×

Important Notice for ADC Ambetter and Sendero IdealCare Plan Patients

Effective December 31, 2017, The Austin Diagnostic Clinic (ADC) will terminate our contractual agreements with two insurance plans: Ambetter and Sendero IdealCare insurance plans.   At this time, providers will continue to see existing ADC patients on these two plans until the end of the year.  This was a difficult decision for the Clinic, but we believe that it was a necessary one based on operational issues.

Can I still see my ADC provider until December 31?

ADC physicians will continue to provide care to members of both plans until December 31, 2017 for those individuals who are already established ADC patients. After this date, our physicians will no longer care for individuals covered by Ambetter  or Sendero IdealCare and ADC will be considered a non-participating, non-network provider. If patients need to return to the Clinic for care after December 31, 2017, full payment will be required at the time of service.

Please note: Due to credentialing restrictions Ophthalmology patients with Ambetter will not be scheduled unless they are self-pay patients.

How will I get my medical records?

If patients choose a non-ADC physician and would like their medical record transferred, please download a Release of Information Form. Mail to Health Information Management (HIM), The Austin Diagnostic Clinic, 12221 N. MoPac, Austin, TX 78758-2483. There is a maximum record transfer fee of $15. You will receive an invoice from CIOX Health, our release of information service provider. If you have any questions, please call the HIM department at 512-901-4153.

How do I find another provider?

We advise patients to contact their plan representative as soon as possible to assist you in the transition of their medical care to a physician who accepts Ambetter or Sendero IdealCare. ADC participates in many other health plans, and a current list is available here. If your coverage changes to an insurance plan that ADC accepts, we would welcome the opportunity to continue to care for you and your family.

A letter will be mailed to each patient currently enrolled on the affected plans beginning August 11,2017.  Letters should be received over the next 5-7 business days.  If you did not receive a copy of the letter you may download it below.

Comments

  1. Anonymous says:

    What other options are available for people buying insurance through the marketplace (ACA)? What other insurance in the marketplace will be accepted by ADC?

    • Rocky Epstein says:

      After December 31, 2017 ADC will no longer participate in any of the marketplace/exchange/ACA plans.

Speak Your Mind

*