Managed Care Organizations
Please Note: This is a general overview and may be subject to change.
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 |
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CareWorks – fka RockPort | NWI, WC | |||||
ChoiceCare – Humana | PPO | MA-HMO
MA-PFFS MA-PPO |
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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 |
Legend |
CHIP = Children’s Health Insurance Plan
DUAL = Star Plus (Medicare/Medicare) EPO/EPN = Exclusive Provider Organization HMO = Health Maintenance Organization HP = Health Payors KIDS = Star Kids Product MA = Medicare Advantage MSC = Medical Savings Card (Discount Card) NWI = Nonsubscriber Work Injury SNP = Special Needs Program WC = Workers Comp |