookChildren’s Health Plan Planes de Costos Compartidos y Beneficios Limitados

ChoiceCare Molina Healthcare of Texas Los planes de costo compartido y beneficio

CIGNA Healthcare of Texas Parkland Community Health Plan (PCHP) limitado no son seguros tradicionales ni están Coventry Health Care, Inc. (First Health)*

HealthSCOPE Benefits (DART ACO) HealthSelect of Texas ERS (Blue Essentials) HealthSmart / HealthSmart ACCEL Humana

Imagine Health

Texas Children’s Health Plan (TCHP) Managed Medicaid (STAR Health)

SUPERIOR HealthPlan (Solo tutela temporal ) Managed Medicaid (STAR Kids)

regulados por ninguna entidad reguladora estatal o federal. Los pacientos con este tipo de cobertura se gestionarán como autopago.

MultiPlan*0 Aetna Better Health

Point Comfort Underwriters

Private Health Care Systems (PHCS)*

Scott & White Health Plan (SWHP) Texas Health Aetna Joint Venture Provider Networks (Aetna/THR) Three Rivers Network (TRPN) UnitedHealthcare of Texas Inc.

UT Connect (Empleados del Sistema UT) Intercambio de Seguros de Salud Baylor Scott & White Plus HMO BCBS Oklahoma Advantage PPO FirstCare Health Plan Marketplace via Scott & White Health Plan (SWHP) FirstCare HealthSelect Plus HMO via Scott & White Health Plan (SWHP) Freedom Life Insurance Company of America via UHC/UMR

Scott & White Health Plan Insurance Marketplace (BSW Preferred HMO) Scott & White Health Plan Marketplace SHA, LLA dba FirstCare Health Plans HMO Via Scott & White Health Plan (SWHP)

AmeriGroup Community Plan Texas BlueCross BlueShield of Texas CookChildren’s Health Plan

Texas Children’s Health Plan (TCHP) Managed Medicaid (STAR+PLUS) Aetna Better Health

AmeriGroup Community Plan Texas BlueCross BlueShield of Texas Molina Healthcare of Texas Managed Medicaid (MRSA) AmeriGroup Community Plan Texas (Central, Noreste y Oeste)

*Se excluyen los planes de beneficios limitados y los planes medicos y auxiliares únicamente

(5)

Salud de los Niños Afiliados (Proveedores del Hospital Base) Continuó Servicios de Atención Médica Compleja (CCMSC)

Seguros Comerciales Aetna Health Inc.

Baylor SWHP (Employees)

Baylor SWHP Quality Alliance (ACO) BlueCross BlueShield of Texas ChoiceCare

CIGNA Healthcare of Texas

HealthSCOPE Benefits (DART ACO) HealthSelect of Texas ERS (Blue Essentials) Humana, Inc.

Imagine Health

Texas Health Aetna Joint Venture Provider Networks (Aetna/THR)

Managed Medicaid (STAR/CHIP) Aetna Better Health

AmeriGroup Community Plan Texas Texas Children’s Health Plan Managed Medicaid (STAR+PLUS) Aetna Better Health

AmeriGroup Community Plan Texas Managed Medicaid (STAR Kids) Aetna Better Health

AmeriGroup Community Plan Texas Texas Children’s Health Plan

Seguros de Salud Conductual (Commercial) Aetna Health Inc.

BlueCross BlueShield of Texas CIGNA Behavioral Health

HealthSCOPE Benefits (DART ACO) HealthSelect of Texas ERS (Blue Essentials) LifeSynch (Humana Behavioral Health) Magellan Behavioral Health

OptumHealth Behavioral Solutions

Seguros de Salud Conductual (STAR/CHIP) Beacon Health Strategies

Texas Children’s Health Plan Scott & White Health Plan (SWHP)

UnitedHealthcare of Texas Inc.

UT Connect (Empleados del Sistema UT)

Managed Medicaid (MRSA) AmeriGroup Community Plan Texas (Central, Noreste y Oeste)

Planes de Costos Compartidos y Beneficios Limitados

Los planes de costo compartido y beneficio

Traditional Medicaid

Texas Medicaid & Healthcare Partnership

limitado no son seguros tradicionales ni están regulados por ninguna entidad reguladora estatal o federal. Los pacientos con este tipo de cobertura se gestionarán como autopago.

Grupo Médico de Salud Infantil (CHMG) – antes DPMSC

Seguros Comerciales Managed Medicaid (STAR/CHIP) Seguros de Salud Conductual (Comerciales) Aetna Health Inc.

