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Insurance has made life so much more complicated than it use to be. Ultimately, the patient is responsible for knowing the rules of their insurance but we can certainly offer some help. When a patient sees a physician, the physician can either be in network or out of network. Depending on whether we are in network or out of network will greatly affect your benefits. Some insurance plans have an office copay for visits, some have deductibles, and some have coinsurance. Once we know what you have, then we will be able to tell you what your bill will be. New patients who are out of network or cash pay can expect an initial visit that will be about $250.

Follow up visits for out of network or cash pay patients are typically $150.

Cash pay patients get a 10% discount for same day payment. Out of network patients who pay their portion on the day of the visit and authorize an automatic second charge if the amount is in error on the day of their visit will get a 10% discount on their portion of the payment.

For all patients, all charges that are not expected to be covered by insurance are expected to be paid at the time of the visit. Cash, checks, Visa, Mastercard, and Discover are accepted.

I do not participate with worker's comp, HMOs, or Medicaid. Even when Medicaid is a secondary.

While I believe I am in-network for the plans listed below (or will be by May 1, 2006), it is possible the insurance form has set up multiple plans for which I do not participate in all of them. Again, you can typically get online and verify that I am in your network. Before looking at the list, see if your card has a symbol for Beech Street, Coventry, or PHCS (these are all covered but your company name will not be listed).

Affiliated Healthcare/AHI HealthLink
Beech Street PPO
Best Doctors, Inc. PPO
Blue Cross Blue Shield of Texas, PPO and Par Plan (but not Blue Choice Solutions)
Coventry Health Care (formerly First Health)
DirectCare America of Texas, Inc. PPO
Employers Health Network (EHN)
Evolutions Healthcare Systems, Inc. PPO
First Health POS
First Health, Inc. PPO
Galaxy Health Network PPO
HAS Premier
HealthSmart Preferred Care PPO
Medicus International
National Healthcare Alliance POS
National Healthcare Alliance PPO
National Provider Network PPO
PlanVista Solutions PPO
ppoNEXT PPO
Private Healthcare Systems, In. (PHCS) PPO
Provider Select, Inc. PPO
Texas True Choice
The Methodist Hospital Custom Network for Employees The Methodist Hospital Custom Network (CPO) POS
USA Managed Care Organization (USA MCO)