Insurance and billing information

UT Medicine participates with many major insurance plans in Central Texas. Coverage depends on your specific benefits and plan details. Please review the list below and contact your provider or insurance company if you have questions.

• AARP Medicare Complete Focus Essential HMO

• AARP Medicare Complete Focus HMO

• Accountable Health Plan/Interplan

• Aetna Medicare Advantage

• Aetna PPO/HMO (Not contracted with marketplace plans)

• Aetna Seton Health Alliance

• Aetna Whole Health

• Ambetter From Superior Health Plan (Exchange Plan, Ambetter Health Premier Only)

• Amerivantage Dual Coordination HMO

• Amerivantage Select HMO

• Ascension Complete (Medicare Advantage Plan)

• Beech Street PPO (SPHN)

• Blue Cross Blue Shield (Also accepted by Ambulatory Surgery Center)

• Blue Cross Blue Shield Blue Advantage HMO/Health Select

• Blue Cross Blue Shield Blue Choice PPO/UT Select

• Blue Cross Blue Shield Blue Essentials/Blue Essentials Access (Exchange Plan)

• Blue Cross Blue Shield Medicaid (STAR/STAR PLUS/CHIP/STAR KIDS)

• Blue Cross Blue Shield Medicare Advantage (Also accepted by Ambulatory Surgery Center)

• Blue Cross Blue Shield PAR Plan

• Blue Cross Blue Shield UT Care (Medicare Advantage Plan)

• Cigna (All Plans)

• Cigna Behavioral Health

• Coventry (SPHN)

• Dell Children's Health Plan STAR/CHIP

• EHN/WEB TPA (Whole Foods)

• First Health (SPHN)

• Galaxy (SPHN)

• Health Payors Organization (SPHN)

• HealthSmart (SPHN)

• Humana Gold Plus HMO (Primary Care Clinic does not accept Gold Plus)

• Humana Gold Plus/Any Humana Medicare Advantage HMO Plans (Primary Care Clinic does not accept Gold Plus)

• Humana HMOx

• Humana Medicare Advantage (Primary Care Clinic is out of network for Humana Gold Plus)

• Humana PPO/HMO/Choice Care

• Integrated Medical Systems PPO (SPHN)

• Magellan

• MAP/MAP BASIC (Limited to Advanced Imaging, Musculoskeletal Institute, Women's Health, Post-COVID-19 Program, Mitchel and Shannon Wong Eye Institute (ophthalmology))

• Medicaid/TMHP (Also accepted by Ambulatory Surgery Center)

• Medicare Part B Traditional Fee-for-Service (Novitas) (Also accepted by Ambulatory Surgery Center)

• Medicare Replacement/Advantage (Also accepted by Ambulatory Surgery Center)

• MultiPlan (PHCS is out of network)

• Optum

• Oscar Healthcare (Not contracted with Oscar HMO)

• Sana Insurance (Also accepted by Ambulatory Surgery Center)

• Sendero IdealCare

• Seton Health Plan SmartHealth

• Superior Health Plan STAR/CHIP/STAR KIDS

• TriWest (Also accepted by Ambulatory Surgery Center)

• United Healthcare (Not contracted with all marketplace plans Bronze/Silver/Gold)

• United Healthcare AARP PPO (Also accepted by Ambulatory Surgery Center; Not contracted with all marketplace plans Bronze/Silver/Gold)

• United Healthcare All Savers/Choice/Choice Plus/HMO/PPO (Not contracted with all marketplace plans Bronze/Silver/Gold)

• United Healthcare Community Plan – Medicaid (Not contracted with all marketplace plans Bronze/Silver/Gold)

• United Healthcare Dual Complete Focus HMO (Not contracted with all marketplace plans Bronze/Silver/Gold)

• United Healthcare Medicare (Not contracted with all marketplace plans Bronze/Silver/Gold)

• United Healthcare One (Not contracted with all marketplace plans Bronze/Silver/Gold)

• United Student Resources PPO (SPHN)

• USA Managed Care (SPHN)

• WellCare

• WellMed

• WellPoint (Mitchel and Shannon Wong Eye Institute (ophthalmology) does not accept Medicaid Plan)

Please note: Insurance plans are subject to change without notice. Patients are responsible for confirming that UT Medicine is a participating provider and that services are covered under their individual plan prior to their appointment. We recommend contacting your insurance carrier directly to verify coverage.

To confirm whether your specific plan is accepted by UT Medicine, please call 1-833-UT-CARES (833-882-2737).

Last updated: January 1, 2026

The Ambulatory Surgery Center is part of UT Medicine but accepts a limited number of insurance plans. Please review the list below and contact your provider or insurance company if you have questions.

• Blue Cross Blue Shield

• Blue Cross Blue Shield Medicare Advantage 

• Cigna

• MAP (Central Health surgical procedures only in gastroenterology, ophthalmology, podiatry, and selected women’s health procedures)

• Medicaid/TMHP

• Medicare Part B Traditional Fee-for-Service (Novitas) 

• Sana Insurance

• TriWest

• United Healthcare AARP PPO

• Wellmed: Medicare Replacement/Advantage 

Please note: Insurance plans are subject to change without notice. Patients are responsible for confirming that the Ambulatory Surgery Center is a participating provider and that services are covered under their individual plan prior to their procedure. We recommend contacting your insurance carrier directly to verify coverage prior to your procedure, as participation may differ from clinic-based coverage. 

To confirm whether your specific plan is accepted by the Ambulatory Surgery Center, please call 1-833-UT-CARES (1-833-882-2737).

Some services are billed separately. For example, you may receive one bill for your provider’s care and another for diagnostic testing or procedural services. If anything on your statement is unclear, please call 1-833-UT-CARES (1-833-882-2737).

After your insurance processes your claim, you will receive an Explanation of Benefits that shows what was covered. Once that process is complete, UT Medicine will send a statement for any remaining balance.