We Accept A Wide Range Of Insurance Plans.

DFW Primary Care PLLC accepts below insurances & most insurance plans, including Medicare, Medicaid as well as Superior & Molina. Before you make an appointment with DFW Primary Care PLLC, please check with your insurance carrier to ensure the physician you wish to see is in your network and covered by your plan. Patients are responsible for paying all out-of-network charges.

Cigna Healthcare

Find a Provider link Cigna Click Find a Doctor, Dentist, or Facility then choose how are your covered option then enter pincode 75038 and type doctor name Sumana ketha and continue as a guest

Insurance Plans Keywords / Notes
CIGNA HealthCare of North Texas HMO-HMO POS Seamless (Medicare)
CIGNA HealthCare of North Texas NET-NET POS Seamless (Medicare)
CIGNA HealthCare of Texas, Inc. – North Texas (Medicare)
Open Access Plus WITH CareLink (Medicare)
Open Access Plus (Medicare)
Cigna Connect (Medicare)
Open Access Plus, OA Plus, ChoiceFund OA Plus with CareLink (Medicare)
Open Access Plus, OA Plus, ChoiceFund OA Plus (Medicare)
PPO, Choice Fund PPO (Medicare)
HMO CONNECT SILVER F C4 (CIGNA HMO CONNECT)
HMO CONNECT SILVER C C4 (CIGNA HMO CONNECT)
HMO CONNECT BRONZE D BP (CIGNA HMO CONNECT)
HMO CONNECT BRONZE E BP (CIGNA HMO CONNECT)
HMO CONNECT SILVER B C3 (CIGNA HMO CONNECT)
HMO CONNECT SILVER C C3 (CIGNA HMO CONNECT)
HMO CONNECT SILVER G C4 (CIGNA HMO CONNECT)
HMO CONNECT BRONZE A BP (CIGNA HMO CONNECT)
HMO CONNECT BRONZE B BP (CIGNA HMO CONNECT)
HMO CONNECT GOLD A BP (CIGNA HMO CONNECT)
HMO CONNECT SILVER E C3 (CIGNA HMO CONNECT)
HMO CONNECT GOLD B BP (CIGNA HMO CONNECT)
 PCP ID # HMO0191481

Blue Cross Blue Shield

Find a provider link Blue Cross Blue Shield Search for Doctors as a guest and type the name as Sumana Ketha then select Location details in Location & Hours, then we can see the practice name and plans network accepted.

Insurance Plans Keywords / Notes             
Anthem HealthSync (Employer-offered Plans)
Blue Access Choice (Employer-offered Plans)
Blue Access PPO (New York) (Employer-offered Plans
Blue Advantage HMO℠ [BAV] (Employer-offered Plans)
Blue Alternative (Employer-offered Plans)
Blue Choice PPO℠ [BCA] (Employer-offered Plans)
Blue Connect (Employer-offered Plans)
Blue Essentials℠ [HMO] (Employer-offered Plans)
Blue Open Access POS (Employer-offered Plans)
Blue Preferred (Oklahoma) (Employer-offered Plans)
Blue Preferred POS (Missouri) (Employer-offered Plans)
Blue Preferred POS (Wisconsin) (Employer-offered Plans)
Blue Premier Access℠ [HMH] (Employer-offered Plans)
Blue Premier℠ [HMH] (Employer-offered Plans)
Blue Priority NY (Employer-offered Plans)
Blue Priority WI
Blue Value (Employer-offered Plans)
BlueChoice Advantage Open Access (Employer-offered Plans)
BlueChoice Open Access POS (Employer-offered Plans)
Blueprint Health (Employer-offered Plans)
CO Pathway (Employer-offered Plans)
Community Blue (Employer-offered Plans)
Empire POS (Employer-offered Plans)
High Value Network (Employer-offered Plans)
Horizon Managed Care Network (Employer-offered Plans)
Network Blue (Employer-offered Plans)
Network S (Employer-offered Plans)
ParPlan [PAR] (Employer-offered Plans)
Preferred Blue Option (Employer-offered Plans)
Preferred Care Blue (Employer-offered Plans)
Premier Select BlueChoice (Employer-offered Plans)
Select PPO (Employer-offered Plans)
Blue Cross Group Medicare Advantage (PPO) Open Access℠ (Employer-offered Medicare Plans)
Blue Cross Group Medicare Advantage (PPO)℠ (Employer-offered Medicare Plans)
Blue Cross Group Medicare Advantage HMO℠ (Employer-offered Medicare Plans)		 Select Location details in Location & Hours,
then we can see the practice name and list of plans
network accepted
PCP ID: H08EH94201 DFW Gereatrics
Blue Cross Medicare Advantage Flex (PPO)℠ and Flex Access (PPO)℠ (Medicare)
Blue Cross Medicare Advantage HMO SNP℠ (Medicare)
Blue Cross Medicare Advantage HMO℠ (Medicare)
Blue Cross Medicare Advantage PPO℠ (Medicare)
Blue Cross Medicare Advantage Value HMO℠ (Medicare )
Blue Advantage HMO℠ [BAV] (Bronze, Silver, Gold, Security) (Individual Plan)
Blue Advantage Plus℠ [BAV] (Plus Bronze, Plus Silver, Plus Gold) (Individual Plan)

