• Home
  • Primary Care Services
  • Acute Illness Services
  • Weight Loss Program
  • MedSpa Services
  • About
  • Gallery
  • Insurance Accepted
  • Contact
  • HEALOW Portal Help
  • FAQ
  • Patient Tools
  • Patient Education
  • Apply for a Job
  • Our Policies

ACCEPTING NEW PATIENTS! ALSO OFFERING MEDICALLY SUPERVISED WEIGHT LOSS PROGRAM.

  • Home
  • Primary Care Services
  • Acute Illness Services
  • Weight Loss Program
  • MedSpa Services
  • About
  • Gallery
  • Insurance Accepted
  • Contact
  • HEALOW Portal Help
  • FAQ
  • Patient Tools
  • Patient Education
  • Apply for a Job
  • Our Policies

Welcome to Lone Star Medical Associates

Patient Portal

Book Appointment

 Sign up or log in to our secure patient portal to manage appointments, lab results, and prescriptions. Available to all Lone Star Medical Associates patients in Plano, TX and surrounding areas. 

Patient Portal

Book Appointment

Book Appointment

 Schedule a visit with our adult primary care team in Plano. We offer same-day appointments for geriatric care, chronic conditions, and wound care. 

Book Now

Online Bill Pay

 Convenient online bill payment for Lone Star Medical Associates patients. Fast, secure access for adults receiving care in Plano and nearby areas. 

Pay Now

Save Our Contact Info

Write Us a Google Review

 Save our address, phone number, and clinic hours directly to your phone or device. Located in central Plano, Texas—just minutes from Parker and Murphy. 

Save Our Info

Write Us a Google Review

Write Us a Google Review

Write Us a Google Review

 Share your experience at Lone Star Medical Associates! Your feedback helps us grow and helps other adults in Plano find quality primary care and geriatric services. 

Write Review

Directions to Our Office

Write Us a Google Review

Write Us a Google Review

 Find Lone Star Medical Associates at 1645 Dorchester Drive in Plano, TX. Easily accessible from US-75 and close to Richardson, Parker, and Murphy. 

Get Directions

Contact Us

Send Us an Email

Attach Files
Attachments (0)

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Better Yet, See Us in Person!

 We welcome you to Lone Star Medical Associates, proudly serving adults in Plano, Texas with expert primary care, geriatric services, and advanced wound care. Call, email, or visit us during normal business hours. To ensure the best care, we recommend scheduling an appointment in advance so we can prepare for your visit. 

Lone Star Medical Associates

📍1645 Dorchester Drive, Plano, Texas 75075, United States

📞 PHONE: 972-777-6656 📠 FAX: 877-569-2307 📧 EMAIL: MYDOC@LONESTARMD.ORG

Hours

Open today

09:00 am – 05:00 pm

PCA SKIN CARE PROMOTION

WHILE SUPPLIES LAST

 Lone Star Medical Associates now offers PCA Skin ProMax Age-Renewal products in Plano, Texas as part of our MedSpa services. 

This anti-aging skincare promotion includes a complimentary PCA Skin gift with purchase while supplies last. Our clinic is proud to bring science-backed aesthetic care to adults in North Texas. Visit us to learn more about advanced skin rejuvenation, wrinkle reduction, and our upcoming MedSpa services designed to help you look and feel your best. 

Download PDF

Why Patients Trust Lone Star Medical for Adult Care, Geriatrics & Wound Care

   With over 100 five-star reviews on Google, our patients consistently praise our compassionate care, same-day access, and personalized treatment approach. We are proud to serve adults in the Plano, Murphy, and Parker area with board-certified geriatric care and expert chronic disease management. 

Read Our Reviews

OUR SERVICES

 Learn more about the full range of services offered at Lone Star Medical Associates in Plano, Texas. In this short video, Dr. Muzakeer Shaik explains our focus on adult primary care, chronic disease management, geriatric care, and advanced wound care. We proudly serve the Plano, Murphy, and Parker communities with personalized, patient-centered care. 

 ▶️ Watch our short video to see how we care for adults in Plano, TX 

Take a Virtual Tour of our Newly Renovated Office

 Take a quick tour of Lone Star Medical Associates in Plano, TX. 

In this video, you’ll get a look inside our modern primary care office and meet the team that provides compassionate care for adults of all ages. Located near Parker and Murphy, our clinic offers in-office labs, same-day appointments, and specialized services including geriatric care and wound care. 

Insurance Accepted | Lone Star Medical Associates Plano TX

We accept Medicare, Medicaid, Aetna, Amerigroup, BCBS, Cigna, UHC, Humana, Molina, Superior, PHCS, and more at our Plano, TX clinic. Call to confirm. 


 CLICK THE DROPDOWN FOR DETAILED PLAN INFORMATION

 ✅ Traditional Part B


Traditional Texas Medicaid:

 ✅ Texas Medicaid


Molina Healthcare:

 ✅ CHIP / CHIP Perinate

 ✅ CHIP RSA

 ✅ STAR

 ✅ STAR+PLUS


Superior HealthPlan:

 ✅ CHIP / CHIP Perinate

 ✅ STAR

 ✅ STAR+PLUS

 ✅ STAR Health


UnitedHealthcare:

 ✅ STAR+PLUS


Wellpoint (formerly Amerigroup):

 ✅ Wellpoint Star Medicaid Plan

 ✅ CHIP / CHIP Perinate

 ✅ STAR


PARKLAND

 ✅ PARKLAND HEALTHFIRST (Texas Medicaid Star)


 ✅ Open Choice PPO

 ✅ USAccess®

 ✅ Open Choice® PPO ( Health Fund)

 ✅ Signature Administrators (PPO)

 ✅ Voluntary Plans

 ✅ Affordable Health Choices limited benefits insurance plan (SRC only)

 ✅ Premier Care Network

 ✅ PPO

 ✅ HealthFund CDHP

 ✅ Standard PPO Plan

 ✅ Managed Choice Plan (PPO)

 ✅ PCP Referral Plan (TX only)

 ✅ HMO

 ✅ Open Access Select ( Health Fund)

 ✅ Health Network Only (Open Access)

 ✅ Open Access (HMO)

 ✅ Select (Open Access)

 ✅ HMO Basic

 ✅ HMO Deductible

 ✅ HealthFund HMO

 ✅ Health Network Only

 ✅ Health Network Option

 ✅ Open Access Select HMO (Performance)

 ✅ (TX) Medical Neighborhood - Choice POS II

 ✅ (TX) El Paso - Option One Managed Choice POS

 ✅ Choice® POS (Open Access)

 ✅ Choice® POS II (Open Access)

 ✅ Health Network Option (Open Access)

 ✅ Managed Choice (Open Access)

 ✅ Managed Choice POS

 ✅ QPOS

 ✅ HealthFund® Health Network Only (Open Access)

 ✅ HealthFund® Health Network Option (Open Access)

 ✅ Open Access Managed Choice POS ( Health Fund)

 ✅ Choice POS II ( HealthFund)

 ✅ Choice POS ( HealthFund)

 ✅ ActiveCare 1-HD

 ✅ ActiveCare 2

 ✅ ActiveCare Select

 ✅ AFA Choice POS II 2500 HSA 100/80 CY

 ✅ Premier Care Network Plus - Choice POSII

 ✅ Premier Care Network (APCN) - Choice POSII

 ✅ Savings Plus Open Access Managed Choice POS

 ✅ Open Access POS II (Performance Network)

 ✅ Choice POS II

 ✅ Elect Choice EPO

 ✅ Open Access Elect Choice EPO ( Health Fund)

 ✅ Elect Choice EPO (Open Access)

 ✅ (TX) El Paso - Option One EPO

 ✅ (TX) EPO and Open Access Select Texas Health

 ✅ (TX) Whole Health - Baylor - Bryan College Station

 ✅ (TX) Whole Health - Baylor - Central Texas

 ✅ (TX) Whole Health - Baylor - Hill Country


Texas Health Aetna

 ✅ HMO

 ✅ Open Access HMO

 ✅ Open Access HMO Option

 ✅ Point-of-Service (POS)

