Insurance Accepted by Baylor Medicine
Baylor Medicine contracts with many managed care plans. For questions about the specific procedures your plan covers, please contact your healthcare plan/insurance company directly.
This list was last updated Feb. 5, 2025.
No Surprise Act
Effective Jan. 1, 2022, the No Surprise Act addresses billing for emergency and post-stabilization services furnished by out-of-network providers, facilities, and non-emergency services furnished by out-of-network providers to patients at in-network facilities.
| Insurance | Product Type |
|---|---|
| Aetna | HMO, EPO, POS, PPO, Medicare Advantage HMO and PPO |
| Aetna Marketplace – Aetna CVS Health | HMO (Note: Specialists only, Primary Care not included) |
| Beech Street Network | PPO |
| Best Doctors | PPO |
| Blue Cross Blue Shield | HMO, EPO, POS, PPO, Medicare Advantage HMO and PPO |
| Blue Cross Blue Shield – Marketplace | Blue Advantage HMO and My Blue Health HMO |
| Blue Cross Blue Shield ParPlan | Indemnity |
| Cigna | Choice Fund, HMO and Network, Indemnity, Local Plus (Specialists only), Open Access Plus, Point of Service (POS), Preferred Provider Organization (PPO), GWH-Cigna |
| Cigna Medicare | Medicare Advantage (Note: Specialists only, Primary Care not included) |
| Cigna Lifesource | Transplant Care |
| Community Health Choice | HMO, EPO, POS, PPO |
| Community Health Choice - Marketplace | Premier Plans Select Plans (Will be out of network as of Jan. 1, 2024) |
| Devoted Health | Medicare Advantage HMO |
| Evolutions Healthcare System | PPO |
| EyeMed Vision Care (Access Networks Only) | Vision Care |
| First Health | PPO |
| Galaxy Health Network | PPO |
| HealthSmart | PPO |
| Independent Medical Systems | PPO |
| InterLink | Transplant Care |
| Kelsey-Seybold | Commercial, KelseyCare Advantage, Well-Care Texan Plus (Note: By Authorized referral only) |
| Emerging Therapy Solutions (formerly LifeTrac) | Transplant Care |
| Medicaid (Texas) | Traditional Medicaid |
| Medicare | Traditional Medicare |
| MultiPlan | PPO |
| OptumHealth (formerly URN) | Transplant Care |
| Private Healthcare Systems (PHCS and PHCS Savility) | PPO |
| Provider Select | PPO |
| Scan Health Plan | Medicare Advantage HMO: Scan Classic, Scan MyChoice Medicare Advantage HMO C-SNP: Scan MyChoice C-SNP, and Scan Strive C-SNP |
| Superior Health Plan | CHIP, CHIP Perinatal, Medicare Advantage, STAR Health (Foster Care), STAR Medicaid, STAR Kids Medicaid |
| Superior Health Plan - Marketplace | Ambetter Core Gold and Silver (Complete, Clear, Focused, Everyday, Standard) Ambetter Value Gold and Silver (Complete, Clear, Focused, Everyday Standard) Non-contracted with Virtual plans. |
| Texas Children's Health Plan (TCHP) | CHIP, CHIP Perinatal, STAR Medicaid, STAR Kids Medicaid |
| TriWest Health Alliance | Clinical Care Network |
| United Behavioral Health (UBH) | Behavioral Health |
| United Healthcare | HMO, EPO, POS, PPO, CHIP, CHIP Perinatal, Medicare Advantage, Medicare-Medicaid Plan (MMP), STAR Medicaid, STAR+PLUS Medicaid, STAR Kids Medicaid |
| United Healthcare-Marketplace | HMO |
| USA Managed Care Organization | HMO, EPO, POS, PPO |
| WellPoint | Medicare Advantage: Classic HMO, Select, D-SNP |
| WellPoint - Marketplace | Wellpoint Essential HMO and POS: Gold, Silver, Bronze and Catastrophic |
This list was last updated Feb. 3rd, 2025.
Contact Information and Hours
Insurance Verification Hotline
(713) 798-9001
Hours:
Monday-Friday
8 a.m. – 5 p.m.