United HealthCare

Find a Provider link United HealthCare Click Search as a guest select medical directory choose State Exchanges/Medicaid Plans /Medicare plans. For Medicare plans enter zip code 75038, for Medicaid plans select state and for State Exchange plans select state ,then select no preference and given the name as “DFW Primary Care” in search for providers and services option then select accepted plans

Insurance Plans Keywords / Notes
AARP Medicare Advantage Patriot No Rx TX-MA02 (HMO-POS) (Medicare )
AARP Medicare Advantage Patriot No Rx TX-MA06 (PPO) (Medicare)
AARP Medicare Advantage from UHC TX-0005 (PPO) (Medicare)
AARP Medicare Advantage from UHC TX-0027 (HMO-POS) (Medicare)
AARP Medicare Advantage from UHC TX-0039 (HMO-POS) (Medicare)
AARP Medicare Advantage from UHC TX-0042 (HMO-POS) (Medicare)
AARP SecureHorizons Medicare Advantage TX-0022 (HMO-POS) (Medicare)
AARP SecureHorizons Medicare Advantage TX-0025 (HMO-POS) (Medicare)
UHC Care Advantage EX-E001 (PPO I-SNP) (Medicare)
UHC Complete Care TX-001A (Regional PPO C-SNP) (Medicare)
UHC Complete Care TX-0029 (Regional PPO C-SNP) (Medicare)
UHC Complete Care TX-003P (HMO-POS C-SNP) (Medicare)
UHC Dual Complete TX-D004 (HMO-POS D-SNP) (Medicare)
UHC Dual Complete TX-S001 (Regional PPO D-SNP) (Medicare)
UHC Dual Complete TX-S003 (HMO-POS D-SNP) (Medicare)
UHC Dual Complete TX-V006 (HMO-POS D-SNP) (Medicare)
UHC Medicare Advantage TX-0030 (Regional PPO) (Medicare)
UHC Nursing Home Plan TX-F001 (PPO I-SNP) (Medicare)
UnitedHealthcare Group Medicare Advantage (HMO) H0609 (Medicare)
UnitedHealthcare Group Medicare Advantage (HMO) H4514_H4527 (Medicare)
UnitedHealthcare Group Medicare Advantage (PPO) (Medicare)		 PCP ID Sumana Ketha MD
001924637002
001924637001
Dfw Primary Care 001924637005
CHIP Perinatal Providers (Medicaid )
TX STAR Kids (Medicaid)
Texas CHIP (Children’s Health Insurance Program) (Medicaid)
Texas STAR (Medicaid)
Texas STAR PLUS (Medicaid)
UHC Dual Complete TX-D001 (PPO D-SNP) (Medicaid)
UHC Dual Complete TX-D002 (HMO-POS D-SNP) (Medicaid)
UHC Dual Complete TX-D007 (HMO-POS D-SNP) (Medicaid)
UHC Dual Complete TX-S003 (HMO-POS D-SNP) (Medicaid)
UHC Dual Complete TX-V001 (HMO-POS D-SNP) (Medicaid)
UHC Dual Complete TX-V010 (HMO-POS D-SNP) (Medicaid)
UnitedHealthcare Connected (Medicaid)
TX Individual Exchange Benefit Plan (State Exchange)
TX Individual Exchange Benefit Plan – UHC GOLD VALUE
TX Individual Exchange Benefit Plan – UHC BRONZE COPAY FOCUS $0 INDIV MED DED
TX Individual Exchange Benefit Plan – UHC GOLD STANDARD $0 INDIV DED
UHC GOLD ADVANTAGE (Tx Individual ExChange Plan)
SELECT PLUS PPO HDHP BRONZE (Commercial)
CHOICE PLUS (Commercial)
UHC SILVER-C ADVANTAGE (Tx Individual Exchange Plan)
UHC SILVER-C STANDARD $0 INDIV DED (Tx Individual Exchange Plan)
CHARTER (Commercial)
UHC GOLD ADVANTAGE+ (Tx Individual Exchange Plan)

