Managed Care Plans

The following is a list of the managed care plans and other insurance plans for which the doctors of CTSI are participants. This list is constantly being updated, so please call our office at 512 795-2225 to verify current participation, when scheduling an appointment. Also, please check the provider directory provided by your employer or health plan. If a referral is required from your primary care physician (PCP), please obtain that referral and authorization number prior to your visit to our office. Most Health Maintenance Organizations (HMOs) require PCP referral to specialist physicians. Many managed care plans also require that you obtain x-rays from a contracted radiology provider and braces or other types of durable medical equipment (DME) from contracted providers. It is important to know the requirements of your insurance plan in order to obtain the quickest, most efficient service from the Central Texas Spine Institute.

**INSURANCE PLANS**
**Updated** **May 1, 2008**
PLAN NAME	PLAN TYPE
Aetna Medicare Open Plan	Medicare PPO
Affordable Health Systems	PPO
AmeriHealth	PPO
Blue Cross/Blue Shield PARPLAN	Indemnity
BC/BS Blue Choice	PPO
BC/BS Blue Choice BASIC	PPO
BC/BS Health Select	PPO
BC/BS Fed Select	PPO
Blue Solutions	Select PPO
CAPP Care	PPO
CIGNA	HMO / POS
DocFIRST (Nextel Employees)	PPO
OneSource Health Network	PPO
Emphesys (Humana)	PPO
Employers Medical Network	PPO
EPIC	PPO
ETHIX Southwest	PPO
Coventry Health Care (formerly First Health)	PPO
HMO Blue	HMO
United HealthCare *Premium Designation	PPO / POS
United HealthCare * Premium Designation	HMO
Great West Healthcare	HMO / PPO
Humana	HMO
Humana	PPO
Humana CHOICE	Medicare HMO
MultiPlan	PPO
National Preferred Provider Network	PPO
Private Health Care Systems (PHCS)	Now MultiPlan
Seton Physician Hospital Network (SPHN)	PHO
- Admar/Med Network	PPO
- Accountable Health Plan	PPO
- Affiliated Healthcare	PPO
- Anthem Health Systems	PPO
- BeechStreet / CAPP Care	PPO
- Benefit Planners	PPO
- Central Texas Provider Network	PPO
- ChoiceOne	PPO
- FirstCare	PPO
- Galaxy Healthcare	PPO
- Health Payors Organization	PPO
- HealthSmart Preferred	PPO
- Healthy Equations	PPO
- Integrated Medical Systems	PPO
- MedCorp Southwest	PPO
- Medical Control (Net One)	PPO
- Mega Life	PPO
- MultiPlan	PPO
- National Healthcare Alliance	PPO
- Seton Health Plan	HMO / PPO / EPN
- Texas Bankers Association	PPO
- Texas Municipal League	PPO
- Texas True Choice	PPO
- UniCare Classic	PPO
- UniCare Performance	PPO
- USA Managed Care Network	PPO
Capital Area Providers (CAP)	PHO
- Accountable Health Plan	PPO
- Affiliated Healthcare	PPO
- CIGNA	HMO / PPO
- First Health	PPO
- Galaxy	PPO
- Great West Healthcare	HMO/Open Access/ POS
- Multi Plan	PPO
- Texas Municipal League	PPO
- Texas True Choice	PPO
St. Luke's Society	Seton East
Texas Community Care (Medicare)	Medicare HMO
TriCare (Humana Military)	Prime/Standard/Extra
TRS ActiveCare (Administered by BCBS)	PPO
Medicare (including most replacement plans)	--
Work Comp Non Subscribers	WC