 ✅ Open Access POS II

 ✅ PPO

 ✅ Open Access Managed Plus



NOTICE- OUT OF NETWORK PLANS

Aetna Medicaid & Medicare Plans

 ❌ Aetna Better Health STAR Medicaid Plan

 ❌ Aetna Medicaid

 ❌ Aetna Medicare Advantage HMO (No longer in network after 1/1/2025)

 ❌ Aetna Medicare Advantage PPO (No longer in network after 1/1/2025)

Aetna ACA Marketplace (Exchange) Plans

 ❌ Aetna ACA Marketplace HMO

 ❌ Aetna ACA Marketplace EPO

 ❌ Aetna CVS Bronze Value HMO

 ❌ Aetna CVS Silver HMO

 ❌ Aetna CVS Gold HMO

Aetna EPO / Narrow Network Plans

 ❌ Aetna Elect Choice EPO

 ❌ Aetna Select EPO

 ❌ Aetna Indemnity (MedPremier without NAP)

 ❌ Aetna SmartCare HMO

 ❌ Aetna plans affiliated with Imagine Health (including employer-sponsored plans)

Aetna Whole Health Plans (Without Texas Health Logos)

 These ACO-based plans are only accepted if the card specifically shows a Texas Health logo. The following are not accepted:

 ❌ Aetna Whole Health – Baylor Scott & White Quality Alliance (BQA)

 ❌ Aetna Whole Health – Memorial Hermann Accountable Care Network

 ❌ Aetna Whole Health – Seton Health Alliance

 ❌ Aetna Whole Health – Baptist Health System

Other Aetna Plans

 ❌ Aetna Gold HMO Plan

 ❌ Aetna ACO (Accountable Care Organization)

 ❌ Aetna Workers' Compensation PPO


BLUE CROSS BLUE SHIELD OF TEXAS

 ✅ Blue Choice Silver PPO

 ✅ PPO Select Saver Series III

 ✅ Blue Choice Bronze PPO

 ✅ Blue Cross Blue Shield Solution, a MultiState Plan

 ✅ Blue Cross Blue Shield Premier, a MultiState Plan

 ✅ Blue Cross Blue Shield Basic, a MultiState Plan

 ✅ Blue Choice Platinum PPO

 ✅ Blue Choice Gold PPO

 ✅ EPO

 ✅ Blue Advantage HMO

 ✅ HMO Blue Texas

 ✅ HealthSelectSM of Texas

 ✅ HealthSelectSM Out-of-State

 ✅ Consumer Choice PPO

 ✅ TRS-ActiveCare: ActiveCare 2

 ✅ BlueCard PPO

 ✅ Blue Choice PPO Plan

 ✅ UT Select PPO

 ✅ BlueCard Traditional (Indemnity)

 ✅ HealthSelectSM Secondary

 ✅ TRS-ActiveCare Primary

 ✅ TRS-ActiveCare Primary+

 ✅ TRS-ActiveCare: ActiveCare HD HSA

 ✅ Blue Cross Medicare Advantage (HMO)

 ✅ Blue Cross Medicare Advantage (HMO-POS)

 ✅ Blue Cross Medicare Advantage (PPO)

 ✅ Blue Cross Medicare Advantage Value (HMO)

 ✅ Blue Cross Medicare Advantage Select (HMO)

 ✅ Blue Cross Medicare Advantage Basic (HMO)

 ✅ Blue Cross Medicare Advantage Choice Plus (PPO)

 ✅ Blue Cross Medicare Advantage Choice Premier (PPO)

 ✅ Medicare Supplement

 ✅ BlueOptions

 ✅ BlueCard PPO

 ✅ BlueCard PPO Basic

 ✅ Federal Employee Program - Standard Option

 ✅ Federal Employee Program - Basic Option

 ✅ BlueCard Traditional (Indemnity)

 ✅ Medicare Advantage PPO


ANTHEM BLUE CROSS BLUE SHIELD

 ✅ National PPO (BlueCard PPO)

 ✅ Anthem BlueCard PPO 100

 ✅ PPO/EPO

 ✅ Federal Employee Program

 ✅ Anthem Medicare Preferred

 ✅ Blue Medicare Advantage PPO

 ✅ Anthem Medicare Preferred (PPO) (California)

 ✅ Anthem Medicare Preferred (PPO) (Colorado)

 ✅ Anthem Medicare Preferred Standard (PPO) (Connecticut)

 ✅ Anthem Medicare Preferred (PPO) (Indiana)

 ✅ Blue Medicare Access Value (RPPO)

 ✅ Anthem Medicare Preferred (PPO) (Kentucky)

 ✅ Anthem Medicare Preferred (PPO) (Maine)

 ✅ Anthem Medicare Preferred (PPO) (Missouri)

 ✅ Anthem Medicare Preferred (PPO) (Nevada)

 ✅ Anthem Medicare Preferred (PPO) (Ohio)

 ✅ Anthem Medicare Preferred (PPO) (Wisconsin)

 ✅ Anthem Medicare Preferred (New Hampshire)

 ✅ Anthem MediBlue Preferred (PPO) (Connecticut)


OUT OF STATE PLANS ACCEPTED

 ✅ Horizon Blue Cross Blue Shield of New Jersey

 ✅ Federal Employee Plan - Standard Option

 ✅ Federal Employee Plan - Basic Option

 ✅ Blue Cross Blue Shield Federal Employee Program

 ✅ Standard Option

 ✅ Basic Option

 ✅ Empire Blue Cross Blue Shield (Health)

 ✅ Empire MediBlue(SM) Freedom I (PPO)

 ✅ Independence Blue Cross

 ✅ Personal Choice 65 PPO

 ✅ Highmark Blue Cross Blue Shield

 ✅ Freedom Blue PPO (Medicare)

 ✅ Highmark Blue Shield

 ✅ Freedom Blue PPO (Medicare)

 ✅ Capital Blue Cross

 ✅ SeniorBlue PPO

 ✅ Blue Cross Blue Shield of Georgia

 ✅ Medicare Preferred (PPO)

 ✅ Florida Blue: Blue Cross Blue Shield of Florida

 ✅ BlueMedicare PPO / BlueMedicare Group PPO

 ✅ BlueMedicare Regional PPO

 ✅ Blue Cross Blue Shield of Michigan

 ✅ Medicare Plus Blue (PPO)

 ✅ Blue Cross Blue Shield of South Carolina

 ✅ Medicare Advantage

 ✅ National Medicare Advantage PPO

 ✅ Blue Cross Blue Shield of North Carolina

 ✅ Medicare Advantage PPO

 ✅ Blue Cross Blue Shield of Tennessee

 ✅ Blue Advantage PPO

 ✅ Anthem Blue Cross

 ✅ Anthem Medicare Preferred Standard (PPO)

 ✅ Blue Cross Blue Shield of Alabama

 ✅ Preferred Provider Organization (PPO)

 ✅ Blue Cross of Northeastern Pennsylvania

 ✅ Medicare Advantage PPO

 ✅ Excellus Blue Cross Blue Shield

 ✅ Medicare PPO

 ✅ Regence Blue Cross Blue Shield

 ✅ Regence MedAdvantage (PPO)

 ✅ Highmark Blue Cross Blue Shield of Western New York

 ✅ Forever Blue Medicare PPO (All Plans)

 ✅ Blue Shield of Northeastern New York

 ✅ Forever Blue Medicare PPO (All Plans)

 ✅ Arkansas Blue Cross Blue Shield

 ✅ Medi-Pak Advantage (PPO)

 ✅ Triple-S Salud: Blue Cross Blue Shield of Puerto Rico

 ✅ Medicare Advantage (PPO)

 ✅ Blue Cross of Idaho

 ✅ Medicare Advantage - Secure Blue PPO



NOTICE- OUT OF NETWORK PLANS

Commercial PPOs/EPOs:

❌ Blue Edge PPO

❌ BlueOptions

❌ ParPlan

❌ SelecTEMP PPO

❌ Blue High Performance Network (HPN)

❌ Blue Premier (all products)

❌ Dallas ACO Select

❌ UT Connect (ACO)

❌ Blue Premier Access HMO

❌ Consumer Choice PPO (must verify individually)

Commercial HMOs/ACAs:

❌ Blue Option Network

❌ Primary Choice

❌ BlueChoice® Individual

❌ Blue Advantage Plus HMO

❌ Blue Advantage Security HMO 200

❌ Consumer Choice HMO

❌ Blue Premier HMO

TRS ActiveCare Plans:

