INSURANCE PLANS ACCEPTED
THE WOODLANDS | THE HEIGHTS
Preferred Providers
The cost of specialist visits and medical care can be of real concern, especially for large families. In many cases, medical insurance coverage can lower these annual expenses. Health insurance plans protect you against financial losses due to unexpected illnesses, injury, and surgical costs.
We accept a number of insurance plans to help cover the cost of office visits, sleep studies, allergy testing, surgery, and more. Our staff will take the time to help you understand your coverage and out-of-pocket expenses. Read below to view some of the plans that we accept.
HMO members, please keep in mind that we need a referral from your Primary Care Physician (PCP) in order to be able to schedule your visit.
Please keep in mind that there are groups within these plans that we do not accept. Please let us know the specific name of your insurance plan when you call to make an appointment. This will give us the opportunity to verify your insurance plan prior to the day of your visit. If you do not see your insurance plan listed below, please contact us for more information. Patients with HMO plans will need to have a referral from their Primary Care Physician (PCP) prior to coming to our office.
-
Aetna (Most Plans)
-
Ambetter (We do not accept Ambetter Value Plans)
-
Blue Cross Blue Shield PPO, HMO, EPO (Most plans accepted)
-
Blue Cross Blue Shield Horizon
-
Boon-Chapman
-
Cigna (Most plans)
-
GEHA
-
Humana (Most plans)
-
Molina
-
Medicare
-
NALC Health Benefit
-
United Health Care (Most plans)
-
UMR
-
WellCare
-
WellMed
-
Wellnet (Cigna)
At Texas Sinus, Allergy, Snoring, and Sleep Institute, our billing team does its very best to get accurate information on your deductibles, copayments, etc. for office visits, office procedures, or surgeries. Often the insurance carriers consider the in-office procedures such as nasal endoscopy or endoscopy of the voice box (examining the nose or voice box with a thin endoscope) as a surgery and it may show up as that in your bills. This is their customary way of addressing the office procedures and does not imply that surgery was done. When our staff speaks with the benefits department of your insurance carrier, the information we provide you with on your copayments and deductibles is based on this. Unfortunately, often, the benefits department of these carriers does not communicate with the claims department. Therefore, the information given to us by the benefits department may be different from the information provided by the claims department after we file a claim for the services, and it may end up making your copayments either less or more. THIS IS NOT OUR DOING, SO PLEASE DO NOT GET UPSET WITH MY BILLING STAFF. IT IS AS FRUSTRATING FOR US TO DEAL WITH INSURANCE CARRIERS AS IT IS FOR YOU.
This service of letting you know is provided as a courtesy to you, but it really is you, the patient, whose responsibility it is to know your deductibles and co-payments. We are happy to provide you with the codes billed for the service if you were to need those prior to your appointment so you can determine your co-payments by speaking with your carrier.