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Insurance Plans
Insurance Plans
If you are enrolled in a managed care plan (HMO, PPO or POS), your treatment at United Memorial Medical Center (UMMC) may be covered by insurance. Before scheduling an initial appointment, please call your health plan/insurance company and ask if you have access to health care services at UMMC. We encourage you to refer to Questions to Ask Your Insurance Company when speaking to your insurance provider. If UMMC is not a participating provider, you may still be able to receive treatment here. Contact your insurance company and ask about obtaining authorization. It is important to note that some benefit plans utilize what are referred to as "narrow" or "limited" networks; that is, they further narrow or limit the choices of doctors and hospitals that their customers can use. Often, these networks exclude UMMC. Additionally, some plans, such as HMO’s, have primary care physician referral and/or other authorization guidelines. Your UMMC patient access specialist will help you obtain the full benefit from your insurance plan by:
- Answering your questions about insurance verification and/or prepayment requirement
- Responding to insurer requests for additional medical information.
DISCLAIMER
UMMC's participation with any product or insurance plan is subject to change without notice. Additionally, insurance companies offer a variety of plans and may change the names and benefits at any point. A patient’s level of coverage depends on the specific benefits outlined in their plan. To ensure that UMMC and its physicians are in-network, it is the patient's responsibility to verify that UMMC is a participating provider and their benefit plan allows them access as of the day of a visit and/or admission. Please contact your insurance plan to obtain this information.
| Contracted Insurance Name | Not Contracted Insurance Name |
| AARP Healthcare Option | Cigna Health Care (CIG00) (HMO/PPO/OPENACESS/LOCALPLUS) |
| Aetna Health Insurance (AET01) (PPO,HMO ) | Memorial Hermann Health Plan (MEM00) |
| Amerigroup (AME01) | Allied Benefits Systems, Inc (ALBE0) |
| Blue Cross Blue Shield (BLU01) | Railroad Medicare (RAI00) |
| Community Health Choice (COM00) Market place | Procare |
| Community Health Choice (COM00) | Aetna ( EPO ) |
| Humana (HUM00) | Ambetter |
| Medicaid of Texas (MCD00) | Superior Insurance |
| Medicare (MED00) | BCBS ( Plan- My Blue ) |
| Molina (MOL00) | Tricare |
| Texan Plus (TXPL0) | |
| Texas Children Health | |
| United Healthcare (UHC00) | |
| UHC Community Plan (UHC01) | |
| UMR (UMR00) | |
| Wellcare (WEL00) | |
| Administrative Concepts, Inc. (ADM00) | |
| Care Improvement Plus (CAR00) | |
| Champva (CHPVA) | |
| Cornerstone Preferred resources (COR00) | |
| Wellmed |
Market Place (Affordable Care Act Information - ACA)
MD Anderson and our physicians are not included as a “Participating Provider” for any “Individual” insurance plans on or off the marketplace in Texas (i.e., ACA plans). Certain individual plans available outside of Texas may allow in network access to MD Anderson, but you must verify that information with the insurance plan. Plans that offer out-of-network benefits may be accepted at MD Anderson if they meet our requirements. If not, enrollees would be responsible for all charges (i.e., self-pay).
If you have additional insurance questions, please call 281-618-8705