Insurance

Insurance and billing services are provided by our office staff for your convenience.

We accept assignment for patients with traditional Medicare insurance.  We also participate in a number of health insurance plans. Please refer to your insurance plan roster of physicians to determine if The Texas Heart Institute Center for Cardiovascular Care is included in your plan.

After scheduling an appointment, our insurance staff will verify your insurance coverage and plan benefits and provide an estimate based on anticipated services. The receptionist will ask for any co-payment, coinsurance, and deductible amount at the time services are rendered.

International patients should contact our International Department at 713-600-9211 for all scheduling and to make payment arrangements. While we do not accept or bill any international insurance carriers, we will provide you with the documentation necessary to file a claim with your international insurance plan.

COMMERCIAL INSURANCE (Plans)

We are contracted with most commercial, Medicare, and managed care plans.  We are contracted with some HMO plans. Our team will verify coverage prior to your visit to identify out of network plans.

AETNA (HMO, PPO, POS)
Ambetter (Medicare HMO and PPO & EPO Exchange Plans)
BeechStreet (PPO)
Blue Cross and Blue Shield of Texas (HMO, POS, PPO, Fed Employees, Self-Insured)
Cigna (HMO, PPO, EPO)
Evolutions Healthcare Systems (PPO)
Galaxy Health Network (PPO)
HealthSmart (PPO)
Independent Medical Systems (PPO)
Motiva Cardiovascular Center of Excellence Program
MultiPlan / Private Health Care Systems (PHCS, PPO, MultiplePlan, Complementary, MultiPlan Primary, PPO, National)
Shell Center of Excellence
Superior Health Plan and their related Medicare HMO and PPO, & EPO Exchange Plans
United HealthCare (HMO, PPO, POS, NPP)
USA Managed Care (PPO)
Wellcare Medicare (HMO and PPO & EPO Exchange Plans)
ZELIS (PPO, Select PPO, Premier Select)

 

TRANSPLANT NETWORKS (Cardiac Plans Only)
Humana National Transplant Network
OptumHealth Care Solutions
LifeTrac Transplant Network
Interlink Health Services
Patient must be in Baylor St. Luke’s Medical Center

Cardiologists at The Texas Heart Institute Center for Cardiovascular Care participate in the Shell Oil and Motiva Enterprises Adult Cardiac Center of Excellence Programs.

The Centers of Excellence Programs are physician-driven and physician-directed allowing our doctors the flexibility to manage their patients in a way that promotes the highest benefits across the patient’s continuum of care. Preventive and educational components play an important role in the management of cardiovascular conditions and our team integrates proven strategies conducive to long-term cardiovascular health.

Founded in 1984 by Texas Heart Institute’s world-renowned cardiovascular surgeon Dr. Denton A. Cooley, our team is part of a clinically integrated group of physicians offering the most current, evidenced-based cardiovascular services to improve quality care.

Appointments are generally available within the same week, and necessary, the same day. Please call our office to request an appointment. We will do our best to accommodate your request.