❌ TRS ActiveCare Primary (must verify network)

❌ TRS ActiveCare Primary+ (must verify network)

❌ TRS ActiveCare ActiveCare HD HSA (must verify network)

Other:

❌ Generic EPOs (must verify individually - not automatic in-network)


 ✅ Open Access Plus

 ✅ Choice Fund PPO

 ✅ Open Access Value (all deductible levels)

 ✅ Open Access Value Plan

 ✅ PPO

 ✅ HMO Open Access

 ✅ Medicare Expand

 ✅ Premier Medicare (HMO-POS)

 ✅ Preferred Savings Medicare (HMO)

 ✅ Primary Medicare (HMO)

 ✅ True Choice Plus Medicare (PPO)

 ✅ Alliance Medicare (HMO)

 ✅ Fundamental Medicare (HMO)

 ✅ Preferred Plus Medicare (HMO)

 ✅ True Choice Medicare (PPO)

 ✅ Preferred Medicare (HMO)

 ✅ True Choice Core Medicare

 ✅ True Choice Savings Medicare (PPO)

 ✅ True Choice Courage Medicare (PPO)

 ✅ True Choice Access Medicare (PPO)

 ✅ Open Access Plus/CareLink

 ✅ Choice Fund Open Access Plus with CareLink

 ✅ Open Access (all deductible levels)

 ✅ Open Access Plan

 ✅ EPO

 ✅ Choice Fund Open Access Plus

 ✅ Open Access Plus In-Network

 ✅ Health Savings

 ✅ Health Savings (all deductible levels)

 ✅ Health Savings

 ✅ POS Open Access

 ✅ HealthCare of Texas- Open Access POS


CIGNA HEALTHSPRING

 ✅ HMO

 ✅ Preferred (HMO)

 ✅ Advantage (HMO)

 ✅ PPO

 ✅ Advantage (PPO)

 ✅ Preferred (PPO)

 ✅ Medicare Advantage

 ✅ Medicare Advantage


GWH-Cigna (formerly Great West Healthcare)

 ✅ POS

 ✅ PPO

 ✅ ONE +

 ✅ Open Access



NOTICE- OUT OF NETWORK PLANS 

 ❌ Cigna Local Plus ASO Plan

 ❌ Cigna Choice Local Plus Plan

 ❌ Cigna Connect HMO Plan

 ❌ Cigna EPO Connect

 ❌ Cigna POS Plan

 ❌ Cigna + Oscar ACA Plans (EPO)

 ❌ Cigna ACA Marketplace Plans (Cigna Connect, any Marketplace HMO/EPO)

 ❌ Cigna TX Focus Network

 ❌ Cigna Standard HMO Plans (Austin, Dallas, El Paso, Houston, Lufkin, North Texas, San Antonio)

 ❌ Cigna North Texas Provider Select Plan

 ❌ Cigna Care Designation Network (CCD/CCN)

 ❌ Cigna Workers' Compensation Plans

 ❌ Cigna Indemnity Plans

 ❌ Cigna True Choice Savings Medicare PPO Plan

 ❌ Cigna PDP (Prescription Drug Plans): Secure Rx, Secure-Essential Rx, Secure-Extra Rx

 ❌ Cigna I-SNP and C-SNP Plans (Achieve Medicare, Traditions Medicare)

 ❌ Cigna Medicare Supplement / Medigap Plans (Plan A, F, G, N, High Deductible Plan F)

 ❌ Cigna Medicare Surround

 ❌ Cigna Out-of-State Cigna Plans (Arizona, California, Colorado, Maryland, Florida, Connecticut, etc.)


 ✅ Options PPO

 ✅ Core

 ✅ Heritage Plus

 ✅ Options Non-Differential PPO

 ✅ Additional Network Benefit Plan/W500 Directory

 ✅ Compass Rose Health Plan FEHP FFS (PPO)

 ✅ Passport Connect Choice Plus

 ✅ Passport Connect Options PPO

 ✅ PPO (Choice Plus)

 ✅ Select Plus PPO

 ✅ Choice Advanced

 ✅ Navigate Plus PPO

 ✅ Select HMO

 ✅ Select Plus HMO

 ✅ Choice HMO/Choice Plus HMO

 ✅ OCI HMO

 ✅ Navigate

 ✅ Navigate/Navigate Balanced

 ✅ Navigate Plus

 ✅ Heritage Choice Standard

 ✅ Choice Plus Advanced (HMO)

 ✅ Choice Plus Plan with HSA

 ✅ Doctors Plan Plus (HMO)

 ✅ Doctors Plan HMO / Doctors Plan Plus HMO

 ✅ Choice Plus HMO Premier

 ✅ MedicareComplete Focus (HMO)

 ✅ AARP Medicare Advantage Plus (HMO-POS)

 ✅ Medicare Advantage Assure (PPO)

 ✅ AARP Medicare Advantage Choice Plan 1 (PPO)

 ✅ AARP MedicareComplete Plan 3 (HMO)

 ✅ MedicareComplete Choice Plan 1 (Regional PPO)

 ✅ MedicareComplete Choice Plan 3 (Regional PPO)

 ✅ MedicareComplete Choice Plan 4 (Regional PPO)

 ✅ AARP MedicareComplete (HMO)

 ✅ Medicare Select

 ✅ AARP Medicare Advantage Essential (HMO)

 ✅ AARP Medicare Advantage Plan 3 (HMO)

 ✅ AARP Medicare Advantage Walgreens (HMO)

 ✅ Medicare Advantage Choice (Regional PPO)

 ✅ MedicareComplete Essential (HMO)

 ✅ AARP MedicareComplete Focus (HMO)

 ✅ AARP MedicareComplete Focus Essential (HMO)

 ✅ Evercare Plan

 ✅ Medicare Advantage PPO

 ✅ AARP MedicareComplete SecureHorizons Plan2 (HMO)

 ✅ AARP MedicareComplete SecureHorizons Plan3 (HMO)

 ✅ AARP MedicareComplete SecureHorizons Plan1 (HMO)

 ✅ MedicareComplete Choice Essential (Regional PPO)

 ✅ MedicareComplete Choice

 ✅ AARP MedicareComplete Plan 1 (HMO)

 ✅ MedicareDirect Essential (PFFS)

 ✅ AARP MedicareComplete Essential (HMO)

 ✅ AARP MedicareComplete SecureHorizons Essential (HMO)

 ✅ AARP MedicareComplete Plan 2 (HMO)

 ✅ MedicareComplete Choice (Regional PPO)

 ✅ AARP Personal Health Insurance Plan

 ✅ AARP MedicareComplete Plus (HMO-POS)

 ✅ AARP MedicareComplete Choice (PPO)

 ✅ AARP Medicare Advantage PPO

 ✅ AARP Medicare Advantage POS

 ✅ AARP Medicare Advantage HMO

 ✅ AARP MedicareComplete Mosaic (HMO)

 ✅ Group Medicare Advantage (HMO)

 ✅ Group Medicare Advantage (PPO)

 ✅ Medicare Advantage Assure (HMO)

 ✅ AARP Medicare Advantage SecureHorizons (HMO)

 ✅ AARP Medicare Advantage Walgreens (PPO)

 ✅ Assisted Living Plan 1 (PPO I-SNP)

 ✅ Assisted Living Plan 2 (PPO I-SNP)

 ✅ The Villages MedicareComplete 1 (HMO)

 ✅ The Villages MedicareComplete 2 (HMO-POS)

 ✅ TX: Chronic Complete (HMO SNP)

 ✅ Group Medicare Advantage

 ✅ AARP MedicareComplete SecureHorizons Focus (HMO)

 ✅ MedicareComplete Assure (PPO)

 ✅ AARP MedicareComplete Choice Essential (Regional PPO)

 ✅ AARP MedicareComplete Choice Plan 2 (Regional PPO)

 ✅ Assisted Living Plan (PPO SNP)

 ✅ Sync (PPO) - Medicare

 ✅ AARP MedicareComplete Access (HMO)

 ✅ AARP MedicareComplete Premier (HMO)

 ✅ AARP MedicareComplete SecureHorizons Value (HMO)

 ✅ Medicare Gold (Regional PPO C-SNP)

