Balcones Dermatology Associates

Revised 6/13/2005

Please Note: If card lists a ""PCP"",
it usually means patient needs a referral.

Accountable Health Plan: All physicians participating
Aetna TRS: All physicians participating
Aetna PPO & HMO: All physicians participating
Aetna Plans that DO NOT require a referral:

Aetna HealthFund Plan

Aetna QPOS requires PCP selection but does not require a referral

Aetna Open Access - HMO Plan

Aetna Open Access - Elect Choice (EPO) Plan

Aetna Managed Choice POS Plan - Requires PCP but does not require a referral

Aetna USAccess

Aetna Choice POS and Aetna Choice POS II

Aetna Open access Managed Choice (POS) Plan

Aetna Open Choice (PPO) Plan

Aetna Traditional Choice Indemnity Plan

Aetna Plans that Require a Referral:

Aetna HMO - Requires Referral from PCP

Aetna Elect Choice (EPO) - Requires referral from PCP

Aetna Medicare: Not participating
Affiliated PPO: All physicians participating
AmCare: Not participating
AMIL: No Longer in Texas
ARIA/Mediview: ARIA Employees (Covenant) must have numeric referral
Assured: All physicians participating
Beechstreet: All physicians participating
Benefit Planners: All physicians participating
BlueChoice Solutions: Not Participating-Patient will be billed as out-of-network
BCBS: All physicians participating
Blue Choice: All physicians participating
BCBS Par Plan: All physicians participating
BCBS POS: All physicians participating - Requires referral
BCBS TRS: All physicians participating
Blue Cross PPO: All physicians participating
CCN: All physicians participating
Champus: See Humana Military
CHIPS: Panel closed to new patients
Cigna PPO & HMO: All physicians participating
Cigna EPO: All physicians participating
Cigna POS Open Access & Plus or POS-OA, EPO: All physicians participating
Cigna HMO,Cigna Flexcare/-HMO: All physicians participating - requires referral
Cigna POS: All physicians partiipating-"PCP" listed on card requires referral
Cigna Healthcare of TX, Cigna elect: All physicians participating-some require referrals
Cigna Indemnity: All physicians participating
COBRA: Physician must be paricipating. Benefits must be verified as current.
Covenant Mgt Sys: All physicias participating - Requires referral
Episcopal Church: Not participating
First Health: Not participating
Fortis PPO (PHCS),PHCS PPOOnly: Not PHCS Open Access or POS
Guardian: All physicians participating
GEHA: All physicians participating
Golden Rule: All physicians participating
Great West: Not participating
Health Select: All physicians prticipating-Requires Dr specific referral
HealthSelect Traditional: All physicians participating
HealthSmart PPO: All physicians participating
HMO Blue:

Dr. Bushore acceptng new patients - Requires Dr specific referral

Dr. Kaiser & Dr. Jackson are not participating

Dr. Farady not participating as of 10/01/2005

Humana Military HMO: Must hae Out-of-Network referral - physician specific
Humana Military PPO: Out-of-Ntwork. Patient will pay greater portion of cost share.
Humana Medicare Advantage: All physicians participating
Humana ChoiceCare: All physicians participating
Humana Emphesys: All physicians participating
Humana PPO, Humana ASO, umana Open Access: All physicians participating
Humana Freedom: All physicians participating
Humana HMO: All physicians participating
John Alden PPO (PHCS): All pysicians participating with PPO only-Not Open Access/POS
Mailhandlers: Not participating
Medcorp: All physicians participating
Medicaid: Panel closed to new patients
Doctors Jackson, Kaiser or Bushore not participating

Medicaid Star Plans: Not particpating - We are not contracted with Superior

Medicare: All physicians particiating-Check for participation with secondary insurance

Medicare-Humana Advantage: All physicians participating

Medicare-Railroad: All physicians participating

Medical Control: All physicians participating

Mega Life PPO: (Students have to pay in full)

National Healthcare Alliance: All physicians participating

NALC-National Association of Letter Carriers (First Health): - Not participating

NHIC (Medicaid): Dr. Jackson, R. Kaiser, and Dr. Bushore not participating Panel closed to new patients.

NHIC-(Superior): Not participating

One Health Plan: Not participating

PacifiCare HMO: All physicians participating

PHCS POS/Open Access: Not participating

PHCS-PPO: All physicians partcipating-Not Scott & White PHCS

Preferred Network PPO: All physicians participating

Pronet: All physicians participating

Railroad Medicare: All physicians participating

Scott & White Plan: Not Participating, not even if PHCS

SPHN: All physicians participating

Seton Health Plan(HMO: All physicians participating

SHP - Diocese: All physicians participating

Seton Chips: Panel closed to new patients

Sterling (Medicare): All physicians participating

Superior Medicaid: Not participating

TML PPO: All physicians participating

Tx True Choice PPO: All physicians participating

TriCare Standard, Prime or Exta: Is Now HUMANA MILITARY- See HUMANA MILITARY

TRS Care: All physicians participating

Unicare: Not Participating

United HealthCare: All physicians participating

USA Managed Care: All physicians participating

UT Select-BCBS: All physicians participating

UT-HMO Blue: See ""HMO Blue"

Zenith: All physicians participating