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Insurance Accepted and Payment Options

Select your location to see which insurances are accepted there.

Austin

Urgent Care

  • Aetna
  • Blue Cross Blue Shield (BCBS)1
  • Cigna2
  • First Health
  • Humana
  • Texas Medicaid3,4(Traditional, United, Evercare, Seton Star and CHIP)
  • Medicare
  • Multiplan5
  • Seton Health Plans
  • TRICARE Standard
  • TRICARE Prime4
  • United Healthcare
  • USAMCO (USA Managed Care Organization)

Notes:

Out of area HMOs require PCP referral
1BCBS Advantage and Medicare Advantage plans not accepted
2Bravo and HealthSpring are not accepted
3Do Not Accept Medicaid TX managed care plans from any carrier other than mentioned above
4Pre-authorizations may apply. Services may not be available at all locations or with all physicians. Please call ahead to verify coverage.
5Does not include PHCS products

Primary Care

  • Aetna Texas
  • Cigna1
  • Humana2
  • Traditional Medicare
  • Blue Cross Blue Shield of Texas (BCBS)3
  • Multiplan4

Notes:

Out of area HMOs are not accepted
No Medicaid plans for primary care
1Bravo, HealthSpring and "Local Plus PPO" not accepted
2PPO and HMO exchange plans not accepted
3BCBS Advantage, Blue Choice PPO and Medicare Advantage exchange plans not accepted
4Does not include PHCS products

Chicago

Urgent Care

  • Aetna1
  • Blue Cross Blue Shield (BCBS) PPO/POS2
  • Cigna3
  • Humana4,5
  • Medicare
  • Multiplan6
  • Tricare Standard
  • United Healthcare
  • USAMCO (USA Managed Care Organization)

Notes:

Out of area HMOs require PCP referral
1Not accepting Aetna QHP/Exchange plan
2Not accepting BCBS IL HMOs, Blue Precision, Medicaid and Medicare Advantage
3Bravo and HealthSpring are not accepted
4Illinois Humana HMO patients may not have immediate care benefits, please call to verify benefits
5Not accepting Humana PPO X and HMO X
6Does not include PHCS products

Primary Care

  • CIGNA1
  • Humana
  • Traditional Medicare
  • BCBS IL2
  • Aetna IL3
  • Multiplan4

Notes:

Out of area HMOs are not accepted
No Medicaid plans for primary care
1Bravo and HealthSpring are not accepted
2Not accepting BCBS Exchange products, HMOs, Blue Choice, Blue Choice Value, Blue Precision, Medicaid and Medicare Advantage
3Not accepting Aetna QHP/Exchange plan
4Does not include PHCS products

Dallas-Fort Worth

Urgent Care

  • Aetna7
  • Blue Cross Blue Shield (BCBS)1
  • Cigna2
  • First Health
  • Humana6
  • Medicare3
  • Multiplan4
  • TRICARE Standard
  • TRICARE Prime5
  • United Healthcare
  • USAMCO (USA Managed Care Organization)

Out of area HMOs require PCP referral
1BCBS Advantage and Medicare Advantage plans not accepted
2Bravo and HealthSpring are not accepted
3Do Not Accept Medicaid TX managed care plans from any carrier other than mentioned above
4Does not include PHCS products
5Pre-authorizations may apply. Services may not be available at all locations or with all physicians. Please call ahead to verify coverage.
6Not accepting Humana PPO X and HMO X
7Not accepting Aetna QHP/Exchange plan or Aetna Whole Health Scott & White Accountable Care Network plans

Primary Care

  • Prime is not currently offered in Dallas.

Houston

Urgent Care

  • Aetna1
  • Blue Cross Blue Shield (BCBS)2
  • Cigna3
  • First Health
  • Humana4
  • Texas Medicaid5(Traditional, United, and Evercare Only)
  • Medicare
  • Multiplan6
  • TriCare Standard
  • Tricare Prime7
  • United Healthcare
  • USAMCO (USA Managed Care Organization)

Notes:

Out of area HMOs require PCP referral
1Not accepting Aetna QHP/Exchange plan or Aetna Whole Health Memorial Herman Accountable Care Network
2BCBS Advantage and Medicare Advantage plans are not accepted. Houston-area BCBS HMO plans not accepted
3Bravo, LocalPlus PPO and HealthSpring are not accepted
4Not accepting Humana PPO X and HMO X
5Do Not Accept Medicaid TX managed care plans from any carrier other than mentioned above
6Does not include PHCS products
7Pre-authorizations may apply. Services may not be available at all locations or with all physicians. Please call ahead to verify coverage.

Primary Care

  • Aetna Texas
  • Cigna1
  • Traditional Medicare
  • Blue Cross Blue Shield of Texas (BCBS)2
  • Humana HOU
  • Multiplan3

Notes:

Out of area HMOs are not accepted
No Medicaid plans for primary care
1Bravo, HealthSpring and LocalPlus PPO not accepted
2BCBS Advantage, Blue Choice PPO and Medicare Advantage exchange plans not accepted
3 Does not include PHCS products

San Marcos

Urgent Care

  • Aetna7
  • Blue Cross Blue Shield (BCBS)1
  • Cigna2
  • First Health
  • Humana6
  • Medicare3
  • Multiplan4
  • TRICARE Standard
  • TRICARE Prime5
  • United Healthcare
  • USAMCO (USA Managed Care Organization)

Out of area HMOs require PCP referral
1BCBS Advantage and Medicare Advantage plans not accepted
2Bravo and HealthSpring are not accepted
3Do Not Accept Medicaid TX managed care plans from any carrier other than mentioned above
4Does not include PHCS products
5Pre-authorizations may apply. Services may not be available at all locations or with all physicians. Please call ahead to verify coverage.
6Not accepting Humana PPO X and HMO X
7Not accepting Aetna QHP/Exchange plan

Primary Care

  • Prime is not currently offered in San Marcos.

How much will my urgent care visit cost?

Patients using insurance should determine if their plan has an urgent care copay. If so, you can expect this copay to apply for your urgent care visit (typically $50-$75). If you have not met your annual deductible or any portion of your visit is not covered by your insurance plan, additional charges may be allocated as patient responsibility. For patients who do not wish to use insurance but would prefer pay for cash for services, payment will be requested at the time of your visit. MedSpring offers reasonable self-pay rates that are available for your review upon request at any MedSpring location. Please request a copy the current Prompt Pay pricing guide during your visit.

Who can I speak with regarding my insurance coverage or rates?

Please call your insurance provider directly for details related to your individual coverage, urgent care co-pay rates or deductibles pertaining to your personal healthcare insurance coverage.