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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 Aetna Choice POS II Aetna Health Network Only Aetna Health Network Option Aetna Limited Benefits Insurance Plan (PPO) Aetna Open Access Elect Choice Aetna Open Access HMO Aetna Open Access Managed Choice Aetna Premier Care Network (plan specific restrictions may apply) Aetna Premier Care Network Plus (plan specific restrictions may apply) Aetna Select Aetna Select Open Access Aetna Voluntary Group Medical Plan (Indemnity Plan) Elect Choice (EPO) HMO Managed Choice POS Open Choice PPO Quality Point-of-Service (QPOS) Traditional Choice Note: MD Anderson is not included as a participating provider for: Aetna/CVS ACA individual plans Consumer Plus-Limited, or Consumer Basic Limited Plans 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.
Aet n a 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 Texa s	HMO, PPO, POS, Indemnity	Blue Choice EPO Blue Choice PPO Platinum, Gold, Silver & Bronze (small group employer plans) Blue Choice PPO Blue Edge PPO Blue Essentials Blue Essentials Access Consumer Directed HealthSelect Federal Employee Program Health Select of Texas Traditional (Indemnity) TRS ActiveCare TRS-Care Standard Note: MD Anderson is not included as a participating provider for: Any ACA individual BCBS plan in Texas, including Blue Advantage HMO and Blue Advantage Plus HMO Blue Premier and Blue Premier Access employer group products/networks My Blue Health Steward Provider or Steward Affiliate Provider Blue HPN (High Performance Network) 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.
CIG N A Healthcar e	HMO, PPO, POS, Indemnity	Cigna Choice Fund Cigna EPO Cigna HMO Cigna Network Cigna Network POS Cigna Network Open Access Cigna Open Access Plus Cigna HMO Open Access Cigna HMO POS Cigna POS Cigna POS Open Access Cigna PPO Cigna LocalPlus Cigna LocalPlus IN Cigna Indemnity Cigna Surefit Cigna Oscar Note: MD Anderson is not included as a participating provider for: Cigna ACA individual plans including Cigna Connect and Cigna Plus. Specific questions should be directed to Cigna Customer Service at the telephone number on the back of your card.
CI GN A 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.
Hu man a	POS,PPO	ChoiceCare PPO Humana PPO National POS Open Access National POS Open Access Plus Note: MD Anderson is not included as a participating provider for: Humana HMO and EPO individual plans; and Humana HMO, HMO Premier and National HMO 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 Self-funded and Hybrid HMO Products Note: MD Anderson is not a participating provider for: Memorial Hermann fully insured HMO Plans Specific questions may be directed to Memorial Hermann Health Plan Customer Service at the telephone number on the back of your card.
Mul tiPla n		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) Choice Choice Plus Core Core Essential Doctors Plan (restrictions may apply) EPO (restrictions may apply) HMO Navigate Navigate Balanced Navigate Plus Nexus ACO R (restrictions may apply) Options PPO POS PPO Select Select Plus Surest UnitedHealthOne (restrictions may apply) Note: MD Anderson is not included as a participating provider for: UnitedHealthcare ACA individual plans UnitedHealthcare Compass and Charter groups UnitedHealthcare Heritage Plans UnitedHealthcare NHP plans 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).