Insurance & Billing

Insurance & Referral Information

A searchable directory of insurance plans we participate with, along with referral guidance.

Important Insurance Notice

Insurance participation may vary by plan, employer group, network, referral requirements, and procedure location. This directory is provided for general guidance only and does not guarantee coverage or payment. Patients are encouraged to contact their insurance company to confirm benefits, network status, referral requirements, copays, deductibles, coinsurance, and prior authorization requirements before their visit.

Insurance Directory

Use the search bar to find your plan, or filter by network status. Each plan is labeled with its current network status with our practice.

Showing 127 of 127 plans

AARP
In-Network
Administrative Concepts
In-Network
Aetna / US Healthcare
In-Network
Aetna Senior Supplemental Insurance
In-Network
Allegiance Benefit Plan Management
In-Network
Allied Benefit Systems
In-Network
Allied National
In-Network
Ambetter (all plans)
Out-of-Network
American Health Advantage of Texas
In-Network
American Insurance Admin
In-Network
American Postal Workers Union
In-Network
Amerigroup
Out-of-Network
AXA Assistance
Out-of-Network
Bankers Fidelity Life Ins Co
In-Network
Bankers Life & Casualty
Out-of-Network
BCBS-TX
In-Network
Benefit Admin. Services
In-Network
Benefit Health Plan
In-Network
Blue Cross Medicare Advantage
In-Network
Boon Administrative Services
In-Network
Boon Chapman Benefit Admin
In-Network
Caprock Health Plan
In-Network
Care N Care
In-Network
Centene plans (all)
Out-of-Network
Centivo
In-Network
Central United Life
Out-of-Network
Chaffey Medical Group
In-Network
Champva
Out-of-Network
Cigna
In-Network
Cigna - LocalPlus
In-Network
Cigna Supplemental Insurance
In-Network
Cigna-Healthspring
Out-of-Network
Co-ordinated Benefit Plans
In-Network
Colonial Penn Life Insurance Company
In-Network
Community Health Direct
In-Network
Consociate Group
In-Network
Cook Childrens Health Plan
Out-of-Network
Curative
Curative cash card only
In-Network
EMI Health Smart Benefits
In-Network
Employee Benefit Management Services
Out-of-Network
Evry Health
In-Network
First Health Network
In-Network
FirstCare
In-Network
Freedom Life Ins Co of America
In-Network
Friday Health Plans
In-Network
Galaxy Health Network
In-Network
Global Health
In-Network
Gravie Administrative Services
In-Network
Group & Pension Administrators
In-Network
Group Resources Inc.
Out-of-Network
Health Comp
In-Network
Health Cost Solutions
In-Network
Health Plan INC.
In-Network
Healthcare Highways
In-Network
Healthcare Highways Health Plan
In-Network
HealthChoice Oklahoma
Out-of-Network
Healthfirst NY/NJ
In-Network
Healthgram
In-Network
HealthPartners
In-Network
Healthscope Benefits Inc
In-Network
Healthsmart Preferred
Out-of-Network
HealthSmart Solutions
Out-of-Network
HFN
In-Network
Hooray Health Insurance
In-Network
Humana
In-Network
Illinicare
Out-of-Network
Imperial Health Plan (all plans)
Out-of-Network
Independent Health Assoc-NY
In-Network
IntegraNet Health
In-Network
International Benefits Admin
In-Network
Kaiser Permanente of Northern California
Out-of-Network
Key Benefit Administrators
Out-of-Network
Manhattan Life Insurance
In-Network
Medcost
Out-of-Network
Medica Health Plans
In-Network
Medicaid plans (all)
Out-of-Network
Medicare
Original Medicare Part B accepted; Medicare Part A is out-of-network
In-Network
Medicare Part A
Out-of-Network
Merchants Benefit Administrators
In-Network
Meritain Health
In-Network
Molina Healthcare
Out-of-Network
Mutual of Omaha
Out-of-Network
Nippon Life Ins Co of America
In-Network
North America Administrators, L.P.
In-Network
Optum Care Network
In-Network
Oscar Health
In-Network
Oxford
In-Network
Pan American Life Insurance
In-Network
Parkland Community Health Plan
Out-of-Network
PHCS PPO
Out-of-Network
Planned Administrators Inc
Out-of-Network
Prospect Medical Systems
In-Network
Providence Health Plan
In-Network
Railroad Medicare-Palmetto
In-Network
S&S Healthcare Strategies
In-Network
Sana Benefits
In-Network
SISCO
In-Network
Southern Guaranty Insurance Co
In-Network
STAR+PLUS Medicaid plans
Out-of-Network
State Farm Insurance
Out-of-Network
Sunflower Health Plan
Out-of-Network
Superior Health Plan - TX
Out-of-Network
Surest
In-Network
The Health Plan
In-Network
Tricare East
In-Network
Tricare For Life
In-Network
Tricare West
In-Network
Trustmark Health Benefits
Out-of-Network
UHC Exchange
Out-of-Network
Unified Life Insurance Company
In-Network
Unite Health Share Ministries
In-Network
United American Ins
Out-of-Network
United Healthcare
In-Network
United Healthcare - The Empire Plan
Out-of-Network
United Healthcare Community Plan
Out-of-Network
United Healthcare Life Ins Co
In-Network
United Healthcare Student Resources
In-Network
United Healthcare West
In-Network
United Medical Resources
In-Network
USAA Life Insurance Company
In-Network
Value Insurance
Out-of-Network
Veterans Affairs - Triwest
In-Network
Web TPA
In-Network
Wellcare
Referral required
In-Network
Wellcare - Medicaid
Out-of-Network
WellMed
In-Network
Wellpoint
Out-of-Network