Baylor SWHP (Employees)

Aetna Better Health

AmeriGroup Community Plan Texas

HealthSelect of Texas ERS (Blue Essentials) Magellan Behavioral Health

Baylor SWHP Quality Alliance (ACO)1 BlueCross BlueShield of Texas ChoiceCare

CIGNA Healthcare of Texas

Coventry Health Care, Inc. (First Health) HealthSCOPE Benefits (DART ACO) HealthSelect of Texas ERS (Blue Essentials)

BlueCross BlueShield of Texas CookChildren’s Health Plan Molina Healthcare of Texas

Parkland Community Health Plan (PCHP) Texas Children’s Health Plan (TCHP) Managed Medicaid (STAR Health)

Scott & White Health Plan

Seguros de Salud Conductual (STAR, STAR+PLUS, CHIP)

Beacon Health Strategies Magellan Behavioral Health Texas Children’s Health Plan HealthSmart / HealthSmart ACCEL SUPERIOR HealthPlan (Solo tutela temporal)

Humana Seguros de Salud Conductual (STAR Health)

Imagine Health MultiPlan*

Private Healthcare Systems (PHCS)*

Scott & White Health Plan (SWHP) Texas Health Aetna Joint Venture

Managed Medicaid (STAR+PLUS) Aetna Better Health

AmeriGroup Community Plan Texas BlueCross BlueShield of Texas Molina Healthcare of Texas

SUPERIOR Health Plan (Solo tutela temporal) Medicaid Tradicional

Texas Medicaid & Healthcare Partnership Provider Networks (Aetna/THR)

UnitedHealthcare of Texas Inc.

UT Connect (Empleados del Sistema UT) Intercambio de Seguros de Salud Baylor Scott & White Plus HMO

Managed Medicaid (STAR Kids) Aetna Better Health

AmeriGroup Community Plan Texas BlueCross BlueShield of Texas Texas Children’s Health Plan (TCHP)

Solo en el mercado de Houston

Seguros Comerciales Aetna Health Inc.

CHRISTUS Health Plan

BlueCross BlueShield Oklahoma Advantage PPO Kelsey-Seybold Medical Group

FirstCare Health Plan Marketplace via Managed Medicaid (MRSA) Scott & White Health Plan (SWHP)

FirstCare HealthSelect Plus HMO via Scott & White Health Plan

AmeriGroup Community Plan Texas (Central, Noreste y Oeste)

Intercambio de Seguros de Salud CHRISTUS Health Plan Marketplace Community Health Choice Marketplace Freedom Life Insurance Company of Planes de Costos Compartidos y

America via UHC/UMR Beneficios Limitados Seguros de Salud Conductual (STAR,

Scott & White Health Plan Insurance Marketplace (BSW Preferred HMO) SHA, LLC dba FirstCare Health Plans HMO via Scott & White Heath Plan (SWHP)

Los planes de costo compartido y beneficio limitado no son seguros tradicionales ni están regulados por ninguna entidad reguladora estatal o federal. Los pacientos con este tipo de cobertura se gestionarán como autopago.

STAR+PLUS, CHIP, CHIP Perinate) Aetna Better Health

Community Health Choice Superior HealthPlan

Superior HealthPlan (Solo tutela temporal) UnitedHealthcare Community Plan Texas

1 DPMSC’s en el estado de la red miembros de Baylor SWHP Quality Alliance (ACO) es beneficio específico basado en el diseño de beneficios de miembros con su empleador. Por favor, póngase en contacto con su seguro para determinar el estado de participación.

*Se excluyen los planes de beneficios limitados y los planes medicos y auxiliares únicamente

(6)

Salud de los Niños Afiliados (Proveedores del Hospital Base) Continuó

Grupo Médico de Salud Infantil (CHMG – Orthodoncia) – antes DPMSC

Aetna Dental DentaQuest

BCBS PPO Dental DentaQuest for Superior HealthPlan

CIGNA Dental HealthSCOPE Benefits (DARTACO)

Delta Dental Insurance Company (DDIC) Humana Dental DHMO

Dental Benefit Providers (UnitedHealthcare) MCNA Dental Plans

Clínica Dental de los Niños

Aetna Dental DentaQuest

BCBS PPO Dental HealthSCOPE Benefits (DART ACO)

CIGNA Dental Humana Dental DHMO

Delta Dental Insurance Company (DDIC) MCNA Dental Plans

Dental Benefit Providers (UnitedHealthcare)

(7)

