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Insurance (Managed
Care)
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For specific
information about your insurance plan, including plan coverage, referrals,
or which physicians participate in your plan, please call your insurance provider.
If you have billing questions call ADC's Business Services Department at
512.901.4600.
You will be expected to pay for services at the time of your
visit if you are not covered by one of the insurance plans listed below.
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Insurance Plans ADC accepts:
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Accountable Health Plans,
PPO
(Interplan Health Group) -
www.accountablehealth.com |
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Aetna
HMO-based plans (including HMO, Aetna Select, Self funded POS,
QPOS, USAcess, Open Access Aetna Select, Open Access HMO -
www.aetna.com
Aetna non HMO-based
plans (including Elect Choice EPO, Managed Choice POS, Open Access
Elect Choice, Choice POS, Choice POS II, Open Access Managed Choice,
Open Choice PPO, Traditional Choice, and Affordable Health Choices (PPO
and Indemnity). -
www.aetna.com
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Beech Street
-
www.beechstreet.com |
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Blue Cross/Blue Shield - including Blue Choice PPO, Blue Choice Plus POS and PAR Plan (including
Healthselect, FEP and the Blue Card Program) -
www.bcbstx.com
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Cigna
HMO, PPO, POS, EPO (including Flex Care, Network Open Access, Open Access, Cigna
PPA, Commercial HMO, and Select HMO) -
www.cigna.com
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Coventry
(excluding Firsthealth) -
www.cvty.com |
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Great West (formerly One Health Plan) HMO, PPO, POS -
www.onehealthplan.com
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HealthSmart Preferred Care PPO -
www.healthsmart.com
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Humana HMO, PPO (including Choice Care, Open Access, Humana Freedom
Plus, Employers Health PPO, and EPO) -
www.humana.com
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Medicare -
www.medicare.gov |
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Multiplan of Texas -
www.multiplan.com
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PHCS
PPO, POS, EPO -
www.phcs.com
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PPONext (including Medical Control PPO, Healthstar PPO, Preferred
Health Network PPO and HHPO) -
www.ppoNEXT.com
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Seton
Health Plan (including EPN, SHPI, SHPII and CHIPs) (Pediatrics
only) -
www.setonhealthplan.net |
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Superior Health Plan (OB/GYN
and Pediatrics only) -
www.superiorhealthplan.com |
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Texas True Choice/Ethix Southwest
PPO -
www.texastruechoice.com
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TriCare -
Tricare Prime/Prime Remote; Tricare Standard; Tricare Extra; Tricare
Reserve Select; Tricare For Life (TFL);
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Unicare (including Healthlink) -
www.unicare.com |
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United Healthcare HMO, PPO/POS (including Choice, ChoicePlus,
Select & Select Plus) -
www.unitedhealthcare.com
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USA Managed Care
Organization (USA MCO) referrals to specialists are
required -
www.usacmo.com |
Travel Clinic patients: The
Austin Diagnostic Travel Clinic does not
file insurance with all of the insurance plans listed
above. Please check with the appointment
representative to see if your visit will be filed with
insurance. If your visit is not covered, payment
for services will be expected at the time of service.
Medicare Advantage Plan Members:
The Medicare Advantage
Plans are an alternative to the traditional Medicare
coverage provided under Part B of the Medicare program.
These alternative plans came about as a result of the
Balanced Budget Act of 1997 and the Medicare Modernization
Act of 2003 enacted by Congress and signed into law by the
President.
The Austin
Diagnostic Clinic has decided not to participate as
providers in any Medicare Advantage Plan. Our physicians
will only see patients covered by traditional Medicare Part
B coverage. While some of the Medicare Advantage plans may
offer an out-of-network option, ADC has also decided not to
participate as out-of-network providers in any of the
Medicare Advantage plans in the Austin area.
If you choose to drop your
traditional Medicare Part B coverage and switch to one of
these Advantage Plans, you will no longer be able to receive
medical care from ADC physicians.
If you have already chosen to
participate in one of these Medicare Advantage Plans, please
write or call your Advantage Plan and ask them if you can
discontinue your coverage or call Medicare at 1-800-Medicare
(1-800-633-4227). If you convert back to traditional
Medicare, this will make it possible to continue your health
care with your Austin Diagnostic Clinic physician(s).
We hope you will continue
to participate in Medicare Part B. Medicare Part B has
provided access to quality care for millions of older
Americans. It is a program we can rely on with dependable
rules and procedures that people over 65 can trust.
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