Molina HealthCare

Find a provider link Molina HealthCare Choose Find a doctor option enter Sumana Ketha name in Search option then see the Plans/Programs Accepted.

Insurance Plans Keywords / Notes
CHIP PERINATE (Medicaid)
CHIP PERINATE RSA (Medicaid)
CHIP RSA (Medicaid)
CHIP TDI (Medicaid)
Texas STAR (Medicaid)
Texas STAR+PLUS (Medicaid)		 Choose “plan/program” type at the right side of the top page
Molina Dual Options STAR+PLUS MMP (Medicare)
Molina Medicare Complete Care (HMO D-SNP) (Medicare)
Molina Medicare Choice Care(HMO) (Medicare)
Molina Medicare Choice Care Select(HMO) (Medicare)
Gold 1 (Commercial)
Gold 1 with Adult Vision Services (Commercial)
Gold 8 (Commercial)
Silver 1 (Commercial)
Silver 1 100 (Commercial)
Silver 1 150 (Commercial)
Silver 1 150 with Adult Vision Services (Commercial)
Silver 1 200 (Commercial)
Silver 1 200 with Adult Vision Services (Commercial)
Silver 1 with Adult Vision Services (Commercial)
Silver 3 200 (Commercial)
Silver 12 100 with First 4 Primary Care Visits Free (Commercial)
Silver 12 150 with First 4 Primary Care Visits Free (Commercial)
Silver 12 200 with First 4 Primary Care Visits Free (Commercial)
Silver 12 with First 4 Primary Care Visits Free (Commercial)
Silver 8 (Commercial)
Silver 8 100 (Commercial)
Silver 8 150 (Commercial)
Silver 8 200 (Commercial)

Aetna

Find a provider link Aetna Follows “Guests” and choose the type of plan you’re interested in to search for health care providers that accept it. Continue as a guest and enter the pincode with 100miles then click Search option and select a plan and the continue then start typing name with Sumana Ketha in search option the we can see the accepted plans

