St. Joseph Health System
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Medical Group Payor Directory

Please verify that your physician is participating with your payor network to ensure in-network benefits. Please click here to view the payor directory for our clinics.

As of January 12, 2016.

  • Aetna PPO (including TRS ActiveCare)
  • Beech Street PPO
  • BlueCross BlueShield PPO, POS
  • CIGNA Healthcare PPO, *HMO, *LocalPlus
  • Coventry/First Health PPO
  • FirstCare PPO, HMO
  • Galaxy Health Network PPO
  • Great-West Healthcare (currently utilizing CIGNA)
  • HealthSmart Preferred Care PPO (Accountable/Interplan Health Group)
  • Humana ChoiceCare PPO, POS, EPO, *HMO
  • Humana TRICARE Standard, Prime Remote
  • Independent Medical Systems (IMS) PPO
  • Integrated Health Plan
  • Integrated Medical Systems
  • MultiPlan
  • Nexcaliber PPO
  • Private Healthcare Systems (PHCS)
  • Provider Select, Inc. PPO
  • Texas True Choice
  • Three Rivers Provider Network PPO
  • TriWest
  • United Healthcare
  • USA Managed Care Organization (USA MCO) PPO


*HMO and LocalPlus network participation only applies to those plans offered in our local coverage area. HMO/Limited Network plans offered in surrounding areas may not be included in our local coverage area and would require prior authorization.


Medicaid

  • Amerigroup STAR, STAR+PLUS, CHIP
  • Molina Healthcare (currently utilizing Texas True Choice) Foster Care, CHIP, Perinate
  • RightCare (SWHP) STAR
  • Superior Health Plan STAR, STAR+PLUS, Foster Care, CHIP, Perinate
  • Traditional Medicaid

Medicare

  • Aetna Medicare Advantage
  • Humana Medicare PFFS, PPO
  • Medicare Part B

 

Workers Compensation

  • Beech Street
  • CorVel
  • Coventry/First Health
    • American International Group Health Care Network (AIG)
    • Constitution State Services LLC Health Care Network
    • Liberty Mutual Health Care Network
    • Texas Star Network (Texas Mutual Insurance)
    • The Hartford Workers Compensation Health Care Network
    • Travelers Health Care Network
    • Zenith Health Care Network
  • MultiPlan
  • PHCS
  • Political Subdivision Workers Compensation Alliance (PSWCS/The Alliance)
    • Texas Association of Counties Risk Management Pool
    • Texas Association of School Boards Risk Management Fund
    • Texas Council Risk Management Fund
    • Texas Municipal League Intergovernmental Risk Pool
    • Texas Water Conservation Association Risk Management Fund
  • Prime Health Services, Inc.
  • Rockport Healthcare
  • Texas Healthcare Foundation (THF)

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