Casa de Nuestros Niños Dallas

Como de September 20, 2015, Children’s HealthSM ahora incluye las siguientes Nuestros niños ubicaciones House:

• Our Children’s House Dallas 1340 Empire Central, Dallas, TX 75247, 214-867-6700

Seguros Comerciales Managed Medicaid (STAR/CHIP) Redes de Transplante

Aetna Health Inc. Aetna Better Health CIGNA LifeSOURCE

Baylor SWHP (Employees)

Baylor SWHP Quality Alliance (ACO) BlueCross BlueShield of Texas CIGNA Healthcare of Texas

AmeriGroup Community Plan Texas BlueCross BlueShield of Texas CookChildren’s Health Plan

FirstCare Health Plans by Scott & White HP

Humana National Transplant Network INTERLINK Transplant Network LifeTrac Transplant Network OPTUM Health

ChoiceCare

Coventry Health Care, Inc. (First Health)*

Molina Healthcare of Texas

Parkland Community Health Plan (PCHP)

Protocol Tertiary Network Employers Health Network (EHN)

HealthSCOPE Benefits (DART ACO) HealthSelect of Texas ERS (Blue Essentials) HealthSmart

Humana Imagine Health MultiPlan*

Texas Children’s Health Plan (TCHP) Managed Medicaid (STAR Health)

SUPERIOR HealthPlan (Solo tutela temporal) Managed Medicaid (STAR+PLUS)

Aetna Better Health

Seguros de Salud Conductual (Comerciales) BlueCross BlueShield of Texas

HealthSCOPE Benefits (DART ACO) HealthSelect of Texas ERS (Blue Essentials) OptumHealth Behavioral Solutions

Seguros de Salud Conductual (STAR, Private Health Care Systems (PHCS)*

Stratose (formerly NPPN)

Scott & White Health Plan (SWHP) Trinity Mother Frances

(Employees & Their Dependents Only) UnitedHealthcare of Texas Inc.

USA Managed Care Organizations (USAMCO) UT Connect (Empleados del Sistema UT) Intercambio de Seguros de Salud

BlueCross BlueShield Oklahoma Advantage PPO FirstCare Health Plans via SWHP Marketplace Freedom Life Insurance Company of America via UHC/UMR

Scott & White Health Plan Marketplace

AmeriGroup Community Plan Texas BlueCross BlueShield of Texas Molina Healthcare of Texas Managed Medicaid (STAR Kids) Aetna Better Health

AmeriGroup Community Plan Texas BlueCross BlueShield of Texas CookChildren’s Health Plan

Texas Children’s Health Plan (TCHP) Managed Medicaid (MRSA)

AmeriGroup Community Plan Texas (Central, Noreste y Oeste)

RightCare by Scott & White Health Plan

STAR+PLUS, CHIP)

BlueCross BlueShield of Texas

FirstCare Health Plans by Scott & White HP OptumHealth Behavioral Solution s

Seguros de Salud Conductual (STAR Kids) OptumHealth Behavioral Solution s

Medicaid Tradicional

Texas Medicaid & Healthcare Partnership Oklahoma Health Care Auth ority (OHCA) Planes de Costos Compartidos y Beneficios Limitados

Los planes de costo compartido y beneficio limitado no son seguros tradicionales ni están regulados por ninguna entidad reguladora estatal o federal. Los pacientos con este tipo de cobertura se gestionarán como autopago.

*Se excluyen los planes de beneficios limitados y los planes medicos y auxiliares únicamente

(8)

Servicios de Rehabilitación y Terapia de la Salud Infantil (CHRTS)

Ubicaciones de la terapia ambulatorial de salud infantil:

• Specialty Center Allen

• Specialty Center Cityville

8 Prestige Circle, Ste. 101, Allen, TX 75002-3435 2222 Medical District Drive, Dallas, TX 75235

• Specialty Center North Rockwall 2455 Ridge Road, Ste. 255, Rockwall, TX 75087-5534

• Specialty Center Frisco 7010 Preston Road, Ste. 240, Frisco, TX 75034-5875

• Specialty Center Plano 7000 W. Plano Parkway, Ste. 210, Plano, TX 75093-1632

Specialty Center Plano Campus 7601 Preston Road, Plano, TX 75024-3214

• Specialty Center Las Colinas 7453 Las Colinas Blvd., Irving, TX 75063-7561

• Specialty Center Grapevine 1643 Lancaster Drive, Ste. 300, Grapevine, TX 76051-3593