Insurance Plans Keywords / Notes
Aetna Medicare Dual Complete Plan (HMO D-SNP) – H8597-002 (Medicare)
Aetna Medicare Eagle II (PPO) – H2293-015 (Medicare)
Aetna Medicare Eagle Plan (PPO) – H3288-051 (Medicare)
Aetna Medicare Freedom Plan (PPO) – H2293-013 (Medicare)
Aetna Medicare Prime Plan (HMO) – H4523-021 (Medicare)
Aetna Medicare Value Plan (HMO) – H8332-002 (Medicare)
Aetna Medicare Value Plus (PPO) – H3288-002 (Medicare)		 For Aetna Medicare plan follows continue as a guest enter 75038
with 100miles and skip plan selection then start typing name with
Sumana Ketha in seach option the we can see the accepted plans
Provider ID #:7285031
Ind Health Plan Helath Care Professionas Primary Care ID:460249
Aetna Meidcare Health Care Professionals Primary Care ID:558602″
For Aetna Medicaid plans go the provider link https://www.aetnabetterhealth.com/find-provider.html
(TX) Aetna Whole Health℠ – Texas Health Aetna Select/OA Aetna Select/OA Elect Choice (Plan from an employer)
(TX) Aetna Whole Health℠ – Texas Health HMO/QPOS/Health Network Only/Health Network Option (Plan from an employer)
(TX) Aetna Whole Health℠ – Texas Health Managed Choice/OA Managed Choice/Choice POS II (Plan from an employer)
(TX) Aetna Whole Health℠ – Texas Health PPO (Plan from an employer)
(TX) EPO and Open Access Aetna Select Texas Health (Plan from an employer)
(TX) El Paso – Option One EPO (Plan from an employer)
(TX) El Paso – Option One MC (Plan from an employer)
(TX) Medical Neighborhood – Dallas Aetna Select (Plan from an employer)
(TX) Medical Neighborhood – Dallas Choice POSII (Plan from an employer)
(TX) Medical Neighborhood – Houston Aetna Select (Plan from an employer)
(TX) Medical Neighborhood – Houston Choice POS II (Plan from an employer)
(TX) PCP Referral Plan (Plan from an employer)
Aetna Affordable Health Choices® limited benefits insurance plan (SRC only) (Plan from an employer)
Aetna Choice® POS (Aetna HealthFund®) (Plan from an employer)
Aetna Choice® POS II (Aetna HealthFund®) (Plan from an employer)
Aetna Choice® POS II (Open Access) (Plan from an employer)
Aetna Health Network Only℠ (Open Access) (Plan from an employer)
Aetna Health Network Option℠ (Open Access) (Plan from an employer)
Aetna HealthFund® Aetna Health Network Only℠ (Open Access) (Plan from an employer)
Aetna HealthFund® Aetna Health Network Option℠ (Open Access) (Plan from an employer)
Aetna Open Access® Elect Choice® EPO (Aetna HealthFund®) (Plan from an employer)
Aetna Open Access® Managed Choice® POS (Aetna HealthFund®) (Plan from an employer)
Aetna Premier Care Network Plus (APCN Plus) – Choice POS II (Plan from an employer)
Aetna Premier Care Network Plus (APCN Plus) – Open Access Aetna Select (Plan from an employer)
Aetna Select℠ (Open Access) (Plan from an employer)
Aetna Select℠ (Plan from an employer)
Aetna Voluntary Plans (Plan from an employer)
Aetna with Innovation Health Aetna Select (Plan from an employer)
Aetna with Innovation Health POS (Plan from an employer)
Aetna with Innovation Health PPO (Plan from an employer)
Elect Choice® EPO (Open Access) (Plan from an employer)
HMO (Plan from an employer)
Managed Choice® POS (Open Access) (Plan from an employer)
Managed Choice® POS (Plan from an employer)
National Advantage™ Program (Plan from an employer)
North Carolina State Health Plan – Effective 2025 (Plan from an employer)
Open Access Aetna Select℠ (Aetna HealthFund®) (Plan from an employer)
Open Choice® PPO (Aetna HealthFund®) (Plan from an employer)
Open Choice® PPO (Plan from an employer)
QPOS® (Plan from an employer)

Amerigroup

Find a provider link Amerigroup Choose plan type Medicaid, Medicare or Medicare-Medicaid (MMP) select Basic Search as Guest then select Medical Plan or Network in drop down list then select State as Texas where the plan or network is offered then select how to get health insurance with Medicare or Medicaid,Select a plan or Network then click Continue.Search by given pincode as 75038 and doctor name as “SUMANA KETHA, MD” then select insurance option the we get displayed the list of plans.

Insurance Plans Keywords / Notes
Amerivantage COPD (HMO C-SNP)-TX (Medicare)
Amerivantage Care To You (HMO I-SNP)-TX (Medicare)
Amerivantage Care To You Plus (HMO I-SNP)-TX (Medicare)
Amerivantage Choice (PPO)-TX (Medicare)
Amerivantage Classic Plus (HMO)-TX (Medicare)
Amerivantage Comfort (HMO I-SNP)-TX (Medicare)
Amerivantage Diabetes (HMO C-SNP)-TX (Medicare)
Amerivantage Diabetes Care (HMO C-SNP)-TX (Medicare)
Amerivantage Dual Premier (HMO D-SNP)-TX (Medicare)
Amerivantage Dual Secure (HMO D-SNP)-TX (Medicare)
Amerivantage ESRD (HMO-POS C-SNP)-TX (Medicare)
Amerivantage ESRD Care (HMO C-SNP)-TX
Amerivantage Heart (HMO C-SNP)-TX
Amerivantage Heart Care (HMO C-SNP)-TX
Amerivantage Lung Care (HMO C-SNP)-TX
Amerivantage Plus (HMO)-TX (Medicare)
TX H8849-010-002 WELLPOINT FULL DUAL ADVANTAGE (HMO)(Medicare)
TX H2593-029-000 WELLPOINT MEDICARE ADVANTAGE 2 (HMO)(Medicare)
TX H8849-011-002 WELLPOINT DUAL ADVANTAGE (HMO D-SNP)(Medicare)		 06257927 – Sumana Ketha Md
06726554 – Dfw Primary Care
Texas CHIP Perinatal-TX (Medicaid)
Texas CHIP-TX (Medicaid)
Texas STAR (Medicaid Rural Service Area)-TX (Medicaid)
Texas STAR (Medicaid)-TX (Medicaid)
Texas STAR Kids-T (Medicaid)
Texas STAR+PLUS (Medicaid Rural Service Area)-TX (Medicaid)
Texas STAR+PLUS – TX (Medicaid)
Texas STAR+PLUS MMP – TX (Medicaid)

