Insurance

There are hundreds of products and plans with similar names and similar member ID cards. Prior to scheduling an appointment we recommend that you always verify that the GROUP we are credentialed with is in network with your plan NOT THE PROVIDER. Please be advised that we are not credentialed with and cannot file claims for Medicare, Medicaid or any related products.
 
When you call to verify participation call the number on the member ID card and always provide the following GROUP INFORMATION:

UNIFIED WOMENS HEALTHCARE OF TEXAS
TAX ID#: 611744250
Group NPI: 1952703373

All new patients with insurance as well as established patients who have one of the AETNA plan types below must verify network participation before scheduling.

  • Aetna TRS
  • Aetna Member ID cards with employer names/logos
  • Aetna Member ID cards with “EPO”

bluecross

Accepting

  • PPO
  • FEDERAL
  • BLUE ADVANTAGE HMO
  • BLUE ESSENTIALS
  • HEALTH SELECT
  • BLUE CHOICE
  • BLUE EDGE
  • BLUE PREMIER

Not Accepting

  • PREMIER 101 ID BEGINS WITH VAL
  • TENET
  • INDEMNITY PLANS
  • ANY EXCHANGE OR MARKET PLACE

humana

Accepting

  • HUMANA ONE CHOICE
  • HUMANA NATIONAL CHOICE CARE
  • HUMANA CCO
  • HUMANA NATIONAL OPEN ACCESS
  • COMMERCIAL PPO

cigna

Accepting

  • OPEN ACCESS, OPEN ACCESS PLUS, OPEN ACCESS HMO AND PPO
  • PPO
  • HMO
  • POS

Not Accepting

  • ANY EXCHANGE OR MARKET PLACE
  • FOCUS
  • LOCAL PLUS
  • OPEN ACCESS VALUE
  • EPOS
  • SAVER PLANS

IF MULTIPLAN IS ON THE CARD WE CANNOT TAKE UNLESS THE PATIENT IS SEEKING CARE OUT OF THEIR HOME AREA/NETWORK


united

Accepting

  • All Savers
  • Golden Rule
  • Oxford
  • UnitedHealth One
  • Choice/Choice Plus
  • Select/Select Plus
  • Options PPO
  • Indemnity

Not Accepting

    • Core/Core Essential
    • Navigate/Navigate Balanced/Navigate Plus
    • Charter/Charter Balanced/Charger Plus
    • Compass/Compass Balanced/Compass Plus
    • Nexus ACO (OA, OAP, R, and RP)
    • SAVER PLANS

THE FOLLOWING PLANS MUST BE CALLED TO VERIFY THAT UNIFIED WOMENS HEALTH CARE IS LEVEL TIER ONE OR THE PATIENT RESPONSIBILITY IS VERY HIGH IF A TIER ONE PROVIDER IS NOT SEEN:

  • Core/Core Essential
  • Navigate/Navigate Balanced/Navigate Plus
  • Charter/Charter Balanced/Charger Plus
  • Compass/Compass Balanced/Compass Plus
  • Nexus ACO (OA, OAP, R, and RP)

aetna

Accepting

  • HMO
  • PPO Choice II
  • POS Open Access
  • POS Open Access II
  • Open Access Elect Choice
  • Elect Choice
  • Managed Choice
  • Managed Choice Open Access
  • Managed Choice POS
  • Open Choice PPO
  • First Health HMO

Not Accepting

      • Aetna Whole Health/Baylor Scott & White Quality Alliance
      • Aetna Premier Care Network
      • Health Network Only
      • Memorial Hermann
      • Baptist Health
      • Seton Health Systems
      • EPOs
      • Exchange Products
      • Aetna Better Health (Medicaid Replacement)
      • Accenture LLP
      • ADP Total source Services
      • Aetna Employees
      • Aexcel Network
      • Anna Family Dental PLLC
      • Austin ISD
      • Boeing Company
      • Central Security Group
      • CVS Corporation
      • Eltr_BP (Bexar/Travis Counties)
      • Engage PEO
      • Exxon Mobile
      • Frankcrum
      • Jerry’s GM LLC
      • Killeen ISD
      • KPMG LLP

Mertain-

A Subsidary Of Aetna But Not Administered By Aetna

MUST CALL NUMBER ON BACK OF CARD TO VERIFY PARTICIPATION

Request Appointment
(972) 406-9911


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Frisco, TX

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