AETNA STANDARD PLANS
- Aetna Affordable Health Choices limited benefits insurance plan
- Aetna Select
- Aetna Voluntary Plans
- HMO
- Managed Choice POS
- Open Choice PPO
- QPOS
AETNA OPEN ACCESS PLANS
- Aetna Choice POS II
- Aetna Health Network Only
- Aetna Health Network Option
- Aetna Select
- Elect Choice EPO
- Managed Choice POS
AETNA HEALTHFUND PLANS
- Aetna Choice POS (Aetna Healthfund)
- Aetna Choice POS II (Aetna Healthfund)
- Aetna Healthfund Aetna Health Network Only (Open Access)
- Aetna Healthfund Aetna Health Network Option (Open Access)
- Aetna Open Access Elect Choice EPO (Aetna Healthfund)
- Aetna Open Access Managed Choice POS (Aetna Healthfund)
- Open Access Aetna Select (Aetna Healthfund)
- Open Choice PPO (Aetna Healthfund)
AETNA STATE BASED PLANS
- (TX) El Paso – Option One EPO
- (TX) El Paso – Option One MC
- (TX) Medical Neighborhood – Dallas Aetna Select
- (TX) Medical Neighborhood – Dallas Choice POS II
- (TX) Medical Neighborhood – Houston Aetna Select
- (TX) Medical Neighborhood – Houston Choice POS II
- (TX) PCP Referral Plan
AETNA PREMIER CARE NETWORK – 2022 PLAN PROVIDERS
- Aetna Premier Care Network (APCN) – Choice POS II/Open Access
- Aetna Premier Care Network (APCN) – Open Access Aetna Select
- Aetna Premier Care Network (APCN) – Choice POS II/Open Access Managed Choice
- Aetna Premier Care Network (APCN) – Open Access Aetna Select
- Aetna Premier Care Network (APCN Plus) Multi-Tier – Open Access Aetna
- Select Aetna Premier Care Network (APCN Plus) Multi-Tier – Choice POS II
AETNA 2022 SMALL GROUP UNDER 51 EMPLOYEES
- Texas Elect Choice Open Access (OAEPO)
- Texas HMO
AETNA WITH INNOVATION HEALTH
- Aetna with Innovation Health Aetna Select
- Aetna with Innovation POS
- Aetna with Innovation PPO
AETNA NATIONAL ADVANTAGE PROGRAM (NAP)
- National Advantage Program
AETNA BETTER HEALTH
- Texas Star Medicaid
- Texas CHIP Medicaid
ALLEGIANCE BY CIGNA
AMBETTER
- Essential Balanced 2022
**AMBETTER Plans we do not accept** - AMBETTER Value 2022
AMERIGROUP
- Texas Star Medicaid
- Texas CHIP Medicaid
BLUE CROSS BLUE SHIELD EMPLOYER-OFFERED PLANS
- Anthem HealthSync
- Blue Access Choice
- Blue Advantage HMO [BAV]
- Blue Alternative
- Blue Choice PPO [BCA]
- Blue Connect
- Blue Essentials [HMO]
- Blue Open Access POS
- Blue Preferred (Oklahoma)
- Blue Preferred POS (Missouri)
- Blue Preferred POS (Wisconsin)
- Blue Priority NY
- Blue Priority WI
- Blue Value
- BlueChoice Advantage Open Access
- BlueChoice Open Access POS
- Blueprint Health
- CO Pathway
- Community Blue
- Empire POS
- High Value Network
- Horizon Manage Care Network
- Network Blue
- Network S
- ParPlan [PAR]
- Preferred Care Blue
- Premier Select BlueChoice
- Select PPO
BLUE CROSS BLUE SHIELD INDIVIDUAL PLANS
- Blue Advantage HMO [BAV] (Bronze, Silver, Gold, Security)
- Blue Advantage Plus [BAV] (Plus Bronze, Plus Silver, Plus Gold)
- ***BLUE CROSS BLUE SHIELD PLANS WE DO NOT TAKE***
- ALL MEDICARE ADVANTAGE PLANS
- Blue High Performance Network
- Blue Premier Access [HMH]
- Blue Premier [HMH]
- MyBlue Health [BFT] (Bronze, Silver, Gold)
CIGNA HMO PLANS
- CIGNA Healthcare of North Texas HMO-HMO POS Seamless
- CIGNA Healthcare of North Texas NET-NET POS Seamless
- CIGNA Healthcare of Texas, Inc – North Texas
CIGNA LOCALPLUS, LOCALPLUS IN PLAN
- LocalPlus
CIGNA OAP, OAP IN-NETWORK PLANS
- Open Access Plus WITH CareLink
- Open Access Plus
Cigna PPO
- PPO
COOK CHILDRENS
- Texas Star Medicaid
- Texas CHIP Medicaid
FIRSTCARE HEALTH PLANS
- BSW Plus HMO
- BSW Plus PPO
- BSW Preferred HMO Network - Group
GALAXY HEALTH NETWORK
HEALTHGRAM BY CIGNA
HEALTHSCOPE
- Dart ACO
- Dart ACO Flex
HEALTHSMART