 ✅ Medicare Silver (Regional PPO C-SNP)

 ✅ AARP MedicareRx Preferred (PDP)

 ✅ AARP MedicareRx Saver Plus (PDP)

 ✅ AARP MedicareRx Walgreens (PDP)

 ✅ Medicare Advantage Essential (Regional PPO)

 ✅ Medicare Advantage Choice (Regional PPO)

 ✅ AARP Medicare Advantage Walgreens Plan 1 (HMO)

 ✅ AARP Medicare Advantage Walgreens Plan 2 (HMO)

 ✅ AARP Medicare Advantage SecureHorizons Plan 2 (HMO-POS)

 ✅ AARP Medicare Advantage SecureHorizons Plan 1 (HMO-POS)

 ✅ AARP Medicare Advantage (HMO-POS)

 ✅ Erickson Advantage Signature without Drugs (HMO-POS)

 ✅ AARP Medicare Advantage Plan 1 (HMO)

 ✅ TX: Erickson Advantage Signature without Drugs (HMO-POS)

 ✅ TX: Erickson Advantage Signature with Drugs (HMO-POS)

 ✅ TX: Erickson Advantage Freedom (HMO-POS)

 ✅ AARP MedicareComplete Plan 4 (HMO)

 ✅ AARP Medicare Advantage Patriot (HMO-POS)

 ✅ Medicare Advantage Ally (HMO-POS C-SNP)

 ✅ AARP Medicare Advantage Walgreens (HMO-POS)

 ✅ AARP Medicare Advantage Walgreens Plan 2 (PPO)

 ✅ AARP Medicare Advantage Walgreens Plan 1 (PPO)

 ✅ AARP Medicare Advantage Patriot (PPO)

 ✅ AARP Medicare Advantage Choice Plan 2 (PPO)

 ✅ TX: HealthSelectsm Medicare Rx (PDP)

 ✅ AARP Medicare Advantage Plan 2 (HMO)

 ✅ AARP Medicare Advantage Mosaic Choice (PPO)

 ✅ AARP Medicare Advantage Mosaic (HMO)

 ✅ AARP Medicare Advantage Essential (HMO-POS)

 ✅ AARP MedicareComplete SecureHorizons Premier (HMO)

 ✅ AARP Medicare Advantage Plan 1 (HMO-POS)

 ✅ AARP Medicare Advantage Value Care (HMO-POS)

 ✅ AARP Medicare Advantage Choice Premier (PPO)

 ✅ Care Improvement Plus Medicare Advantage (Regional PPO)

 ✅ Chronic Complete Assure (C-SNP)

 ✅ Choice Plus Network - UMR

 ✅ Select EPO

 ✅ Choice

 ✅ Passport Connect Choice

 ✅ Navigate EPO

 ✅ Heritage Select EPO

 ✅ EPO

 ✅ All Savers

 ✅ Select Plus POS

 ✅ Choice Plus

 ✅ Heritage Choice

 ✅ HealthSelect of Texas (POS)

 ✅ Core POS


UNITEDHEALTHONE

 ✅ UnitedHealthcare Choice Plus Network

 ✅ UnitedHealthcare Navigate Plus

 ✅ UnitedHealthcare Navigate

 ✅ UnitedHealthcare Choice

 ✅ UnitedHealth Allies

 ✅ My HPN HMO



NOTICE- OUT OF NETWORK PLANS

UNITEDHEALTHCARE ACA MARKETPLACE (EXCHANGE) PLANS – ALL OUT OF NETWORK

 ❌ UHC Gold Advantage HMO Plan

 ❌ UHC Gold Standard HMO Plan

 ❌ UHC Bronze Virtual First HMO Plan

 ❌ UHC Bronze Standard HMO Plan

 ❌ UHC Silver Advantage HMO Plan

 ❌ UHC Silver Virtual First HMO Plan

 ❌ UHC Select Silver HMO Plan

 ❌ UHC Value Silver HMO Plan

 ❌ UHC Bronze Classic HMO Plan

UHC CHARTER NETWORK PLANS – OUT OF NETWORK

 ❌ UnitedHealthcare Charter HMO Plan

 ❌ UHC Charter Balanced HMO

 ❌ UHC Charter Plus HMO

 ❌ AllSavers with Charter Network

UMR (WITH IMAGINE HEALTH LOGO) – OUT OF NETWORK

 ❌ UMR plans are typically employer-sponsored. Those with the Imagine Health logo are not accepted:

UMR – NCH Corporation with Imagine Health

UMR – Imagine Health Tiered Network Plan


 ✅ Open Access Plus EPO

 ✅ Open Access EPO

 ✅ HMO

 ✅ HMO, HMO CCO, HMO - POS

 ✅ HMO Select Plus

 ✅ Freedom HMO

 ✅ Choice HMO

 ✅ HMO

 ✅ HMO Staff

 ✅ Health Maintenance Organization (HMO)

 ✅ HMO Select

 ✅ ChoiceCare MD/ANC

 ✅ Premier Point of Service

 ✅ POS Total Health Access

 ✅ POS

 ✅ HMO/POS Total Health

 ✅ Preferred POS

 ✅ HCG Open Access

 ✅ Select Network HMO/POS

 ✅ Point of Service

 ✅ COT National POS - Open Access

 ✅ Preferred POS-OpenAccess

 ✅ Choice POS

 ✅ National POS - Open Access

 ✅ National POS - Open Access Plus

 ✅ Open Access

 ✅ Preferred Open Access

 ✅ PPO/T. H. OHPtions

 ✅ ChoiceCare PPO

 ✅ PPO

 ✅ Preferred PPO

 ✅ ChoiceCare Network PPO

 ✅ ChoiceCare+ Network PPO

 ✅ PPO

 ✅ EPO PPO Open Access

 ✅ Medicare PPO

 ✅ Gold Plus HMO/Employer HMO

 ✅ Medicare Advantage Network

 ✅ Gold Plus HMO-POS

 ✅ TeamCare Gold

 ✅ TRS-Care Medicare Advantage

 ✅ TX: Choice R4182-003 (Regional PPO)

 ✅ Total Care Advantage HMO (Medicare)

 ✅ Value Plus PPO (Medicare)

 ✅ Honor (PPO)

 ✅ Community HMO Diabetes and Heart

 ✅ Medicare PPO/Employer PPO Plus

 ✅ Gold Plus HMO (Medicare)

 ✅ ChoicePPO (Medicare PPO)

 ✅ Community HMO

 ✅ GoldPlusHMO-SNP-Diabetes/Heart

 ✅ Gold Plus HMO

 ✅ Community HMO

 ✅ Kidney Care (HMO SNP)

 ✅ Choice (PPO)



NOTICE- OUT OF NETWORK PLANS 

 ❌ Humana Gold Plus HMO (D-SNP)

 ❌ Humana Gold Choice PFFS (Private Fee-for-Service)

 ❌ Humana Regional PPO

 ❌ Humana Honor PPO

 ❌ Humana Institutional and Chronic Special Needs Plans (I-SNP/C-SNP)

 ❌ Humana patients assigned to WellMed PCPs

 ❌ Humana TRICARE / Military Plans (TRICARE East)

 ❌ Humana Prescription Drug Plans (PDP): Walmart Value Rx, Premier Rx, Basic Rx

 ❌ Humana National POS Open Access

 ❌ Humana HMOX (ACA Exchange Product)

 ❌ Humana Group Medicare Plans tied to external ACO networks


 ✅ Medicare Complete (HMO)

 ✅ MedicareComplete SecureHorizons

 ✅ Personal Health Insurance Plan

 ✅ MedicareComplete Plus (HMO-POS)

 ✅ MedicareComplete Choice (PPO)

 ✅ Medicare Advantage PPO

 ✅ Medicare Advantage POS

 ✅ Medicare Advantage HMO

 ✅ Horizon Blue Cross Blue Shield of New Jersey

 ✅ Federal Employee Plan - Standard Option

 ✅ Federal Employee Plan - Basic Option

 ✅ Blue Cross Blue Shield Federal Employee Program

 ✅ Standard Option

 ✅ Basic Option

 ✅ Empire Blue Cross Blue Shield (Health)

 ✅ Empire MediBlue(SM) Freedom I (PPO)