• Specialty Center Richardson

• Specialty Center Mesquite

• Specialty Center Waxahachie

CityLine Wellness Building, 3661 N. Plano Road, Ste. 500, Richardson, TX 75082 1675 Republic Parkway, Ste. 190, Mesquite, TX 75150

1540 N. Highway 77, Ste. 10, Waxahachie, TX 75165-5207

Seguros Comerciales Managed Medicaid (STAR) Redes de Transplante

Aetna Health Inc. Aetna Better Health CIGNA LifeSOURCE

Baylor SWHP (Employees)

Baylor SWHP Quality Alliance (ACO) BlueCross BlueShield of Texas

AmeriGroup Community Plan Texas BlueCross BlueShield of Texas CookChildren’s Health Plan

Humana National Transplant Network INTERLINK Transplant Network LifeTrac Transplant Network CIGNA Healthcare of Texas

ChoiceCare

Coventry Health Care, Inc. (First Health)*

FirstCare Health Plans Molina Healthcare of Texas

Parkland Community Health Plan (PCHP)

OPTUM Health

Protocol Tertiary Network Employers Health Network (EHN)

Galaxy Health Network

HealthSCOPE Benefits (DART ACO) HealthSelect of Texas ERS (Blue Essentials) HealthSmart / HealthSmart ACCEL Humana

Imagine Health MultiPlan*

Private Health Care Systems (PHCS)*

Regional Healthcare Alliance Stratose (formerly NPPN)

Scott & White Health Plan (SWHP) Texas Health Aetna Joint Venture Provider Networks (Aetna/THR)

Trinity Mother Frances

(Employees & Their Dependents Only) UnitedHealthcare of Texas Inc.

USA Managed Care Organizations (USAMCO) UT Connect (Empleados del Sistema UT) Intercambio de Seguros de Salud

BlueCross BlueShield Oklahoma Advantage PPO FirstCare Health Plans via SWHP Marketplace Freedom Life Insurance Company of America via UHC/UMR

Scott & White Health Plan Marketplace Planes de Costos Compartidos y Beneficios Limitados

Los planes de costo compartido y beneficio limitado no son seguros tradicionales ni

Texas Children’s Health Plan

Managed Medicaid (CHIP, Perinate, RSA) Aetna Better Health

AmeriGroup Community Plan Texas BlueCross BlueShield of Texas CookChildren’s Health Plan FirstCare Health Plans Molina Healthcare of Texas1

Parkland Community Health Plan (PCHP)2 Texas Children’s Health Plan (TCHP)

1Incluye CHIP y perinate de CHIP RSA

2Incluye recién nacidos de perinate de CHIP

Managed Medicaid (STAR Health)

SUPERIOR HealthPlan (Solo tutela temporal) Managed Medicaid (STAR+PLUS)

Aetna Better Health

AmeriGroup Community Plan Texas BlueCross BlueShield of Texas Molina Healthcare of Texas Managed Medicaid (STAR Kids) Aetna Better Health

AmeriGroup Community Plan Texas BlueCross BlueShield of Texas CookChildren’s Health Plan

Texas Children’s Health Plan (TCHP)

Seguros de Salud Conductual (Comerciales) Aetna Health Inc.

BlueCross Blue Shield of Texas CompCare

HealthSCOPE Benefits (DART ACO) HealthSelect of Texas ERS (Blue Essentials) Managed Health Network (MHN)1

OptumHealth Behavioral Solutions Scott & White Health Plan

1Terapia y pruebas psicológicas excluidas sin una estadía hospitalaria.

Seguros de Salud Conductual (STAR, STAR+PLUS, CHIP)

Aetna Better Health

AmeriGroup Community Plan Texas Beacon Health Strategies

BlueCross BlueShield of Texas OptumHealth Behavioral Solution s Texas Children’s Health Plan

Seguros de Salud Conductual (STAR Kids) AmeriGroup Community Plan Texas

Beacon Health Strategies BlueCross Blue Shield of Texas OptumHealth Behavioral Solutions

Seguros de Salud Conductual (STAR Health) SUPERIOR HealthPlan (Solo tutela temporal) están regulados por ninguna entidad

reguladora estatal o federal. Los pacientos con este tipo de cobertura se gestionarán como autopago.