- Healthsmart PPO
- Healthsmart Preferred Care EPO
- Healthsmart Preferred Care GEPO
HUMANA
- Choice Care Network PPO
- Humana Preferred PPO
- Humana/Choice Care+ Network PPO
- National POS – Open Access
- Oscar+ Humana National Network
- Choice POS
- Humana/Choice Care Network PPO
- National POS – Open Access Plus
MERITAIN BY AETNA
MOLINA
- Molina Marketplace
- Texas Star Medicaid
- Texas Star Plus Medicaid
- Texas CHIP Medicaid
MULTIPLAN / PHCS
PARKLAND
- Texas Star Medicaid
- Texas CHIP Medicaid
SCOTT & WHITE
- BSW Access PPO
- BSW Extended PPO
- BSW Plus HMO
- BSW Plus PPO
- BSW Preferred EPO Network
- BSW Preferred HMO – Individual Marketplace
- BSW Preferred HMO Network – Group
- BSW Preferred PPO Network
- BSW Employee Network – PPO & HAS
- BSW Employee Network – SEQA & EQA
- Covenant Preferred PPO
- EPO Network – Group
- EPO Network – Individual/Family
- ERS BSW Preferred HMO Network
- HMO Network – Group
- HMO Network – Individual/Family
- PPO Choice Network
- PPO Network Group
- DFW Connected Care
SUPERIOR HEALTH PLAN
- Texas Star Medicaid
- Texas CHIP Medicaid
- Texas Star Plus
TRICARE
- **NON PARTICIPATING CERTIFIED**
UNITED HEALTHCARE-UMR-ALL SAVERS
- Choice
- Choice Plus
- Navigate
- CORE Essentials EPO
- CORE Essential
***WE DO NOT ACCEPT UHC CHARTER NETWORK***
Indemnity Insurance
All deductibles and charges are the responsibility of the patient and parent for insurance plans that are 80/20 or 70/30 type plan. We will be happy to give you an itemized statement for you to file your child’s insurance claims. We encourage you to ask our office manager for any fee information you may need.
HMO/PPO/POS/EPO Insurances
Please get to know you child’s insurance plan, its benefits and non-covered items. Be aware of whether you have satisfied your yearly deductible for each child, if you have a deductible. Be prepared to pay your co-pay or co-insurance amount at the tine of service.
Please be aware that we do not file secondary insurance claims. We will be happy to provide you with an itemized statement for you to deal directly with your secondary insurance company.
Divorced / Separated Families
We know that coping with a divorce or separation can be difficult. However, we sincerely ask not to be a party to custody proceedings or billing disagreements. Therefore, the parent or guardian who brings the child to the office will be documented in the chart, and that parent or guardian will be responsible for the co-pay and any balance the day of the visit. We do provide records notarized copies of records for your custody proceedings at a cost of $30 per copy
Charity Health Care
Coppell pediatrics provides quality health care to a variety of patients. If your child is not covered by a Health Insurance Plan or Health Savings Plan, and you are unable to pay in full at the time of service, please notify the Office Manager or Billing Coordinator in advance of your visit.
Charity care billing does not include those who have chosen an Insurance Plan that does not cover specific services, such as well child exams, etc. Your choice of Health Insurance Plan determines your specific benefit coverage and your co-pay, co-insurance or deductible which is your responsibility to pay at the time of service.
We do require a signed statement regarding your financial inability to pay, and we do provide a discount to indigent patients whose parent or guardian is currently unemployed or disabled. We will establish a payment plan. However, payments not made within 45 days of each payment due, based on the signed payment plan, will be turned over to collections and to consumer credit reporting agencies.