 ✅ Independence Blue Cross

 ✅ Personal Choice 65 PPO

 ✅ Highmark Blue Cross Blue Shield

 ✅ Freedom Blue PPO (Medicare)

 ✅ Highmark Blue Shield

 ✅ Freedom Blue PPO (Medicare)

 ✅ Capital Blue Cross

 ✅ SeniorBlue PPO

 ✅ Blue Cross Blue Shield of Georgia

 ✅ Medicare Preferred (PPO)

 ✅ Florida Blue: Blue Cross Blue Shield of Florida

 ✅ BlueMedicare PPO / BlueMedicare Group PPO

 ✅ BlueMedicare Regional PPO

 ✅ Blue Cross Blue Shield of Michigan

 ✅ Medicare Plus Blue (PPO)

 ✅ Blue Cross Blue Shield of South Carolina

 ✅ Medicare Advantage

 ✅ National Medicare Advantage PPO

 ✅ Blue Cross Blue Shield of North Carolina

 ✅ Medicare Advantage PPO

 ✅ Blue Cross Blue Shield of Tennessee

 ✅ Blue Advantage PPO

 ✅ Anthem Blue Cross

 ✅ Anthem Medicare Preferred Standard (PPO)

 ✅ Blue Cross Blue Shield of Alabama

 ✅ Preferred Provider Organization (PPO)

 ✅ Blue Cross of Northeastern Pennsylvania

 ✅ Medicare Advantage PPO

 ✅ Excellus Blue Cross Blue Shield

 ✅ Medicare PPO

 ✅ Regence Blue Cross Blue Shield

 ✅ Regence MedAdvantage (PPO)

 ✅ Highmark Blue Cross Blue Shield of Western New York

 ✅ Forever Blue Medicare PPO (All Plans)

 ✅ Blue Shield of Northeastern New York

 ✅ Forever Blue Medicare PPO (All Plans)

 ✅ Arkansas Blue Cross Blue Shield

 ✅ Medi-Pak Advantage (PPO)

 ✅ Triple-S Salud: Blue Cross Blue Shield of Puerto Rico

 ✅ Medicare Advantage (PPO)

 ✅ Blue Cross of Idaho

 ✅ Medicare Advantage - Secure Blue PPO


 ✅ Coventry National Network

 ✅ First Health

 ✅ CoventryOne National

 ✅ Employer Group PPO

 ✅ Coventry Preferred (PPO)

 ✅ Carelink from Coventry

 ✅ PPO ASO

 ✅ PPO

 ✅ HMO Select Network

 ✅ Individual HMO/Open Access

 ✅ Employer Group HMO/Open Access

 ✅ Open Access Plan (OAP)

 ✅ Group Health Plan (GHP) Medicare Advantage

 ✅ Advantra Freedom (Medicare)

 ✅ Vista - A Plan

 ✅ Advantra Medicare Advantage HMO

 ✅ Advantra Medicare Advantage PPO

 ✅ Advantra Medicare Advantage POS

 ✅ Advantra TotalCare (HMO)

 ✅ Advantra Total Care (PPO)

 ✅ Coventry Medicare Summit Plan (HMO)

 ✅ Florida: VISTA Medicare: Coventry Advantra Ideal (HMO) - Hillsborough

 ✅ VISTA (CHC Florida) Individual

 ✅ Florida: VISTA Medicare: Coventry Advantra Ideal (HMO) - Polk

 ✅ Mercy MedicareADVANTAGE

 ✅ Gold Advantage

 ✅ VISTA Medicare

 ✅ Coventry POS

 ✅ Employer Group Open Access POS

 ✅ Employer Group POS

 ✅ of Texas

 ✅ CoventryOne POS



NOTICE- OUT OF NETWORK PLANS

 ❌ Coventry HMO & Premier (Standard HMO, non-Open Access)

 ❌ CoventryOne HMO

 ❌ Coventry EPO

 ❌ Coventry Curative Plan

 ❌ Coventry Workers’ Compensation Plans

 ❌ Coventry PPO Rental Network Plans (PHCS, Multiplan, Beech Street, etc.)

 ❌ Coventry Out-of-State Plans (Oklahoma, Tennessee, Illinois, Nevada, Delaware, Georgia,  Iowa, Kansas, Louisiana, Missouri, Nebraska)

 ❌ Special Employer Plans (MoDot and MSHP PPO, Nebraska Medical Center)

 ❌ Indemnity Plans (Foreign Service Benefit Plan, MHBP, Rural Carrier Benefit Plan)

 ❌ Other Out-of-Area Plans (Altius Health Plan, Carpenters Benefit Plans, FEHB, Preferred Health Systems, Southern Health Services, WellPath)


 ✅ Medicare Advantage



NOTICE- OUT OF NETWORK PLANS

 ❌ Superior Health Star Plus Medicaid Plan

 ❌ Community Health Choice Star Medicaid Plan


 ✅ Value Script (PDP)

 ✅ Medicare Rx Value Plus (PDP)

 ✅ TexanPlus Patriot Giveback (HMO)

 ✅ Patriot No Premium (HMO)

 ✅ No Premium (HMO-POS)

 ✅ Assist (HMO)

 ✅ Complement Assist (HMO)

 ✅ TexanPlus No Premium (HMO)

 ✅ Giveback (HMO)

 ✅ Specialty No Premium (HMO C-SNP)

 ✅ Premium Enhanced Open (PPO)

 ✅ No Premium (HMO)

 ✅ WellCare Rx (HMO)

 ✅ WellCare Plus (HMO)

 ✅ WellCare Prime (PPO)

 ✅ WellCare Value (HMO)

 ✅ Choice

 ✅ Texas Medicare

 ✅ WellCare Classic (PDP)

 ✅ WellCare Extra (PDP)

 ✅ WellCare Premier (PPO)

 ✅ TX: WellCare Value (HMO-POS)

 ✅ TX: WellCare TexanPlus Classic (HMO)

 ✅ Assist Open (PPO)

 ✅ Giveback Open (PPO)

 ✅ No Premium Open (PPO)

 ✅ WellCare TexanPlus No Premium (HMO-POS)

 ✅ TX: WellCare No Premium Rx Plus Open (PPO)

 ✅ TexanPlus Classic No Premium (HMO)

 ✅ WellCare Preferred (HMO-POS)

 ✅ No Premium Essentials (HMO)

 ✅ Community Assist (PPO)

 ✅ Patriot Giveback Open (PPO)

 ✅ Low Premium (HMO-POS)

 ✅ Patriot Giveback (HMO-POS)

 ✅ Advantage No Premium (PFFS)

 ✅ Premium Ultra Open (PPO)



NOTICE- OUT OF NETWORK PLANS

 ❌ Wellcare No Premium Open (HMO)

 ❌ Wellcare Giveback (HMO)

 ❌ Wellcare Assist (HMO D-SNP)

 ❌ Wellcare Dual Liberty (HMO D-SNP)

 ❌ Wellcare Dual Access (HMO D-SNP)

 ❌ Wellcare Patriot (PPO)

 ❌ Wellcare TexanPlus Plans

 ❌ Wellcare Regional PPO Plans

 ❌ Wellcare Premier Rx (PDP)

 ❌ Wellcare Value Script (PDP)

 ❌ Wellcare Rx Saver (PDP)

 ❌ Wellcare by Allwell Plans (All Medicare Advantage Plans)

 ❌ All Out-of-State Wellcare Plans (California, Florida, Georgia, Kentucky, Arizona, New York, etc.)


