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Insurances Accepted

Updated as of October 30, 2021

Below is a listing of insurance plans affiliated with Baylor St. Luke’s Medical Center.

This list is for references purposes only and is subject to change. It is recommended that you check with your health plan directly to confirm that Baylor St. Luke’s Medical Center is included.

Baylor St. Luke’s Medical Center may participate in some, but not all products offered by a health plan. Coverage limitations are dependent on individual group contracts.

Complete list of Medicare Advantage plans accepted.
Complete list of Medicaid plans accepted.
Complete list of Marketplace/Exchange plans accepted.

Insurance Plans Accepted

A | B | C | D | E | F | G | H | I | J | K | L | M
 | N | O | P | Q | R | S | T | U | V | W | X | Y | Z

A

Admar Corporation - PPO

Aetna

  • HMO
  • POS
  • PPO
  • Medicare Advantage (All Products)
  • Workers’ Comp
  • Aetna National Transplant
    • Heart
    • Liver
    • Kidney

Amerigroup/Amerivantage

  • Medicare Advantage
    • Classic HMO
    • Select
    • DSNP

B

Beech Street (A Multiplan Network) - PPO

Blue Cross and Blue Shield of Texas

  • Blue Advantage (Marketplace)
  • MyBlueHealth (Marketplace)
  • Blue Card PPO (Out-of-state Plans)
  • Blue Choice POS
  • Blue Choice PPO
  • Blue Edge PPO
  • Blue Essentials (Formerly HMO Blue Texas)
  • Blue Essentials Access
  • Employees Retirement System of Texas (ERS) - Health Select of Texas
  • Employees Retirement System of Texas (ERS) - Consumer Directed HealthSelect
  • Federal Employee Program (FEP)
  • Medicare Advantage
  • Medicare Advantage
  • Traditional/Indemnity (PAR Plan)
  • TRS Active Care PPO
  • UT Select PPO

Blue Distinction Centers of Excellence

  • Heart Transplant (BDC)
  • Liver Transplant (BDC+)
  • Maternity (BDC)
  • Complex/Rare Cancers:
    • Liver (BDC)
    • Pancreatic (BDC)
    • Gastric (BDC)
    • Leukemia (BDC)
    • Bladder (BDC)
    • Thyroid Medullary and/or Anaplastic (BDC)
  • Orthopedic:
    • Knee/Hip (BDC)
    • Spine Surgery (BDC+)

C

Coastal Comp Health Network – PPO/Workers’ Comp

Community Health Choice

  • Medicaid STAR
  • CHIP
  • Chip Perinate
  • Marketplace/Exchange

Coventry Health Care (An Aetna Company)

  • HMO
  • PPO

D

Direct Care America - PPO

E

Entrust

Evolutions Healthcare Systems - PPO

G

Galaxy Health Network - PPO

H

HealthSmart - PPO

Humana

  • HMO
  • PPO
  • ChoiceCare PPO
  • Medicare Advantage (All Products)

Humana Military- Tricare South Region

  • Tricare Prime
  • Tricare Extra

Humana National Transplant Network

  • Heart
  • Kidney
  • Lung
  • Heart/Lung
  • Pancreas
  • Liver Transplants

I

Independent Medical Systems - PPO

Integrated Health Plan – PPO

Interlink (Transplants COE Medical Excellence Network)

  • Heart
  • Kidney
  • Liver
  • VAD

Interplan Health Group (A HealthSmart Network) - PPO

K

KelseyCare Advantage

  • KelseyCare Administered by Boon-Chapman
    • Network Plan
    • POS
  • Kelsey-Seybold Powered by Community Health Choice
  • Medicare Advantage (All Products)

L

LifeTrac (Transplants)

  • Heart
  • Liver
  • Lung
  • Kidney

M

Medicare (Traditional Part A)

Molina Healthcare of Texas

  • Medicaid STAR
  • Medicaid STAR+PLUS
  • CHIP
  • CHIP Perinatal
  • Medicare Advantage (All Products)
  • Marketplace/Exchange
  • STAR + PLUS MMP

Multiplan - PPO

N

National Preferred Provider Network A Coalition America Company (currently known as Stratose) – PPO

NX Health Network (NHXN) - PPO

O

Optum HealthCare Solutions (Transplants)

  • Heart
  • Kidney
  • Liver
  • Lung

P

Private Healthcare Systems (PHCS/Multiplan) - PPO

Private HealthCare Systems (PHCS/Multiplan) Transplants

  • Heart
  • Liver
  • Lung
  • Kidney
  • Pancreas

Provider Networks of America

  • PPO
  • POS

R

Renaissance Physician Organization

  • Radiology Services

Reny Company - Workers' Comp

Rockport - Workers' Comp

S

Shell (Cardiology Center of Excellence)

T

Texan Plus (Universal American/SelectCare)

  • Medicare Advantage (All Products)

Texas Children's Health Plan

  • Medicaid STAR
  • CHIP
  • CHIP Perinate

Texas True Choice (A Multiplan Network) - PPO

Tricare South Region

  • Tricare Prime
  • Tricare Extra
  • VA Triwest PCCC

U

Unicare - PPO

United Healthcare

  • HMO
  • PPO
  • POS
  • Charter
  • UnitedHealthcare Community Plan (Medicaid)
    • Medicaid STAR
    • CHIP
    • CHIP Perinate
    • STAR Kids
    • STAR + PLUS MMP
  • UnitedHealthcare
    • Medicare Advantage (All Products)
    • AARP

USA MCO (formerly USA Health Network)

  • HMO
  • PPO

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