Insurance Information
At Family Medicine Associates of Texas, we know that understanding how payment works for your healthcare services is important for you and your family.
Our team is committed to providing clear information about your financial responsibilities, insurance coverage, and payment options, so you can feel confident and prepared when you visit our office.
Our goal is to support you in navigating the insurance process and provide you with as much information as possible regarding those insurance plans where Family Medicine Associates of Texas is in-network.
What does it mean to be in network?
“In-network” means that our providers have a contract with your health insurance plan to provide services at pre-negotiated, discounted rates. When you visit an in-network provider, you typically pay less out of pocket because your insurance covers a larger portion of the costs. Choosing in-network care can help you save money and usually ensures a smoother billing process. We will bill your insurance directly and only charge you for your plan’s standard copays, deductibles, or coinsurance.
Following is a list of Insurance Plans that we currently accept.
Accountable Health PPO – Interplan Health Group
Aetna PPO, POS, and EPO (Not on Baylor Scott & White and not on Aetna Market Place plan)
Baylor Scott & White
Blue Cross/Blue Shield HMO/PPO/POS (Not on MyBlueHealth, High Performance Network, Par Plan or Blue Solutions)
Cigna PPO/Cigna Open Access – Cigna HMO (Now on Local Plus / Not on Focus-In or Connect)
First Health PPO
Galaxy Health Network PPO
Healthcare Highways
Health Management Network
Health Smart PPO & non-gated EPO
Health Smart POS & gated EPO
Humana PPO (Choice Care) & Open Access PO
Independent Medical Systems (IMS) PPO
Medicare Part B – Traditional (Not accepting new Medicare patients, we do not accept any Medicare Advantage Plans)
Railroad Medicare
MultiPlan, Inc. PPO
National Preferred Provider Network (NPPN/Plan Vista Solutions)
PHCS PPO (Private Health Care Systems)
ppoNext
Provider Select PPO
United (not on Marketplace plans)
Our practice accepts only a few of the Healthcare Exchange Plans these include:
Molina HMO Marketplace (Dallas & Collin County) Established patients only.
BCBS HMO (Not on My Blue Health) Established patients only.
Baylor Scott & White Established patients only.
Please note that we do NOT accept ANY Medicare Advantage Plans.
Our practice currently accepts only “Traditional” Medicare.
We do not accept any of the Medicare Advantage Plans. These include products such as:
United Healthcare (UHC) Dual Complete
UHC Complete Care
AARP Medicare Advantage
Aetna Medicare Advantage
Baylor Scott & White Medicare Advantage
Humana Gold Plus HMO
And others
Did you know you can Pay Your Bill Online?
When you schedule a new appointment, you will be asked to provide your insurance information. By providing your information in advance, our team will make every effort to verify your insurance BEFORE you arrive for your appointment.
During your online self check-in you will also be asked to upload a copy of your insurance card (front and back). Having access to the image of your insurance card in advance helps us to review your insurance plan and ensure we are in network with your plan.
Still not sure if we accept your insurance plan?
Please reach out directly to our Billing Team at 972-394-8844.
One of our team members will be glad to work with you to confirm that we accept your insurance plan.
What if you do NOT accept my insurance, but I still want to be a patient?
We are glad to continue to see you under our 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:
We can still see you out-of-network. We see hundreds of patients outside of their networks.
We are especially sensitive to the fact you are paying out-of-pocket and try to reduce fees wherever we can.
If you have something costly such as an MRI or an admission to the hospital, we can refer you back into network easily.
What if I don’t have insurance?
If you do not have insurance, we will see you as a “Self-Pay” patient.
Following appropriate state and national guidelines, we have a Self-Pay fee schedule that is used to calculate the charges for your care. Please note that payment in full is expected at the time of service.