Insurances Accepted

Which health insurances are accepted at Health Express Clinics, Lewisville?

Insurance plans are subdivided into 3 categories:

  1. Medicare and Medicare Advantage 
  2. Commercial plans
  3. Marketplace plans/Obamacare

In general, we accept the following insurance plans:

  • AARP
  • Aetna
  • Ambetter
  • Amerigroup
  • BlueCross BlueShield
  • Cigna
  • First Health
  • Health Smart
  • HMO Blue Texas
  • Humana
  • Medicare
  • Oscar
  • PHCS
  • Tricare / Humana Military
  • United Healthcare
  • Wellmed
  • Wellcare

“ If you don’t see your insurance listed, please contact us to verify.”

What is a deductible?
  • Deductible: The amount you owe for covered health care services before your health insurance or plan begins to pay.
  • Copayment: An amount you pay as your share of the cost for a medical service or item, like a doctor’s visit.
  • Coinsurance: Your share of the cost for a covered health care service, usually calculated as a percentage (like 20%) of the allowed amount for the service.
  • Premium: The amount you pay for your health insurance or plan each month.
  • Network: The doctors, hospitals, and suppliers your health insurer has contracted with to deliver health care services to their members.

 

Do I need to bring my insurance card to every visit?

Yes, please bring your insurance card to every appointment so we can verify your coverage and make sure all of your information is up to date.

What should I do if my insurance changes?

If your insurance changes, please notify us as soon as possible. You can update your information by calling our office or providing the updated details at your next visit.For HMO Plans, we won’t be able to schedule you for an appointment, until your health insurance portal reflects that you have assigned Dr Parmar as your PCP. 

Do you accept out-of-network insurance?

We may accept out-of-network insurance, but coverage may vary depending on your plan. If we are not in-network with your insurance provider, you may be responsible for a larger portion of the bill. Please contact your insurance company to learn more about out-of-network benefits.

Will I have to pay anything out-of-pocket?

Depending on your insurance plan, you may be responsible for co-pays, co-insurance, and deductibles. These fees are typically due at the time of your appointment. If you’re unsure about your plan’s coverage, we encourage you to contact your insurance provider to understand your out-of-pocket costs.

How do I know if my visit is covered by insurance?

Before your visit, we can verify your insurance benefits and help determine what is covered. However, we recommend contacting your insurance provider directly to confirm the specific details of your coverage.

Can I use my Health Savings Account (HSA) or Flexible Spending Account (FSA) for my visit?

Yes, we accept payments from HSAs and FSAs. These accounts allow you to use pre-tax dollars for medical expenses such as co-pays, deductibles, and other out-of-pocket costs.

What happens if my insurance doesn’t cover a service?

If your insurance does not cover a particular service, you will be responsible for paying the cost out-of-pocket. We offer transparent pricing and can provide estimates for services not covered by insurance.

Do you offer payment plans for services not covered by insurance?

Yes, we offer flexible payment plans for patients who need assistance with costs not covered by insurance. Please speak to our billing department to discuss payment options.

How does insurance billing work?

After your visit, we will submit a claim to your insurance company on your behalf. Once the claim is processed, your insurance will either pay for the services or notify you of any remaining balance, which will be billed to you directly. For deductible plans, if you have not met your deductible, we collect the office visit fee or any lab testing fee upfront.