Over the years, I have taken great pains to be as inclusive as possible. I am a preferred provider in nearly every provider network in the state of Texas, and it’s very likely that I am in the provider network for your insurance plan. That means that no matter where you go, you won’t get terms that are any better!
Insurance Plans/Networks with with ASAP ConciergeCare
If you have any non-HMO plan, I do not need your information in advance and can see you same-day. Remember that you will be responsible for payment after verification (by your second visit) if you are starting with ASAP ConciergeCare. I’m in network with Cigna (all plans except HealthSpring), Blue Cross Blue Shield, United, Humana, Medicare, Medicaid, and Tricare, AMBetter, and many other insurance plans. I am a member of all of the “Marketplace” plans as well.
Insurance Plans/Networks That May Require Pre-Authorization
Pre-Authorization means that I may need to conduct a visit for Evaluation only, then submit that plan of care to your insurer in order to determine to what extent your therapy will be covered. That determination ordinarily occurs within 2-5 business days, and is completely dependant upon your insurance plan.
Health Maintenance Organization (HMO) Plans
These often require that a referral be sent to your insurance company and logged before you can see a physical therapist. If your plan has “HMO” anywhere on the card, or you are aware that your plan is an HMO plan, we will need to obtain your information in advance.
Commercial Children’s Health Plans (CHP) or Medicaid Plans: Cook Children’s, Amerigroup
Some of these plans permit the patient to come directly to therapy with a physical therapy prescription and be evaluated, then authorize care based on that evaluation. Others require the primary pediatrician’s pre-authorization before any visit.
School Athletic or Activity Insurance
This is insurance that covers students in case of injury on school grounds or during school activities. Some of these plans are considered primary to any health insurance plan, while others are not, depending on the type of health insurance plan and type of school insurance.
AARP Medicare Complete by United Healthcare or Secure Horizons
This card could represent coverage by any number of insurance companies, and each plan under this program has different details and procedures. We will need to contact the insurance plan directly to determine benefits and coverage policies.
Department of Veterans Affairs through Tri-West Healthcare Alliance
If you already have authorization to see a civilian provider outside of the VA, you can contact the VA or contact us to get your authorization changed to our facility.
Workers’ Compensation Plans
Virtually all Workers’ Compensation Plans require pre-authorization of therapy visits. “Subscriber” plans are those offered through a workers’ compensation health care network (HCN) giving you a choice of network providers. These allow you to attend your first appointment for evaluation, then a plan of care is submitted for the rest of your care, within state guidelines. “Non-Subscriber” plans are offered directly through the employer, although they may be administered by a 3rd party. You may be able to transfer your therapy to our clinic, so call us to find out!
Other Insurance Plans and Networks
Many insurance networks – especially out-of-state networks – rely on partner insurance networks, which may or may not be well known. If you are a patient, or you are wanting to refer a patient to me with a plan that is not mentioned on this page, either leave a voicemail, text, or fax with that information. Refer to this page for details.