Wellcare

Find a Provider link Wellcare Enter pincode 75038 in that address box ,search all 2024 plans then gave the name as “SUMANA KETHA” in Search option and we view the list of participating networks by select “Show participating Networks”

Insurance Plans Keywords / Notes
Wellcare All Dual Assure (HMO D-SNP) – H0174 (Medicare)
Wellcare Assist (HMO) – H0174 (Medicare)
Wellcare Dual Access (HMO D-SNP) – H0174 (Medicare)
Wellcare Dual Access Open (PPO D-SNP) – H7323 (Medicare)
Wellcare Dual Liberty (HMO D-SNP) – H0174 (Medicare)
Wellcare Giveback (HMO) – H0174 (Medicare)
Wellcare Mutual of Omaha No Premium Open (PPO) – H7323 (Medicare)
Wellcare Mutual of Omaha No Premium Secure Open (PPO) – H7323 (Medicare)
Wellcare No Premium (HMO) – H0174 (Medicare)
Wellcare No Premium Open (PPO) – H7323 (Medicare)
Wellcare No Premium Rx Plus Open (PPO) – H7323 (Medicare)
Wellcare TexanPlus Classic No Premium (HMO) – H4506 (Medicare)
Wellcare TexanPlus No Premium (HMO-POS) – H4506 (Medicare)
Wellcare TexanPlus Patriot Giveback (HMO) – H4506		 Provider Id: 3629917
DFW PIMARY CARE PLLC Provider Id: 520919

Humana

Find a provider link Humana Enter zip code 75038 with 100miles,select a look up method with coverage type (Insurance through your employer/Medicare or Medicare – Medicaid/Medicaid)then click select option then give the name “DFW Primary Care PLLC in the “Name” box then click Search.

Insurance Plans Keywords / Notes
ChoicePOS (Insurance through Employer)
Humana Preferred PPO (Insurance through Employer)
Humana/ChoiceCare+ Network PPO (Insurance through Employer)
Humana/ChoiceCare Network PPO (Insurance through Employer)
National POS – OpenAccess Plus (Insurance through Employer)
National POS – OpenAccess (Insurance through Employer)
HumanaChoice H5216-042 (PPO) (Medicare or Medicare-Medicaid)
Humana USAA Honor (PPO) (Medicare or Medicare-Medicaid)
HumanaChoice H5216-352 (PPO) (Medicare or Medicare-Medicaid)
HumanaChoice R4182-003 (Regional PPO) (Medicare or Medicare-Medicaid)
Humana Gold Choice H8145-084 (PFFS) (Medicare or Medicare-Medicaid)
HumanaGoldChoice Ntwk PFFS 24 (Medicare or Medicare-Medicaid)
HumanaChoice H5216-043 (PPO) (Medicare or Medicare-Medicaid)
Humana USAA Honor with Rx (PPO) (Medicare or Medicare-Medicaid)
HumanaChoice R4182-001 (Regional PPO) (Medicare or Medicare-Medicaid)
HumanaChoice R4182-004 (Regional PPO) (Medicare or Medicare-Medicaid)
Humana Gold Choice H8145-126 (PFFS) (Medicare or Medicare-Medicaid)
Medicare PPO 24 (Medicare or Medicare-Medicaid)
Medicare PPO/Employer PPO Plus (Medicare or Medicare-Medicaid)
Natl Medicare HMO/SNP-Travel24 (Medicare or Medicare-Medicaid)

Superior Healthplan

Find a provider link Superior Healthplan Enter zip code 75038 to search for a provider nearby, click Select your Plan network then click continue.Give the “Sumana Ketha” name in Search by Specialty, Facility/Group Name, Provider Name,or NPI box

Insurance Plans Keywords / Notes
CHIP (Medicaid)
CHIP PERINATE (Medicaid)
CHIP RSA (Medicaid)
STAR (Medicaid)
STAR HEALTH (Medicaid)
STAR+PLUS (Medicaid)
STAR+PLUS MMP (Medicaid)		 For Superior Healthplan individual plan need to select by click the “1 result
for Sumana ketha in plan then we get the other plan whether
it is in-network or not

