• In observance of New Year's Day, we will be closed on Sat 12/31 & Mon 1/2.
  • Patient Information

    Accepted Insurance Plans

    Current plans as of 8/1/2013
    Copies Available at Front Desk

    • Accountable Health PPO – Interplan Health Group
    • Aetna PPO, POS, and EPO
    • Beech Street PPO
    • Blue Cross/Blue Shield PPO/ POS (not on HMO Par Plan or Blue Solutions)
    • Cigna PPO/ Cigna Open Access – Cigna HMO (now includes Great West Healthcare PPO and Open Access POS)
    • First Health PPO / Conventry Health Networks
    • Galaxy Health Network PPO
    • Health Management Network
    • Health Smart PPO and non-gated EPO
    • Health Smart POS and Gated EPO
    • Humana PPO (Choice Care) and Open Access POS
    • MultiPlan, Inc. PPO/ BCE Emergis PPO
    • National Preferred Provider Network (NPPN / Plan Vista Solutions)
    • Pacificare PPO
    • PHCS PPO (Private Healthcare Systems)
    • ppoNext
    • Provider Select PPO
    • Texas True Choice PPO
    • United Healthcare PPO, POS, EPO, HMO (all products) (Tenet/MyChoice)
    • USA Managed Care Organization Inc. PPO
    Out of Network Policy

    Many patients tell us they must switch their insurance plan. They think they will not be able to see us again. Here is our response:

    1. We can still see you out of network. We see hundreds of patients outside of their networks.
    2. We are especially sensitive to the fact you are paying out-of-pocket and try to reduce fees wherever we can. We also give lots of free samples. These two things make your out-of-pocket costs just about the same as if you were in network.
    3. This has worked for many patients. The cost to them is about the same.
    4. If you have something costly such as an MRI or an admission to the hospital, we can refer you back into network very easily.
    Medicare Policy

    You do NOT have to leave our practice if you go on Medicare. We DO see Medicare patients. We are just not on the Medicare program so you will be seeing us out of network. We hope you will not decide to leave our practice. We CAN continue to be your medical home. For a more detailed discussion of this difficult situation, please read our two Medicare letters below that we send to our patients at age 64 and 64 ½.

    Patient Forms

    For convenience to our patients, we have uploaded all necessary forms to be filled out.

    Editable Forms (Forms filled out on-line)

    Please select and download the appropriate form for your health care need, then click on the page to type your data right on the form. Print and bring the completed form to your appointment. This will improve the efficiency of your check-in process at our office. The information will not be submitted electronically to Family Medicine Associates of Texas.

    Downloadable Forms (Print Only)

    Please select and download the appropriate form for your health care need, print and bring the completed form to your appointment. This will improve the efficiency of your check-in process at our office. If you prefer to complete the forms here, plan to arrive 15 minutes before your scheduled appointment.

    Note: Adobe Reader is required to download forms. Get Adobe Reader FREE: get.adobe.com/reader