About Referrals

Some insurance plans, particularly HMO plans, require a referral from your primary care physician (PCP) before you can be seen by a specialist. Without a valid referral on file at the time of your visit, your insurance may not cover the appointment and you could be responsible for the full cost.

HMO plans: Typically require a referral from your primary care physician before specialist visits.
PPO plans: Usually do not require a referral but may have different in-network and out-of-network coverage levels.
Medicare Advantage plans: Referral requirements vary. Check with your plan.
Medicaid plans: Summit Gastroenterology does not currently participate with any Medicaid plans. Patients with Medicaid coverage may need to seek care from an in-network provider or arrange to pay out-of-pocket.

Referral Reminder

Some insurance plans require a referral or authorization before your visit. If your plan requires a referral, please make sure it is sent to our office before your appointment. Patients are encouraged to contact their insurance carrier or primary care provider to confirm referral requirements. Our office cannot guarantee approval of any referral.

Not sure if you need a referral?

Call the member services number on the back of your insurance card, or call our office at (682) 400-2153 and our team will be happy to help you determine what your plan requires.

Don't See Your Insurance Listed?

The directory includes the insurance plans most commonly seen at our practice, but it may not include every plan. If your insurance carrier is not listed, or you're unsure whether your specific plan is accepted, please call our office and we will help confirm your coverage.

We Recommend Verifying With Your Insurance

For any further questions, clarification, or verification regarding your insurance, including whether your specific plan is currently in-network or out-of-network with Summit Gastroenterology, we strongly recommend contacting your insurance carrier directly. The member services number on the back of your insurance card is the most reliable source of up-to-date coverage information for your plan.

Why we recommend this

Insurance networks, plan structures, and product lines change frequently. Even within a single carrier, coverage can vary by plan type, group number, or employer. Verifying directly with your insurance ensures the most accurate, plan-specific answer for your situation, and helps avoid unexpected costs.

Patient financial responsibility

Patients are responsible for any copays, coinsurance, deductibles, or out-of-pocket amounts required by their insurance plan, as well as any services not covered by their plan. Please bring your insurance card and a photo ID to every visit.

Questions About Your Preparation?

If anything on this page is unclear or if you have questions specific to your situation, please call our office. We're happy to help.

Call Our Office Back to Patient Resources

Ready to Schedule?

Call our office during business hours and our team will help you schedule your visit.

Call Our Office View Locations