Ambetter From Superior Healthplan

Find a provider link Ambetter From Superior Healthplan Click “Swith Network”,Select State Texas,Coverage Year 2024 and Available networks in your area Dallas, select plan and Set Network,search by the NPI with 1962447805

Insurance Plans Keywords / Notes
Ambetter Virtual Access (Commercial)
Bronze,Silver,Gold (Commercial)
CCCWA Exchange (Ambetter) (Commercial)

BaylorScott & White Health PLAN

Find a provider link https://www.bswhealthplan.com/Pages/Provider.aspx?locale=en
Follows Medicare Advantage Networks and choose BSW Health Plan Networks Select a Member Type and Plan ,then type the name “Sumana Ketha” in Doctor name, facility name, or NPI in search option box ,and enter zip code 75038 in city ,country or zip code box then click search

Insurance Plans Keywords / Notes
BSW Plus HMO-Group (Commercial)
BSW Plus HMO-Individual/Family (Commercial)
BSW Plus PPO-Group (Commercial)
BSW Plus PPO-Individual/Family (Commrcial)
BSW Access PPO (Commercial)
Cigna PPO Network – Out of Area (Commercial)
BSW Extended PPO (Commercial)
2024 BSWH Employee Network (PPO & HDHP) (Commercial)
BSW EPO (Commercial)
FIRST CARE MEDICAID (Commercial)
CHIP (Commercial)

UMR

 Find a provider link UMR Select “Find your doctor in the PPO Network” then Change Location with pin code 75038 then click update Location. Search for provider and services with the name of “DFW Primary care”

Insurance Plans Keywords / Notes
CHOICE PLUS Provider ID 00006844516001

Oscar

 Find a provider link Oscar Find a provider link

Insurance Plans Keywords / Notes
Cigna plus (Commercial)

Golden Rule Insurance Company

Find a provider link Golden Rule Insurance Company Enter Zipcode 75038,Choose Customer type as “Member” then Filter by Health plans ,select”Go to the network” option by selecting health insurance plans .Enter DFW PRIMARY CARE and Sumana Ketha provider name in Search for providers and services option.

Insurance Plans Keywords / Notes
Choice Plus (Commercial)
Options PPO (Commercial)		 Provider ID 00006844516001

All Savers Insurance Co.

Find a provider link All Savers Insurance Co. Choose Find a doctor option then search for doctors and hospitals,select state Texas and plan.Change Location with Zip code 75038 and update then give the name with “DFW Primary Care” in search for provider option.

Insurance Plans Keywords / Notes
Charter (Commercial)
Choice (Commercial)
Choice Plus (Commercial)
Core Essetial PPO (Commercial)
Core POS (Commercial)
Navigate (Commercial)		 Individual plan need to slect to find the provider by seleting
the option “CHANGE PLAN” at the right side of the top of the page
Provider ID 00006826708001

Aetna Better Health of Texas

Find a provider link Aetna Better Health of Texas Select state Texas then choose your plan enter zip code 75038 with distance 100miles, give provider name “Sumana Ketha” in provider and facility name search option.

Insurance Plans Keywords / Notes
CHIP Tarrant (Medicaid)
CHIP Bexar (Medicaid)
Medicaid STAR Kids (Medicaid)
Medicaid STAR Tarrant (Medicaid)
Medicaid STAR Bexar (Medicaid)		 Provider ID: QXIPQ0000088922
For check individual plan need to select “Start a new search”