 ✅ Wellpoint Star Medicaid Plan

 ✅ WELLPOINT Dual Advantage HMO

 ✅ Texas Medicare

 ✅ TX: Amerivantage Select HMO

 ✅ Amerivantage Classic HMO

 ✅ Amerivantage Balance (HMO)

 ✅ Amerivantage Heart Care Plus (HMO C-SNP)

 ✅ Amerivantage Diabetes Care Plus (HMO C-SNP)

 ✅ Amerivantage Comfort Plus (HMO I-SNP)

 ✅ Amerivantage Classic Plus (HMO)

 ✅ Amerivantage Choice (PPO)

 ✅ Amerivantage Lung Care (HMO C-SNP)

 ✅ Amerivantage Heart Care (HMO C-SNP)

 ✅ Amerivantage ESRD Care Plus (HMO C-SNP)

 ✅ Amerivantage Diabetes Care (HMO C-SNP)

 ✅ Amerivantage Comfort (HMO I-SNP)

 ✅ TX: Amerivantage ESRD (HMO-POS C-SNP)

 ✅ Amerivantage ESRD Care (HMO-POS C-SNP)

 ✅ Blue Choice Health Plan

 ✅ BlueCard PPO Basic

 ✅ BlueCard PPO/EPO

 ✅ Open Access (AdvantagePlus, CarolinaADVANTAGE, MyChoice)

 ✅ BlueCard Traditional

 ✅ National Medicare Advantage PPO



NOTICE- OUT OF NETWORK PLANS

❌Wellpoint Medicare – IntegraNet Gulf Coast IPA Plans
❌Any Amerigroup or Wellpoint plan with “IntegraNet – Gulf Coast IPA” beneath the PCP name
❌Amerigroup Out-of-State Medicaid Plans
❌Wellpoint Out-of-State Medicare Advantage Plans
❌Amerigroup / Wellpoint Employer Group Medicare Advantage Plans (non-standard plans not credentialed through SWHR)


 ✅ Medicare Advantage PPO Plans

 ✅ Choice (PPO)

 ✅ Choice Plus (PPO)

 ✅ Choice Premium (PPO)

 ✅ Classic (HMO)

 ✅ Medicare Advantave HMO Plans


 ✅ Ambetter Essentials (Non-VALUE)

 ✅ Ambetter Balanced (Non-VALUE)

 ✅ Ambetter Secure (Non-VALUE)

 ✅ Ambetter Virtual Access (Non-VALUE)

 ✅ Ambetter Secure Care (standard tier)



NOTICE- OUT OF NETWORK PLANS

OUT OF NETWORK WITH ALL "VALUE" PLANS

❌ Ambetter Clear VALUE Silver HMO Plan

❌ Ambetter Standard Gold VALUE HMO Plan

❌ Ambetter Standard Silver VALUE HMO Plan

❌ Ambetter HMO Value Gold Plan

❌ Ambetter HMO Value Silver Plan

❌ Ambetter HMO Value Bronze Plan

❌  Ambetter Standard Gold HMO Plan

❌ Ambetter Standard Silver HMO Plan

❌  Ambetter Virtual Value Silver Plan

❌ Ambetter Virtual Value Gold Plan

❌  Ambetter Virtual Value Bronze Plan

❌  Ambetter Value Select Gold HMO

❌  Ambetter Value Select Silver HMO

❌ Ambetter Value Select Bronze HMO

❌ Ambetter Essentials VALUE Plan

❌  Ambetter Balanced VALUE Gold Plan

❌  Ambetter Balanced VALUE Silver Plan

❌  Ambetter Secure VALUE Silver Plan

❌ Ambetter Clear Secure Silver VALUE HMO
❌ Ambetter Clear Bronze VALUE Plan
❌ Ambetter Bronze Classic VALUE Plan
❌ Ambetter Virtual Access Value Plan
❌ Ambetter Balanced Bronze VALUE Plan

❌ Ambetter Gold VALUE – No Referral HMO
❌ Ambetter Value Bronze HMO – Limited Network
❌ Ambetter Marketplace VALUE Bronze Plan
❌ Ambetter Marketplace VALUE Silver Plan
❌ Ambetter Out-of-State Ambetter Marketplace Plans (non-TX or non-DFW region) 


 ✅ Payors Organization (HPO)

 ✅ Preferred Care

 ✅ GEPO

 ✅ Interplan Health Group (IHG) Network

 ✅ ACCEL

 ✅ High Performance Network

 ✅ Preferred Network (Formerly Emerald Health Network)



NOTICE OF OUT OF NETWORK PLANS

  ❌ HealthSmart Complete PPO
 ❌ HealthSmart GEPO
 ❌ HealthSmart EPO
 ❌ HealthSmart HMO
 ❌ HealthSmart Student Health Plans
 ❌ HealthSmart Limited Benefit Plans
 ❌ HealthSmart SmartCare Plans
 ❌ HealthSmart Imagine Health Plans
 ❌ HealthSmart Access / Practitioner-Only Plans
 ❌ HealthSmart Beech Street–based PPO Plans
 ❌ HealthSmart Out-of-State Plans
 ❌ HealthSmart PPO plans with Physician-Only access
 ❌ Employer Group TPA Plans using HealthSmart without SWHR contracting 


 ✅ Molina STAR (Medicaid)

 ✅ Molina CHIP / CHIP Perinate

 ✅ Molina STAR+PLUS (Medicaid)

 ✅ Molina Medicare Advantage Complete Care (D-SNP)



NOTICE- OUT OF NETWORK PLANS

Out of network with ALL MOLINA COMMERCAL PLANS

  ❌ Molina Marketplace Bronze Plan
 ❌ Molina Marketplace Silver Plan
 ❌ Molina Marketplace Gold Plan
 ❌ Molina Marketplace Select Silver Plan
 ❌ Molina Marketplace Value Silver HMO Plan
 ❌ Molina Marketplace Standard Silver HMO Plan
 ❌ Molina Marketplace MyChoice Silver Plan
 ❌ Molina Marketplace Core Care Bronze Plan
 ❌ Molina Marketplace Standard Gold HMO Plan
 ❌ Molina Marketplace No Referral HMO Plan
 ❌ Molina Marketplace Virtual Access Plans
 ❌ Molina Marketplace Virtual Bronze HMO
 ❌ Molina Marketplace Enhanced Silver 94 Plan
 ❌ Molina Marketplace Enhanced Silver 87 Plan
 ❌ Molina Marketplace Enhanced Silver 73 Plan
 ❌ Molina Marketplace Minimum Coverage Plan
 ❌ Molina Marketplace Community Plus Silver
 ❌ Molina Marketplace Bronze Classic
 ❌ Molina EPO Marketplace Plans
 ❌ Molina Care Select HMO Plan
 ❌ Molina Multi-State Plan
 ❌ Molina Marketplace Out-of-State Plans
 ❌ Molina Medicaid Plans issued outside Texas (STAR, CHIP, STAR+PLUS)
 ❌ Molina Medicare Advantage PPO Plans
 ❌ Molina Medicare Advantage HMO Plans not labeled Complete Care D-SNP
 ❌ Molina Medicare Advantage Out-of-State Plans
 ❌ Molina Medicare Employer Group Plans
 ❌ Molina TRS Medicare Advantage Plans
 ❌ Molina Dual Eligible Regional PPO Plans
 ❌ Molina Value HMO Plans in non-DFW regions
 ❌ Molina Texas HMO Marketplace Plans issued outside DFW 


MULTIPLAN PHCS

 ✅ Multiplan

 ✅ PHCS

 ✅ HealthEOS PPO

 ✅ HealthEOS Plus+


Consolidated Health Plans

 ✅ MultiPlan

 ✅ PHCS

 ✅ First Health Network


Memorial Hermann

 ✅ MultiPlan

 ✅ PHCS


POMCO

 ✅ PHCS/Multiplan


Tufts Health Plan

 ✅ PPO/PHCS Network


 American Republic Insurance Company

 ✅ PHCS PPO

 ✅ First Health


Moda Health

 ✅ PHCS


US Health Group

 ✅ Private Healthcare Systems (PHCS) (PPO)



NOTICE- OUT OF NETWORK PLANS

  ❌ PHCS Healthy Directions
 ❌ PHCS Savility Network
 ❌ Multiplan PPO
 ❌ Multiplan ValueOptions
 ❌ Beech Street PPO
 ❌ Multiplan Limited Benefit Plans
 ❌ Multiplan Discount Network Plans
 ❌ PHCS Practitioner & Ancillary Only Network
 ❌ Multiplan Practitioner-Only Networks
 ❌ Multiplan Behavioral Health Plans
 ❌ Student Health Plans using Multiplan or PHCS
 ❌ Travel Health Plans (IMG, Seven Corners) using Multiplan
 ❌ HealthShare Plans using Multiplan (e.g., Christian Healthcare Ministries, Liberty HealthShare)
 ❌ Short-Term Medical Plans using PHCS/Multiplan
 ❌ Group & Pension Administrator (GPA) PHCS “Physician-Only” Plans
 ❌ Multiplan EPO or Custom Employer PPO Plans
 ❌ Any Multiplan or PHCS card without “PHCS Primary PPO” 


