Insurance Plans
If you are enrolled in a managed care plan (HMO, PPO or POS), your treatment at MD Anderson may be covered by insurance. Before scheduling an initial appointment, please call your health plan/insurance company and ask if you have access to health care services at MD Anderson. We encourage you to refer to Questions to Ask Your Insurance Company when speaking to your insurance provider.
If MD Anderson is not a participating provider, you may still be able to receive treatment here. Contact your insurance company and ask about obtaining authorization. It is important to note that some benefit plans utilize what are referred to as "narrow" or "limited" networks; that is, they further narrow or limit the choices of doctors and hospitals that their customers can use. Often, these networks exclude MD Anderson. Additionally, some plans, such as HMO’s, have primary care physician referral and/or other authorization guidelines.
Your MD Anderson patient access specialist will help you obtain the full benefit from your insurance plan by:
- Answering your questions about insurance verification and/or prepayment requirement
- Responding to insurer requests for additional medical information.
DISCLAIMER: MD Anderson's participation with any product or insurance plan is subject to change without notice. Additionally, insurance companies offer a variety of plans and may change the names and benefits at any point. A patient’s level of coverage depends on the specific benefits outlined in their plan.
To ensure that MD Anderson and its physicians are in-network, it is the patient's responsibility to verify that MD Anderson is a participating provider and their benefit plan allows them access as of the day of a visit and/or admission. Please contact your insurance plan to obtain this information.
Revised 11/01/2024
Health Plan | Product Type | Plan Information (not an all-inclusive list) |
---|---|---|
Aetna Healthcare | HMO, PPO, POS, Indemnity | Aetna Choice POS Note: MD Anderson is not included as a participating provider for:
Many of Aetna’s plans (including some listed above) have customized networks which may or may not include MD Anderson. Please call the telephone number on the back of your insurance card to verify if MD Anderson in included in your plan’s specific network. |
Aetna Signature Administrators | Network access varies by employer group. | |
Aetna Institutes of Excellence | Stem cell transplant | |
Blue Cross & Blue Shield of Texas Medicare Advantage |
PPO | UT CARE™ Medicare PPO (UT CARE) Texas A&M 65 Plus Medicare Advantage Plan (PPO) |
Blue Cross Blue Shield of Texas | HMO, PPO, POS, Indemnity | Blue Choice EPO Note: MD Anderson is not included as a participating provider for:
Specific questions may be directed to Blue Cross Blue Shield Texas Customer Service at the telephone number on the back of your card. |
Blue Distinction Centers for Transplants | HMO, PPO, POS, Indemnity | Stem Cell Transplant |
Cancer Resource Services - OptumHealth | HMO, PPO, POS, Medicare Advantage | |
Beech Street/CappCare | Network access varies by employer group. | |
CIGNA Healthcare | HMO, PPO, POS, Indemnity | Cigna Choice Fund
Specific questions should be directed to Cigna Customer Service at the telephone number on the back of your card. |
CIGNA LifeSource | Stem cell transplant; CAR-T Therapy | |
Emerging Therapy Solutions (aka LifeTrac) | Stem cell transplant; CAR-T Therapy | |
First Health | Network access varies by employer group. | |
Healthsmart Preferred Care | Network access varies by employer group. | |
Humana | POS,PPO | ChoiceCare PPO Note: MD Anderson is not included as a participating provider for:
Specific questions may be directed to Humana Customer Service at the telephone number on the back of your card. |
Humana Military Health Services (Tricare-East) |
Prime, Standard, Extra | |
Interlink Health Services | Stem cell transplant; CAR-T Therapy Interlink Cancer Care |
|
Kelsey Care Advantage | Medicare Advantage HMO, POS | Note: Referral from Kelsey Seybold is required to receive in-network benefits. Specific questions may be directed to Kelsey Seybold Customer Service at the telephone number on the back of your card. |
Memorial Hermann Health |
PPO | PPO Group Plans; and Note: MD Anderson is not a participating provider for:
Specific questions may be directed to Memorial Hermann Health Plan Customer Service at the telephone number on the back of your card. |
MultiPlan | Network access varies by employer group. | |
OptumHealth Centers of Excellence | Stem cell transplant; CAR-T Therapy | |
Private Healthcare Systems (PHCS) | Network access varies by employer group. | |
Texas Children's Health Plan | Texas Medicaid, CHIP | CHIP STAR STAR Kids |
United Healthcare (UHC) | HMO, PPO, POS, Indemnity | All Savers (restrictions may apply) Note: MD Anderson is not included as a participating provider for:
Specific questions may be directed to UnitedHealthcare Customer Service at the telephone number on the back of your card. |
Vantage Health Plan | HMO, PPO | MD Anderson is not included as a participating provider for the individual Vantage Health Plans offered on the Louisiana Marketplace or for the Vantage Medicare Advantage Plans. |
World Trade Center (WTC) Health Program | Responder Survivor |
Market Place (Affordable Care Act Information - ACA)
MD Anderson and our physicians are not included as a “Participating Provider” for any “Individual” insurance plans on or off the marketplace in Texas (i.e., ACA plans). Certain individual plans available outside of Texas may allow in network access to MD Anderson, but you must verify that information with the insurance plan. Plans that offer out-of-network benefits may be accepted at MD Anderson if they meet our requirements. If not, enrollees would be responsible for all charges (i.e., self-pay).
Medicare and Medicaid
Learn more on our Medicare and Medicaid information page.
If you have additional insurance questions, please call 1-877-632-6789.
request an appointment online.
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