Medicaid Rural Service Area (MRSA) AmeriGroup Community Plan Texas (Central, Noreste y Oeste)

Medicaid Tradicional

Texas Medicaid & Healthcare Partnership Oklahoma Health Care Auth ority

*Se excluyen los planes de beneficios limitados y los planes medicos y auxiliares únicamente

(9)

Live Oak Surgery Center Plano (LOSC)

A partir del 1.° de Agosto de 2022, LOSC tiene contratos con los siguientes planes de seguro de atención médica:

• Live Oak Surgery Center Plano 7211 Preston Road, Suite 2100, Plano, TX 75024, 469-488-1000

Commercial (Private Health Insurance) Managed Medicaid (STAR/CHIP) Managed Medicaid (STAR Kids)

Aetna Health Inc. Aetna Better Health Aetna Better Health

Baylor SWHP (Employees)

Baylor SWHP Quality Alliance (ACO) BlueCross BlueShield of Texas CIGNA Healthcare of Texas

AmeriGroup Community Plan Texas BlueCross BlueShield of Texas CookChildren’s Health Plan Molina Healthcare of Texas

AmeriGroup Community Plan Texas BlueCross BlueShield of Texas CookChildren’s Health Plan

Texas Children’s Health Plan (TCHP) ChoiceCare

Coventry Health Care, Inc. (First Health)*

Parkland Community Health Plan (PCHP)

Texas Children’s Health Plan Managed Medicaid (MRSA) Employers Health Network (EHN)

Galaxy Health Network

HealthSCOPE Benefits (DART ACO) HealthSelect of Texas ERS (Blue Essentials) HealthSmart

Humana Imagine Health MultiPlan*

Managed Medicaid (STAR Health) SUPERIOR HealthPlan (Foster Care Only) Managed Medicaid (STAR+PLUS) Aetna Better Health

AmeriGroup Community Plan Texas

AMERIGROUP (Central, Northeast and West) Planes de Costos Compartidos y Beneficios Limitados

Los planes de costo compartido y beneficio limitado no son seguros tradicionales ni están regulados por ninguna entidad reguladora estatal o federal. Los pacientos con este tipo de cobertura se gestionarán como autopago.

Private Health Care Systems (PHCS)*

Scott & White Health Plan (SWHP) UnitedHealthcare of Texas Inc.

USA Managed Care Organizations (USAMCO) UT Connect (UT System Employees) Intercambio de Seguros de Salud

BlueCross BlueShield Oklahoma Advantage PPO Freedom Life Insurance Company of America via UHC/UMR

BlueCross BlueShield of Texas Molina Healthcare of Texas

*Limited Benefit Plans and Physician & Ancillary Only Plans Excluded

(10)

Pediatric Imaging Associates Plano (PIA)

A partir del 1.° de Agosto de 2022, PIA tiene contratos con los siguientes planes de seguro de atención médica:

• Pediatric Imaging Associates Plano 7211 Preston Road, Suite 1400, Plano, TX 75024, 469-303-9400

Commercial (Private Health Insurance) Managed Medicaid (STAR/CHIP) Managed Medicaid (STAR Kids)

Aetna Health Inc. Aetna Better Health Aetna Better Health

Baylor SWHP (Employees)

Baylor SWHP Quality Alliance (ACO) BlueCross BlueShield of Texas CIGNA Healthcare of Texas

AmeriGroup Community Plan Texas BlueCross BlueShield of Texas CookChildren’s Health Plan Molina Healthcare of Texas

AmeriGroup Community Plan Texas BlueCross BlueShield of Texas CookChildren’s Health Plan

Texas Children’s Health Plan (TCHP) ChoiceCare

Coventry Health Care, Inc. (First Health)*

Parkland Community Health Plan (PCHP)

Texas Children’s Health Plan Managed Medicaid (MRSA) Galaxy Health Network

HealthSCOPE Benefits (DART ACO) HealthSelect of Texas ERS (Blue Essentials) HealthSmart

Humana Imagine Health MultiPlan*

Managed Medicaid (STAR+PLUS) Aetna Better Health

AmeriGroup Community Plan Texas BlueCross BlueShield of Texas Molina Healthcare of Texas

AmeriGroup Community Plan Texas (Central, Northeast and West)

Planes de Costos Compartidos y Beneficios Limitados

Los planes de costo compartido y beneficio limitado no son seguros tradicionales ni están regulados por ninguna entidad reguladora Private Health Care Systems (PHCS)*

Scott & White Health Plan (SWHP) UnitedHealthcare of Texas Inc.

UT Connect (UT System Employees) Intercambio de Seguros de Salud

BlueCross BlueShield Oklahoma Advantage PPO

Freedom Life Insurance Company of America via UHC/UMR

estatal o federal. Los pacientos con este tipo de cobertura se gestionarán como autopago.

*Limited Benefit Plans and Physician & Ancillary Only Plans Excluded

Referencias

Documento similar