 USA MANAGED CARE ORGANIZATION

 ✅ USA Health & Wellness Network (Medical)


 QUICKTRIP

 ✅ Employee Benefit Plan


 FIRST HEALTH (COVENTRY HEALTH CARE)

 ✅ First Health Network PPO


 Caterpillar

 ✅ UHC PPO Network Plan

 ✅ UHC Choice Plan


 Health Net

 ✅ National PPO - First Health


 UNITED HEALTH CARE

UNITEDHEALTHCARE ACA MARKETPLACE (EXCHANGE) PLANS – ALL OUT OF NETWORK

 ❌ UHC Gold Advantage HMO Plan

 ❌ UHC Gold Standard HMO Plan

 ❌ UHC Bronze Virtual First HMO Plan

 ❌ UHC Bronze Standard HMO Plan

 ❌ UHC Silver Advantage HMO Plan

 ❌ UHC Silver Virtual First HMO Plan

 ❌ UHC Select Silver HMO Plan

 ❌ UHC Value Silver HMO Plan

 ❌ UHC Bronze Classic HMO Plan

UHC CHARTER NETWORK PLANS – OUT OF NETWORK

 ❌ UnitedHealthcare Charter HMO Plan

 ❌ UHC Charter Balanced HMO

 ❌ UHC Charter Plus HMO

 ❌ AllSavers with Charter Network

 UMR (WITH IMAGINE HEALTH LOGO) – OUT OF NETWORK

 ❌ UMR plans are typically employer-sponsored. Those with the Imagine Health logo are not accepted:

 UMR – NCH Corporation with Imagine Health

 UMR – Imagine Health Tiered Network Plan


 CIGNA

 ❌ Cigna Local Plus ASO Plan

 ❌ Cigna Choice Local Plus Plan

 ❌ Cigna Connect HMO Plan

 ❌ Cigna EPO Connect

 ❌ Cigna POS Plan

 ❌ Cigna + Oscar ACA Plans (EPO)

 ❌ Cigna ACA Marketplace Plans (Cigna Connect, any Marketplace HMO/EPO)

 ❌ Cigna TX Focus Network

 ❌ Cigna Standard HMO Plans (Austin, Dallas, El Paso, Houston, Lufkin, North Texas,  San Antonio)

 ❌ Cigna North Texas Provider Select Plan

 ❌ Cigna Care Designation Network (CCD/CCN)

 ❌ Cigna Workers' Compensation Plans

 ❌ Cigna Indemnity Plans

 ❌ Cigna True Choice Savings Medicare PPO Plan

 ❌ Cigna PDP (Prescription Drug Plans): Secure Rx, Secure-Essential Rx, Secure-Extra Rx

 ❌ Cigna I-SNP and C-SNP Plans (Achieve Medicare, Traditions Medicare)

 ❌ Cigna Medicare Supplement / Medigap Plans (Plan A, F, G, N, High Deductible Plan F)

 ❌ Cigna Medicare Surround

 ❌ Cigna Out-of-State Cigna Plans (Arizona, California, Colorado, Maryland, Florida, Connecticut, etc.)


 AETNA

Aetna Medicaid & Medicare Plans

 ❌ Aetna Better Health STAR Medicaid Plan

 ❌ Aetna Medicaid

 ❌ Aetna Medicare Advantage HMO (No longer in network after 1/1/2025)

 ❌ Aetna Medicare Advantage PPO (No longer in network after 1/1/2025)

Aetna ACA Marketplace (Exchange) Plans

 ❌ Aetna ACA Marketplace HMO

 ❌ Aetna ACA Marketplace EPO

 ❌ Aetna CVS Bronze Value HMO

 ❌ Aetna CVS Silver HMO

 ❌ Aetna CVS Gold HMO

Aetna EPO / Narrow Network Plans

 ❌ Aetna Elect Choice EPO

 ❌ Aetna Select EPO

 ❌ Aetna Indemnity (MedPremier without NAP)

 ❌ Aetna SmartCare HMO

 ❌ Aetna plans affiliated with Imagine Health (including employer-sponsored plans)

Aetna Whole Health Plans (Without Texas Health Logos)

These ACO-based plans are only accepted if the card specifically shows a Texas Health logo. The following are not accepted:

 ❌ Aetna Whole Health – Baylor Scott & White Quality Alliance (BQA)

 ❌ Aetna Whole Health – Memorial Hermann Accountable Care Network

 ❌ Aetna Whole Health – Seton Health Alliance

 ❌ Aetna Whole Health – Baptist Health System

Other Aetna Plans

 ❌ Aetna Gold HMO Plan

 ❌ Aetna ACO (Accountable Care Organization)

 ❌ Aetna Workers' Compensation PPO


 BYLOR, SCOTT AND WHITE

Out of Network with All BSW

 ❌ BSW Prime Silver HMO Plan


 MOLINA

Out of network with ALL MOLINA COMMERCAL PLANS

  ❌ Molina Marketplace Bronze Plan
 ❌ Molina Marketplace Silver Plan
 ❌ Molina Marketplace Gold Plan
 ❌ Molina Marketplace Select Silver Plan
 ❌ Molina Marketplace Value Silver HMO Plan
 ❌ Molina Marketplace Standard Silver HMO Plan
 ❌ Molina Marketplace MyChoice Silver Plan
 ❌ Molina Marketplace Core Care Bronze Plan
 ❌ Molina Marketplace Standard Gold HMO Plan
 ❌ Molina Marketplace No Referral HMO Plan
 ❌ Molina Marketplace Virtual Access Plans
 ❌ Molina Marketplace Virtual Bronze HMO
 ❌ Molina Marketplace Enhanced Silver 94 Plan
 ❌ Molina Marketplace Enhanced Silver 87 Plan
 ❌ Molina Marketplace Enhanced Silver 73 Plan
 ❌ Molina Marketplace Minimum Coverage Plan
 ❌ Molina Marketplace Community Plus Silver
 ❌ Molina Marketplace Bronze Classic
 ❌ Molina EPO Marketplace Plans
 ❌ Molina Care Select HMO Plan
 ❌ Molina Multi-State Plan
 ❌ Molina Marketplace Out-of-State Plans
 ❌ Molina Medicaid Plans issued outside Texas (STAR, CHIP, STAR+PLUS)
 ❌ Molina Medicare Advantage PPO Plans
 ❌ Molina Medicare Advantage HMO Plans not labeled Complete Care D-SNP
 ❌ Molina Medicare Advantage Out-of-State Plans
 ❌ Molina Medicare Employer Group Plans
 ❌ Molina TRS Medicare Advantage Plans
 ❌ Molina Dual Eligible Regional PPO Plans
 ❌ Molina Value HMO Plans in non-DFW regions
 ❌ Molina Texas HMO Marketplace Plans issued outside DFW 


 AMBETTER

  ❌ Ambetter Clear VALUE Silver HMO Plan
 ❌ Ambetter Standard Gold VALUE HMO Plan
 ❌ Ambetter Standard Silver VALUE HMO Plan
 ❌ Ambetter HMO Value Gold Plan
 ❌ Ambetter HMO Value Silver Plan
 ❌ Ambetter HMO Value Bronze Plan
 ❌ Ambetter Standard Gold HMO Plan
 ❌ Ambetter Standard Silver HMO Plan
 ❌ Ambetter Virtual Value Silver Plan
 ❌ Ambetter Virtual Value Gold Plan
 ❌ Ambetter Virtual Value Bronze Plan
 ❌ Ambetter Value Select Gold HMO
 ❌ Ambetter Value Select Silver HMO
 ❌ Ambetter Value Select Bronze HMO
 ❌ Ambetter Essentials VALUE Plan
 ❌ Ambetter Balanced VALUE Gold Plan
 ❌ Ambetter Balanced VALUE Silver Plan
 ❌ Ambetter Secure VALUE Silver Plan
 ❌ Ambetter Clear Secure Silver VALUE HMO
 ❌ Ambetter Clear Bronze VALUE Plan
 ❌ Ambetter Bronze Classic VALUE Plan
 ❌ Ambetter Virtual Access Value Plan
 ❌ Ambetter Balanced Bronze VALUE Plan
 ❌ Ambetter Gold VALUE – No Referral HMO
 ❌ Ambetter Value Bronze HMO – Limited Network
 ❌ Ambetter Marketplace VALUE Bronze Plan
 ❌ Ambetter Marketplace VALUE Silver Plan
 ❌ Ambetter Out-of-State Ambetter Marketplace Plans (non-TX or non-DFW region) 


