Insurance Accepted by Baylor Medicine
Baylor Medicine contracts with many managed care plans. For questions about the specific procedures your plan covers, please contact your healthcare plan/insurance company directly.
This list was last updated Sept. 12, 2023.
Effective Jan. 1, 2022, the No Surprise Act addresses billing for emergency and post-stabilization services furnished by out-of-network providers, facilities, and non-emergency services furnished by out-of-network providers to patients at in-network facilities.
| Insurance | Product Type |
|---|---|
| HMO, EPO, POS, PPO, Medicare Advantage HMO and PPO | |
| HMO (Note: Specialists only, Primary Care not included) | |
| Medicare Advantage HMO and PPO | |
| PPO | |
| PPO | |
| HMO, EPO, POS, PPO, Medicare Advantage HMO and PPO | |
| Blue Advantage HMO and My Blue Health HMO | |
| Indemnity | |
| Choice Fund, HMO and Network, Indemnity, Local Plus (Specialists only), Open Access Plus, Point of Service (POS), Preferred Provider Organization (PPO), GWH-Cigna | |
| Medicare Advantage (Note: Specialists only, Primary Care not included) | |
| Transplant Care | |
| HMO, EPO, POS, PPO | |
| Premier Plans Select Plans (Will be out of network as of Jan. 1, 2024) | |
| Medicare Advantage HMO | |
| PPO | |
| Vision Care | |
| PPO | |
| PPO | |
| PPO | |
| PPO | |
| Transplant Care | |
| Kelsey-Seybold | Commercial, KelseyCare Advantage, Well-Care Texan Plus (Note: By Authorized referral only) |
| Transplant Care | |
| Traditional Medicaid | |
| Traditional Medicare | |
| PPO | |
| OptumHealth (formerly URN) | Transplant Care |
| PPO | |
| Provider Select | PPO |
| CHIP, CHIP Perinatal, Medicare Advantage, STAR Health (Foster Care), STAR Medicaid, STAR Kids Medicaid | |
Ambetter Core Gold and Silver (Complete, Clear, Focused, Everyday, Standard) Ambetter Value Gold and Silver (Complete, Clear, Focused, Everyday Standard) Non-contracted with Virtual plans. | |
| CHIP, CHIP Perinatal, STAR Medicaid, STAR Kids Medicaid | |
| TriWest Health Alliance | Clinical Care Network |
| Behavioral Health | |
| HMO, EPO, POS, PPO, CHIP, CHIP Perinatal, Medicare Advantage, Medicare-Medicaid Plan (MMP), STAR Medicaid, STAR+PLUS Medicaid, STAR Kids Medicaid | |
| HMO | |
| HMO, EPO, POS, PPO |
Contact Information and Hours
Insurance Verification Hotline
(713) 798-9001
Hours:
Monday-Friday
8 a.m. – 5 p.m.