Medicare Health Insurance

Insurance Plans Keywords / Notes
AARP Medicare Advantage Patriot No Rx TX-MA02 (HMO-POS) (Medicare )
AARP Medicare Advantage Patriot No Rx TX-MA06 (PPO) (Medicare)
AARP Medicare Advantage from UHC TX-0005 (PPO) (Medicare)
AARP Medicare Advantage from UHC TX-0027 (HMO-POS) (Medicare)
AARP Medicare Advantage from UHC TX-0039 (HMO-POS) (Medicare)
AARP Medicare Advantage from UHC TX-0042 (HMO-POS) (Medicare)
AARP SecureHorizons Medicare Advantage TX-0022 (HMO-POS) (Medicare)
AARP SecureHorizons Medicare Advantage TX-0025 (HMO-POS) (Medicare)
Aetna Medicare Dual Complete Plan (HMO D-SNP) – H8597-002 (Medicare)
Aetna Medicare Eagle II (PPO) – H2293-015 (Medicare)
Aetna Medicare Eagle Plan (PPO) – H3288-051 (Medicare)
Aetna Medicare Freedom Plan (PPO) – H2293-013 (Medicare)
Aetna Medicare Plan (HMO) (Medicare)
Aetna Medicare Plan (PPO) (Medicare)
Aetna Medicare Plan (PPO) with Extended Service Area (ESA) (Medicare)
Aetna Medicare Prime Plan (HMO) – H4523-021 (Medicare)
Aetna Medicare Value Plan (HMO) – H8332-002 (Medicare)
Aetna Medicare Value Plus (PPO) – H3288-002 (Medicare)
Amerivantage COPD (HMO C-SNP)-TX (Medicare)
Amerivantage Care To You (HMO I-SNP)-TX (Medicare)
Amerivantage Care To You Plus (HMO I-SNP)-TX (Medicare)
Amerivantage Choice (PPO)-TX (Medicare)
Amerivantage Classic Plus (HMO)-TX (Medicare)
Amerivantage Comfort (HMO I-SNP)-TX (Medicare)
Amerivantage Diabetes (HMO C-SNP)-TX (Medicare)
Amerivantage Diabetes Care (HMO C-SNP)-TX (Medicare)
Amerivantage Dual Premier (HMO D-SNP)-TX (Medicare)
Amerivantage Dual Secure (HMO D-SNP)-TX (Medicare)
Amerivantage ESRD (HMO-POS C-SNP)-TX (Medicare)
Amerivantage ESRD Care (HMO C-SNP)-TX (Medicare)
Amerivantage Heart (HMO C-SNP)-TX (Medicare)
Amerivantage Heart Care (HMO C-SNP)-TX (Medicare)
Amerivantage Lung Care (HMO C-SNP)-TX (Medicare)
Amerivantage Plus (HMO)-TX (Medicare)
Blue Cross Group Medicare Advantage (PPO) Open Access℠ (Employer-offered Medicare Plans)
Blue Cross Group Medicare Advantage (PPO)℠ (Employer-offered Medicare Plans)
Blue Cross Group Medicare Advantage HMO℠ (Employer-offered Medicare Plans)
Blue Cross Medicare Advantage Flex (PPO)℠ and Flex Access (PPO)℠ (Medicare)
Blue Cross Medicare Advantage HMO SNP℠ (Medicare)
Blue Cross Medicare Advantage HMO℠ (Medicare)
Blue Cross Medicare Advantage PPO℠ (Medicare)
Blue Cross Medicare Advantage Value HMO℠ (Medicare )
CARE N CARE CLASSIC HMO (Medicare)
CARE N CARE PPO PLAN All H6328 (Medicare)
CIGNA HealthCare of North Texas HMO-HMO POS Seamless (Medicare)
CIGNA HealthCare of North Texas NET-NET POS Seamless (Medicare)
CIGNA HealthCare of Texas, Inc. – North Texas (Medicare)
Humana Gold Choice H8145-084 (PFFS) (Medicare)
Humana Gold Choice H8145-126 (PFFS) (Medicare)
Humana USAA Honor (PPO) (Medicare)
Humana USAA Honor with Rx (PPO) (Medicare)
HumanaChoice H5216-042 (PPO) (Medicare)
HumanaChoice H5216-043 (PPO) (Medicare)
HumanaChoice H5216-352 (PPO) (Medicare)
HumanaChoice R4182-001 (Regional PPO) (Medicare)
HumanaChoice R4182-003 (Regional PPO) (Medicare)
HumanaChoice R4182-004 (Regional PPO) (Medicare)
HumanaGoldChoice Ntwk PFFS 24 (Medicare)
Medicare PPO 24 (Medicare)
Medicare PPO/Employer PPO Plus (Medicare)
Medicare Part B (Medicare)
Molina Dual Options STAR+PLUS MMP (Medicare)
Molina Medicare Choice Care Select(HMO) (Medicare)
Molina Medicare Choice Care(HMO) (Medicare)
Molina Medicare Complete Care (HMO D-SNP) (Medicare)
Natl Medicare HMO/SNP-Travel24 (Medicare)
PPO, Choice Fund PPO (Medicare)
Qualified Medicare Beneficiary (Medicare)
UHC Care Advantage EX-E001 (PPO I-SNP) (Medicare)
UHC Complete Care TX-001A (Regional PPO C-SNP) (Medicare)
UHC Complete Care TX-0029 (Regional PPO C-SNP) (Medicare)
UHC Complete Care TX-003P (HMO-POS C-SNP) (Medicare)
UHC Dual Complete TX-D004 (HMO-POS D-SNP) (Medicare)
UHC Dual Complete TX-S001 (Regional PPO D-SNP) (Medicare)
UHC Dual Complete TX-S003 (HMO-POS D-SNP) (Medicare)
UHC Dual Complete TX-V006 (HMO-POS D-SNP) (Medicare)
UHC Medicare Advantage TX-0030 (Regional PPO) (Medicare)
UHC Nursing Home Plan TX-F001 (PPO I-SNP) (Medicare)
UnitedHealthcare Group Medicare Advantage (HMO) H0609 (Medicare)
UnitedHealthcare Group Medicare Advantage (HMO) H4514_H4527 (Medicare)
UnitedHealthcare Group Medicare Advantage (PPO) (Medicare)
Wellcare All Dual Assure (HMO D-SNP) – H0174 (Medicare)
Wellcare Assist (HMO) – H0174 (Medicare)
Wellcare Dual Access (HMO D-SNP) – H0174 (Medicare)
Wellcare Dual Access Open (PPO D-SNP) – H7323 (Medicare)
Wellcare Dual Liberty (HMO D-SNP) – H0174 (Medicare)
Wellcare Giveback (HMO) – H0174 (Medicare)
Wellcare Mutual of Omaha No Premium Open (PPO) – H7323 (Medicare)
Wellcare Mutual of Omaha No Premium Secure Open (PPO) – H7323 (Medicare)
Wellcare No Premium (HMO) – H0174 (Medicare)
Wellcare No Premium Open (PPO) – H7323 (Medicare)
Wellcare No Premium Rx Plus Open (PPO) – H7323 (Medicare)
Wellcare TexanPlus Classic No Premium (HMO) – H4506 (Medicare)
Wellcare TexanPlus No Premium (HMO-POS) – H4506 (Medicare)
Wellcare TexanPlus Patriot Giveback (HMO) – H4506 (Medicare)

