INSURANCES
Patient Financial Responsibility Statement
All patients are responsible for payment of office services at the time of service, including copayments, deductibles and any charges not covered by insurance. Please note the following points:
1. Patients are personally responsible for insurance deductibles, non-covered services, and any outstanding balances determined by your insurance provider after your claim has been submitted and reviewed.
2. We will submit claims to your insurance as a courtesy; however, any portion of the bill not paid by your insurance remains your responsibility.
3. Prompt payment of balances is appreciated to avoid disruption of care.

Ambetter by Superior HealthPlan

BCBSTX Blue Advantage HMO

BCBSTX MyBlue Health

Aetna Commercial

Cigna

Coventry/First Health

Fort Worth Firefighters/6 Degress

HealthSmart

Humana Commercial

Private Healthcare Systems/Multiplan

QuikTrip

United Healthcare Commercial

USA MCO PPO

Cigna Medicare

Humana Medicare

Molina Healthcare

Superior HealthPlan

United Healthcare

WellCare of Texas

Wellpoint (Formerly Amerigroup)

Superior HealthPlan

Humana

Medicare
Insurance Participation Notice
Please be advised that our participation in insurance plans may change at any time with or without notice.
To avoid any unexpected charges, we strongly recommend that you contact our office prior to your visit to confirm whether we currently accept your insurance plan.
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