Please verify that your physician is participating with your payor network to ensure in-network benefits.
As of January 1, 2013.
ALLIANCE/ St. Joseph Employee Plan
Amerigroup (CHIP, STAR, STAR+)
Blue Cross Blue Shield PPO/ HMO/ TRADITIONAL
HealthSmart (Preferred, Accountable Health, Interplan Health Group)
HUMANA (Choicecare, PPO, HMO)
Integrated Health Plan
Integrated Medical Systems
Molina CHIP (Through Texas True Choice)
Provider Select, Inc.
Superior (CHIP & Managed Medicaid: Star Health, STAR)
TEXAS TRUE CHOICE
Three Rivers Provider Network (TRPN)
Humana Medicare Advantage - ERS Members
Humana Medicare Advantage PFFS, PPO (Rural Health Clinic Locations only)
Aetna Medicare Advantage TRS Product*
Care Improvement Plus**
*St. Joseph Health System is currently in negotiations for Aetna Medicare Advantage TRS Product. Aetna has indicated to St. Joseph that there will be no benefit differential for in network/out of network for calendar year 2013. Aetna TRS SUMMARY OF BENEFITS 2013
**St. Joseph is not contracted with Care Improvement Plus; however, it is our understanding that there is not an in-network verses out-of-network differential. St. Joseph Providers will see these plan members.
Client specific information:
Texas Star Network (Texas Mutual Insurance)
Liberty Mutual Health Care Network
First Health / Constitution State Services LLC HCN
First Health / Travelers HCN
First Health / AIGCS TX HCN
Zenith Health Care Network
THF - Texas Healthcare Foundation