Insurance Information

What to expect following your experience at Houston Methodist

Upon being admitted or receiving services, the patient or patient´s legal representative can accrue billing from the hospital, the patient´s physicians, and affiliated physician groups that may provide facility–based services to the patient. These affiliated groups of facility–based physicians include Houston Methodist Pathology Associates for lab services, Houston Radiology Associated for diagnostics (e.g., X–rays), Neptune Emergency Services for Emergency Department services, Mastos for Breast Center services, and Greater Houston Anesthesiology for anesthesiologists.

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Aetna
  • EPO - excludes individual plans purchased directly through Aetna or a broker.
  • HMO
  • Indemnity
  • Medicare HMO & PPO
  • POS
  • PPO
  • Transplant Network
  • Walmart SmartCare
  • Worker's Comp

AG Administrators
  • Student Athletics

Beech Street
  • PPO
  • Workers’ Comp

Blue Bell Creameries
  • Employer Direct PPO

Blue Cross and Blue Shield of Texas
  • Blue Essentials (Formerly HMO Blue)
  • Medicare Advantage HMO & PPO
  • POS
  • PPO
  • Traditional

Blue Cross Blue Shield Distinction Centers
  • Bariatric Surgery
  • Maternity Care

Cigna
  • Connect
  • HMO/POS
  • LocalPlus/Vantage
  • PPO
    • Open Access

Cigna HealthSpring
  • Medicare Advantage

Community Health Choice
  • CHIP
  • CHIP Perinate
  • KelseyCare Powered by Community Health Choice Employees Retirement System of Texas (ERS)
  • Kelsey Seybold Clinic Marketplace
  • Medicaid Star

Congregation of the Sisters of Charity of the Incarnate Word
  • PPO

HAA Preferred Partners AXA Assistance USA (Access Assistance USA)
  • International PPO

HealthSmart Preferred Care
  • Accel
  • Healthsmart Payors Organization
  • PPO

Humana
  • ChoiceCare PPO
  • EPO
  • HMO
  • HMO Premier
  • Medicare Advantage Plans
    • ERS Medicare Advantage PPO plan
    • HumanaChoice - Medicare Advantage PPO plan
    • Humana Gold Choice - Medicare Advantage Private Fee-for-Service (PFFS) plan
    • Human Gold Plus - Medicare Advantage HMO & Special Needs Plan
    • Humana Kidney Care
    • TRS - Care Medicare Advantage PPO plan
  • Military (TRICARE South Region Military Health Plan)
  • POS - including Choice POS, National POS Open Access/Plus and Preferred POS Open Access.
  • PPO

InterContinental Corporation
  • International PPO

KelseyCare (administered by Boon-Chapman)
  • KelseyCare Network Plan
  • KelseyCare POS Plan

KelseyCare Powered by Community Health Choice
  • Employees Retirement System of Texas (ERS)

Molina Healthcare
  • CHIP
  • CHIP Perinate
  • Dual Options STAR+PLUS MMP
  • Medicare Options
  • Medicaid Star
  • Medicaid StarPlus

National Health Care Solutions
  • International

OccuNet
  • Provider Alliance Agreements

Rice University Student Athletics
  • Student Athletics

Student Assurance Services/The Brokerage Store
  • Cypress Fairbanks ISD
  • Lee College
  • Student Athletics
  • Texas U&C, Value, Houstonian Plan

Texas Annual Conference of the United Methodist Church
  • PPO

Texas Children's Health Plans
  • CHIP
  • HMO
  • Medicaid Star
  • Star Kids

Texas Kids First
  • Student Athletics

Texas Monarch/Preferred Care/AXIS Global
  • Premier Plus
  • Student Athletics
  • Texas Custom U&C

The Reny Company
  • Workers’ Comp

United Healthcare
  • HMO, POS, EPO and PPO Plans
    • Charter
    • Choice
    • Core
    • HealthSelect (ERS)
    • Navigate
    • NexusACO - tier 2 only
    • Options PPO
    • Select
  • Indemnity
  • Medicare Advantage HMO and PPO plans
    • AARP Medicare Complete
    • Care Improvement Plus
    • Erickson Advantage
    • UnitedHealthcare Chronic Complete
    • UnitedHealthcare Connected (Medicare-Medicaid Plan)
    • UnitedHealthcare Dual Complete
    • UnitedHealthcare Group Medicare Advantage PPO
    • United Healthcare Medicare Complete
    • United Healthcare Nursing Home Plan