Managed Care Organizations

Managed Care Organizations

Managed Care Organization	Commercial HMO	Commercial PPO	Work Comp	Medicare	Medicaid
Aetna Healthcare	HMO	PPO THR EPO		MA-HMO MA-PPO	CHIP, KIDS, STAR
AmeriGroup				MA-HMO,MA-SNP	CHIP, DUAL, KIDS, STAR, STAR+PLUS
BlueCross & BlueShield of Texas	HMO, HME	BAV, PPO, POS		MA-PPO	CHIP, KIDS, STAR, STAR PLUS
Care N Care				MA-HMO MA-PPO
CareWorks – fka RockPort			NWI, WC
ChoiceCare – Humana		PPO		MA-HMO MA-PFFS MA-PPO
CIGNA HealthCare of Texas	HMO, POS	CHOICE FUND, OA PLUS, PPO,		MA-HMO MA-PPO	STAR PLUS
Cook Children’s Health Plan					CHIP, KIDS, STAR
CorVel Healthcare, Inc.			AUTO, NWI, WC
First Health		PPO
Friday Health Plans		PPO
Galaxy Health Network		MSC, PPO	NWI
GlobalHealth Texas Lonestar				HMO, HMO C-SNP, HMO D-SNP, HMO-POS
HealthCare Highways		PPO
HealthSmart Preferred Care, Inc.		ACCEL, GEPO, HP, PPO	WC
Imagine Health		EPN
Imperial insurance Co, of TX				MA
Independent Medical Systems		PPO
LoneStar Athletic Injury Network		PPO
Molina Healthcare of Texas		EXCHANGE		MA	CHIP, DUAL, STAR, STAR PLUS
MultiPlan		PPO		Med Adv Wrap Supplamental
National Preferred Provider Network (NPPN)		PPO
Nexcaliber		PPO
Oscar Insurance Co. of TX		EPO
PHCS (MultiPlan)		PPO
Prime Health Services, Inc.		GH	AUTO, IME, WC
Provider Select		PPO
Scott & White HealthPlan	HMO	PPO		MA-HMO MA-PPO
Superior HealthPlan		AMBETTER			CHIP, DUAL, FC STAR, STAR PLUS
Texas Healthcare Foundation			NWI, WC
The Reny Company			WC
Three Rivers Provider Network		PPO	WC
TRICARE (Humana Military Healthcare Services)	HMO	PPO
United Healthcare *NOTE: Contracting is completed directly – we handle the credentialing only. Visit UHCprovider.com for more details		HMO	EPO, OA, POS, PPO	MA HMO MA PPO MA SNP	CHIP, DUAL, SNP, KIDS, STAR, STAR PLUS
USA Managed Care Organization		PPO	WC
WellCare of Texas, Inc.				MA-HMO