Preferred Health Plans 032116MLM



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|Providers: •Dr. Adil Habib •Dr. Jeffrey Weinstein •Dr. |

|Stephen Cheng |

|•Dr. Alejandro Mejia •Dr. Maisha Barnes •Dr. Vichin Puri |

|•Dr. Carlos Fasola •Dr. Mangesh Pagadala •Dr. Zahid Vahora |

|•Dr. Edward Dominguez •Dr. Parvez Mantry |

|•Dr. Hector Nazario •Dr. Richard Dickerman |

| | | |

|Preferred Health Plans |Accepted |Referral Required |

| |(ALL Providers) | |

|Commercial Health Plans |  |  |

|Aetna Golden Choice |Yes | |

| Aetna HMO |Yes |Yes |

|Aetna PPO / POS / EPO |Yes |Some  |

|Aetna Whole Health (Baylor Scott and White) |Call Prior to scheduling |Call |

|APWU |Yes | |

|Assurant |Yes |  |

|BCBS (HMO, PPO, POS) |Yes |HMO - Only |

|BCBS (out of state) |Yes |Yes  |

|BCBS (Premera) PPO |Yes |Yes |

|BCBS Federal Employee Plan |Yes |  |

|BCBS Health Select HMO |Yes |Yes |

|BCBS PPO |Yes | |

|BCIBS |Yes |Yes |

|Boone Chapman PPO |Call Prior to Scheduling |  |

|Champ VA |Excluding Weinstein |  |

|Choicecare/Humana |Excluding Weinstein |  |

|Cigna HMO |Yes |Call  |

| Cigna Local Plus |Yes | |

| Cigna OAP (Open Access Plus) |Yes |  |

|Cigna POS |Yes |  |

| Cigna PPO |Yes |  |

|First Health |Weinstein Only | |

|GEHA |Yes |  |

|GPA |Call prior to scheduling | |

|Health Scope Baylor Scott and White (Dart Employees) |Excluding Puri | |

|Health Smart / North TX Healthcare Network (PPO, POS, GEPO) |Yes |  |

|Humana Choice Care PPO |Excluding Weinstein |  |

|IMS (Integrated Medical Systems) |Call prior to scheduling |  |

|Multiplan |Call prior to scheduling |  |

|PHCS |Call prior to scheduling |  |

|Texas True Choice PPO |Call prior to scheduling |  |

|TPA |Call prior to scheduling | |

| Tricare Prime |Excluding Weinstein |Yes |

|Tricare for Life |Excluding Weinstein | |

| Tricare Select |Excluding Weinstein | |

| | | |

| United Health Shared Services |Yes | |

|United Health One (Golden Rule) – UHI Choice |Yes |  |

|Plus Network | | |

|United Healthcare Choice EPO |Call prior to scheduling | |

| United Healthcare Choice EPO/All Savers |Call prior to scheduling | |

| United Healthcare Choice Plus |Yes | Some |

|United Healthcare Integrated |Yes | |

| United Healthcare Navigate |Yes |Yes |

| United Healthcare Select Plus |Call prior to scheduling |Call |

| United Healthcare UMR |Yes | |

|Market Exchange Plans | |  |

| BCBS HMO (Blue Advantage) |YES |Yes |

| Molina |YES | |

|Medicare and Medicare Advantage Plans |  |  |

| AARP (Medicare Complete) (UHC) |Excluding Group #20020 | Some |

| UHC NTSP (Silverback) |Yes |Yes |

| UHC NTX (North Texas Physicians) |Yes | |

| UHC NTX Tarrant (PCPS) |Yes |Yes |

| UHC Health Texas Provider Network |Yes |Paper/Verbal |

| UHC Wellmed |Yes | |

| Aetna Golden |Excluding Weinstein |  Yes |

|Aetna Medicare Replacement PPO |Excluding Weinstein | |

|Aetna Prime HMO (Medicare Replacement) |Excluding Weinstein |Yes |

| Amerigroup Medicare |NO | |

|Amerivantage HMO |Excluding Weinstein |Yes |

|Blue Medicare Advantage PPO |Excluding Fasola, Pagadala, Weinstein | |

|Care Improvement Plus (now UHI) |Yes |  |

|Care-N-Care |Established patients only |  |

|Humana Gold Plus HMO |Excluding Weinstein |Yes |

|Humana PPO (Medicare Replacement) |Patient Preference - may have more out of pocket cost |  |

|MMP Offered through Amerigroup & Molina |Weinstein ONLY | |

| Scott & White |Weinstein ONLY | |

|TexanPlus Medicare Advantage |Yes |Yes |

|Traditional Medicare Part B |Yes | |

| UHC Dual Complete (HMO SNP) |Yes |Yes |

| UHC Group Medicare Solution PPO |Patient Preference – | UHC Group Medicare |

| |May have more out of pocket cost |Solution PPO |

| Wellcare |NO | |

|Medicaid Plans | |  |

| Amerigroup Star Medicaid |Yes |  |

| Amerigroup Star + Plus |Call prior to scheduling | |

| Cigna Heathspring |Weinstein ONLY | |

| Molina |YES | |

| Out of State |NO | |

| Superior Star + Plus |Established patients only | |

| Traditional Medicaid |Yes |  |

| United Healthcare Star Plus |NO | |

| | | |

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