HMO/PPO Affiliations as of January 2003
ACCOUNTABLE AHI
ADMAR
AETNA HMO/PPO 1-000-624-0756 Provider #685827 (Memorial SW Hosp. for SX)
AFFORDABLE
ALLAMERICA
ALLIANCE
AMERICAN MEDICAL
AMERIHEALTH COMMERCIAL 1 AMERIKIDS
ARAMCO
BAROID
BAYOU CITY 1 TENET 1 ADVANCED CARE IPA (SEE LIST)
BEECHSTREET
BCBS OF KY, LA, PA, TX
BCBS SELECT 2000
BENEFIT PLANNERS
CNA
CIGNA PPO
COAST TO COAST (NO INSURANCE CLAIMS, JUST GETS 20% OFF TOTAL CHARGES)
COMMUNITY HEALTH CHOICE MEDICAL ONLY WI REFERRAL
ENTRUST
EQUIFAX
EVOLUTIONS HEALTHCARE
EYECARE INTERNATIONAL (GETS ONE FREE NON-DILATED EYE EXAM FOR GLASSES RX, MUST PRESENT COUPON FIRST
HEALTH
FOUNDATION HEALTHPLAN (REFERRAL REQUIRED)
GREATER HOUSTON IPA, MEDICAL ONLY WITH REFERRAL (HMO BLUE, PACIFIC CARE, PCA, SECURE HORIZONS) GREAT
WEST LIFE (WE ARE NOT ON THE PPO PLAN)
GULF COAST MEDICAL, ONLY WITH REFERRAL
GULF STATE UTILITY
HARRIS COUNTY HOSPITAL DISTRICT COMMERCIAL HMO
HEALTH SMART
HEALTH SELECT GROUP 3800 FOR BLUE CROSS BLUE SHIELD, REFERRAL REQUIRED FOR ANYTHING MEDICAL ALLOWED
ONE ROUTINE FOR ROUTINE DIAGNOSIS ONCE A YEAR WITHOUT REFERRAL (FOR GLASSES RX ONLY) HEALTH SOURCE
HEALTH STRATEGIES
HEALTH INTERNATIONAL
HEALTH SMART
HMO TEXAS AND HMO BLUE SOUTHEAST TEXAS
HORIZON HEALTHCARE
HUMANA (HMO, PPO, POS, FREEDOM PLUS, TRICARE, CHAMPUS (AS OF 7/2001)
INTEGRENET
INTERFAITH MINISTRIES
INTERNATIONAL EYECARE
LOUISIANA MEDICAID
MEDICAID TRADITIONAL, ROUTINE EVERY 24 MONTHS W/O REFERRAL
TDH STAR MEDICAID (MEDICAL REQUIRES PCP MEDICAID I.D. # AS REFERRAL)
MEDCORP SOUTHWEST
MEDIPLUS
METHODIST CARE MEDICAID, MEDICAL ONLY WITH REFERRAL
METLIFE METRAHEALTH HMO AND PPO (VERBAL AUTHORIZATION OK)
NATIONAL HEALTHCARE ALLIANCE
ONE HEALTH PLAN
PPO NEXT ( FORMERLY MEDICAL CONTROL, HHPO. HHPU)
PREMIER NETWORK
PHCS )PRIVATE HEALTHCARE SYSTEMS) PPO ONLY NOT HMO
PRO AMERICA
TENET (SEE BAYOU CITY UST)
TEXAS MUNICIPAL LEAGUE (TML)
TEXAS HEALTH NTEWORK HMO MEDICAID (FORMERLY COMMUNITY HEALTH CHOICE) MEDICAL ONLY W/REF. TMA, TML.
TP A
TRAVELERS PPO
TRICARE MEDICAL. ONLY WITH REFERRAL
TRS CARE
TRUE CHOICE
UNICARE
UNITED HEALTHCARE HMO/PPO (HMO VERBAL AUTHORIZATION OK)
UNITED P A YORS AND PROVIDERS
USA MANAGED CARE
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