AMERIGROUP/WELLPOINT

 ❌ Wellpoint Medicare – IntegraNet Gulf Coast IPA Plans
❌ Any Amerigroup or Wellpoint plan with “IntegraNet – Gulf Coast IPA” beneath the PCP name
❌ Amerigroup Out-of-State Medicaid Plans
❌ Wellpoint Out-of-State Medicare Advantage Plans
❌ Amerigroup / Wellpoint Employer Group Medicare Advantage Plans (non-standard plans not credentialed through SWHR)


WELLCARE

 ❌ Wellcare No Premium Open (HMO)

 ❌ Wellcare Giveback (HMO)

 ❌ Wellcare Assist (HMO D-SNP)

 ❌ Wellcare Dual Liberty (HMO D-SNP)

 ❌ Wellcare Dual Access (HMO D-SNP)

 ❌ Wellcare Patriot (PPO)

 ❌ Wellcare TexanPlus Plans

 ❌ Wellcare Regional PPO Plans

 ❌ Wellcare Premier Rx (PDP)

 ❌ Wellcare Value Script (PDP)

 ❌ Wellcare Rx Saver (PDP)

 ❌ Wellcare by Allwell Plans (All Medicare Advantage Plans)

 ❌ All Out-of-State Wellcare Plans (California, Florida, Georgia, Kentucky, Arizona, New York, etc.)


SUPERIOR

 ❌ Superior Health Star Plus Medicaid Plan

 ❌ Community Health Choice Star Medicaid Plan


 BLUE CROSS BLUE SHIELD

Commercial PPOs/EPOs:

❌ Blue Edge PPO

❌ BlueOptions

❌ ParPlan

❌ SelecTEMP PPO

❌ Blue High Performance Network (HPN)

❌ Blue Premier (all products)

❌ Dallas ACO Select

❌ UT Connect (ACO)

❌ Blue Premier Access HMO

❌ Consumer Choice PPO (must verify individually)

Commercial HMOs/ACAs:

❌ Blue Option Network

❌ Primary Choice

❌ BlueChoice® Individual

❌ Blue Advantage Plus HMO

❌ Blue Advantage Security HMO 200

❌ Consumer Choice HMO

❌ Blue Premier HMO

TRS ActiveCare Plans:

❌ TRS ActiveCare Primary (must verify network)

❌ TRS ActiveCare Primary+ (must verify network)

❌ TRS ActiveCare ActiveCare HD HSA (must verify network)

Other:

❌ Generic EPOs (must verify individually - not automatic in-network)


COVENTRY

 ❌ Coventry HMO & Premier (Standard HMO, non-Open Access)

 ❌ CoventryOne HMO

 ❌ Coventry EPO

 ❌ Coventry Curative Plan

 ❌ Coventry Workers’ Compensation Plans

 ❌ Coventry PPO Rental Network Plans (PHCS, Multiplan, Beech Street, etc.)

 ❌ Coventry Out-of-State Plans (Oklahoma, Tennessee, Illinois, Nevada, Delaware, Georgia, Iowa, Kansas, Louisiana, Missouri, Nebraska)

 ❌ Special Employer Plans (MoDot and MSHP PPO, Nebraska Medical Center)

 ❌ Indemnity Plans (Foreign Service Benefit Plan, MHBP, Rural Carrier Benefit Plan)

Other Out-of-Area Plans (Altius Health Plan, Carpenters Benefit Plans, FEHB, Preferred Health Systems, Southern Health Services, WellPath)


 MULTIPLANS:

  ❌ PHCS Healthy Directions
 ❌ PHCS Savility Network
 ❌ Multiplan PPO
 ❌ Multiplan ValueOptions
 ❌ Beech Street PPO
 ❌ Multiplan Limited Benefit Plans
 ❌ Multiplan Discount Network Plans
 ❌ PHCS Practitioner & Ancillary Only Network
 ❌ Multiplan Practitioner-Only Networks
 ❌ Multiplan Behavioral Health Plans
 ❌ Student Health Plans using Multiplan or PHCS
 ❌ Travel Health Plans (IMG, Seven Corners) using Multiplan
 ❌ HealthShare Plans using Multiplan (e.g., Christian Healthcare Ministries, Liberty HealthShare)
 ❌ Short-Term Medical Plans using PHCS/Multiplan
 ❌ Group & Pension Administrator (GPA) PHCS “Physician-Only” Plans
 ❌ Multiplan EPO or Custom Employer PPO Plans
 ❌ Any Multiplan or PHCS card without “PHCS Primary PPO” 


 HEALTHSMART

  ❌ HealthSmart Complete PPO
 ❌ HealthSmart GEPO
 ❌ HealthSmart EPO
 ❌ HealthSmart HMO
 ❌ HealthSmart Student Health Plans
 ❌ HealthSmart Limited Benefit Plans
 ❌ HealthSmart SmartCare Plans
 ❌ HealthSmart Imagine Health Plans
 ❌ HealthSmart Access / Practitioner-Only Plans
 ❌ HealthSmart Beech Street–based PPO Plans
 ❌ HealthSmart Out-of-State Plans
 ❌ HealthSmart PPO plans with Physician-Only access
 ❌ Employer Group TPA Plans using HealthSmart without SWHR contracting 


OTHER

 ❌ Curative EPO Plan

 ❌ PHCS MEC Plus Advantage EPO Plan

 ❌ Community Health Choice Star Medicaid Plan

 ❌ STAR PLUS LTC - NON DUAL ELIGIBLE OTHER COMMUNITY

 ❌ OSCAR Silver Classic Standard EPO Plan

 ❌ TRICARE Prime - Retired Sponsors And Family Members Plan


KEEPING TEXAS HEALTHY AND STRONG

Our Mission

 At Lone Star Medical Associates, our mission is to deliver exceptional adult primary care with compassion, precision, and purpose. We provide comprehensive healthcare for adults of all ages—offering evidence-based medicine, same-day appointments, and personalized care plans designed to meet the unique needs of every patient. From preventive wellness to chronic condition management, we are committed to keeping our Plano community healthy and thriving. 

Our Team

 Led by Dr. Muzakeer Shaik, a board-certified geriatrician with advanced training in wound care, our team specializes in the management of complex adult and senior health conditions. We are proud to serve patients in Plano, Murphy, and Parker with collaborative, patient-focused care that emphasizes access, transparency, and results. Whether you need help managing diabetes, high blood pressure, or recovery from chronic wounds, our team is here to support your long-term health goals. 

Follow Lone Star Medical Associates for Updates, Health Tips & More

 Stay connected with Lone Star Medical Associates on social media for health tips, updates, and behind-the-scenes looks at our Plano-based adult primary care clinic. Follow us on Facebook, Instagram, LinkedIn, TikTok, YouTube, and X to learn more about our services, including geriatric care, wound care, and chronic disease management. 

Connect With Us

FacebookInstagramLinkedInTikTokXYouTube
FacebookInstagramLinkedInTikTokXYouTube
FacebookInstagramLinkedInTikTokXYouTube
FacebookInstagramLinkedInTikTokXYouTube
FacebookInstagramLinkedInTikTokXYouTube
FacebookInstagramLinkedInTikTokXYouTube

Instagram

  • Home
  • Primary Care Services
  • Acute Illness Services
  • Weight Loss Program
  • MedSpa Services
  • About
  • Gallery
  • Insurance Accepted
  • Contact
  • HEALOW Portal Help
  • FAQ
  • Patient Tools
  • Patient Education
  • Apply for a Job
  • Our Policies

Lone Star Medical Associates

1645 Dorchester Drive, Plano, Texas 75075, United States

PHONE: 972-777-6656 FAX: 877-569-2307

Copyright © 2024 Lone Star Medical Associates - All Rights Reserved.   

Powered by

This website uses cookies.

We use cookies to analyze website traffic and optimize your website experience. By accepting our use of cookies, your data will be aggregated with all other user data.

DeclineAccept