Texas Health and Human Services (Medicaid)

Insurance Plans Keywords / Notes
Traditional Medicaid
CHIP Perinatal Providers (Medicaid )
TX STAR Kids (Medicaid)
Texas CHIP (Children’s Health Insurance Program) (Medicaid)
Texas STAR (Medicaid)
Texas STAR PLUS (Medicaid)
UHC Dual Complete TX-D001 (PPO D-SNP) (Medicaid)
UHC Dual Complete TX-D002 (HMO-POS D-SNP) (Medicaid)
UHC Dual Complete TX-D007 (HMO-POS D-SNP) (Medicaid)
UHC Dual Complete TX-S003 (HMO-POS D-SNP) (Medicaid)
UHC Dual Complete TX-V001 (HMO-POS D-SNP) (Medicaid)
UHC Dual Complete TX-V010 (HMO-POS D-SNP) (Medicaid)
UnitedHealthcare Connected (Medicaid)
CHIP PERINATE (Medicaid)
CHIP PERINATE RSA (Medicaid)
CHIP RSA (Mediciad)
CHIP TDI (Medicaid)
Texas CHIP – TX (Medicaid)
Texas CHIP Perinatal – TX (Medicaid)
Texas STAR (Medicaid Rural Service Area) – TX (Medicaid)
Texas STAR (Medicaid) – TX (Medicaid)
Texas STAR Kids – TX (Medicaid)
Texas STAR+PLUS – TX (Medicaid)
Texas STAR+PLUS (Medicaid Rural Service Area) – TX (Medicaid)
Texas STAR+PLUS MMP – TX (Medicaid)
CHIP (Medicaid)
CHIP PERINATE (Medicaid)
CHIP RSA (Medicaid)
STAR (Medicaid)
STAR HEALTH (Medicaid)
STAR+PLUS (Medicaid)
STAR+PLUS MMP (Medicaid)
CHIP Tarrant (Medicaid)
CHIP Bexar (Medicaid)
Medicaid STAR Kids (Medicaid)
Medicaid STAR Tarrant (Medicaid)
Medicaid STAR Bexar (Medicaid)