Insurance Info

Commercial/Group

• Choice POS II, Open Access Elect Choice, Open Access Managed Choice, Select SM,
• Aetna Signature Administrators, Elect Choice, Health Network Only, Health Network
• Option, HMO, Managed Choice, Open Access Select, Open Choice PPO, QPOS

Managed Medicaid

• CHIP & STAR Medicaid Replacement (inpatient services and outpatient tubal ligations
• only)

Managed Medicare

• Medicare Advantage Plans

Commercial/Group

• Aetna Whole Health/BSWQA^: Options A, B and C

Commercial/Group

• Blue Choice PPO
• (includes HealthSelect Out of State)
• Blue Essentials and Blue Essentials Access HMO
• (includes HealthSelect and Consumer Directed HealthSelect)
• Blue Premier and Blue Premier Open Access HMO
• ParPlan, Traditional, Indemnity

Health Insurance Marketplace (sold on healthcare.gov and off‐Exchange)

• Blue Advantage HMO Managed Medicare
• Medicare Advantage ‐ Oncor and EFH Retirees Only

Commercial/Group

• Children's Medical Center Employee Plan | City of Dallas Employee Plan
• Cigna Choice Fund, EPO, HMO, HMO Open Acces, HMO/POS, LocalPlus, LocalPlusIN,
• Network, Network Open Access, Network POS, Open Access Plus, POS, POS Open
• Access, PPO

• Commercial/Group DART Employee Benefit Plan

• Commercial/GroupFirstCareSelectHMO|FirstCareSelectPlusHMO|FirstCareAccessPPO|FirstCareSelectPlusPPO

• (sold on healthcare.gov, and off‐Exchange)

• Commercial/Group
• HealthSmart Clients must be included on a monthly in‐network list provided by HealthSmart in order to have in network access to BSWH facilities and providers.

• ChoiceCare, Humana Preferred, National POS, Commercial PPO Plans
• Managed Medicare
• Medicare Advantage Plans (excludes Southwestern Health Resources Network and WellMed Network)

• Imagine Health Clients must be included on a monthly in‐network list provided by Imagine Health in order to have in‐network access to BSWH facilities and providers

• Health Insurance Marketplace (sold on healthcare.gov and off‐Exchange)
• Classic: Bronze, Silver, Gold | Simple: Secure, Bronze, Silver | Saver: Bronze, Silver

• CHIP & HealthFirst Medicaid Replacement

• PHCS Clients must be included on a monthly innetwork list provided by PHCS in order to have innetwork access to BSWH facilities and providers

• Commercial/Group

• HMO, Insurance Company of Scott & White (ICSW) PPO
• SWHP BSW Preferred HMO/POS, SWHP BSW Preferred HMO, SWHP BSW Preferred Plus HMO, ICSW BSW Preferred PPO
• Individual and Family Insurance (sold off‐Exchange only)
• Bronze HMO | Bronze EPO | Short‐Term Medical
• Managed Medicare
• Medicare Advantage ‐ SeniorCare Advantage HMO/PPO

(sold on healthcare.gov and off‐Exchange)

• Ambetter from Superior Health Plan Essential Care – Bronze | Balance Care – Silver | Secure Care ‐ Gold
• Managed Medicaid
• STAR+PLUS
• Managed Medicare
• Medicare/Medicaid Dual Needs Plan: Advantage HMO SNP
• Medicare/Medicaid Plan

• Comp/VA/Other Government
• VA PCCC Program (by Referral Only)
• Veterans only, no dependents or beneficiaries

• Commercial/Group
• Charter HMO/EPO/POS, Choice HMO/+HMO/EPO/Plus POS, Core HMO/EPO/Choice Plus POS, Navigate HMO/HMO+/EPO/POS, PPO/Options PPO, Select HMO/ Select +/ EPO/ Plus POS, UHC West Signature Value Gated HMO
• NexusACO R, Nexus ACO
• Managed Medicare
• Medicare Advantage Plans ‐ AARP Medicare Complete, UnitedHealthcare Dual Complete, UnitedHealthcare Medicare Complete, UnitedHealthcare Medicare Gold/Silver, Group Medicare Advantage (excludes Southwestern Health Resources Network)

Commercial/Group

• Employee Benefit Plan