Southwest Skin Cancer & Vein Clinic and Southwest Dermatology accepts most major insurance plans. To find out if we accept your plan, contact our office at (512) 444-7208.
Insurances we accept include:
As of August 2017
AARP Medicare Advantage
Amerigroup Medicare Advantage
Aetna Medicare Advantage
Allied National, Inc.
Benefit Administrative Services
Blue Advantage HMO**
Blue Choice PPO
Blue Cross Blue Shield Medicare Advantage HMO**
Blue Cross Blue Shield Medicare Advantage PPO
Blue Cross Blue Shield of TX
Blue Essentials (formerly HMO Blue TX)**
Frates Benefit Administrative
Health Alliance Plan
Healthcare Solutions Group
Humana Medicare Advantage
Humana Medicare Advantage HMO**
Humana Medicare Advantage PPO
Insurance Management Administrators
MVP Health Care
S & S Healthcare Strategies
Tricare Humana Military
Tufts Health Plan
United Healthcare Healthselect**
United Healthcare Medicare Advantage
**Requires insurance referral from the PCP
Frequently Asked Questions
What is the difference between in-network and out of network?
In network refers to insurances with whom we are contracted; thereby providing services at set rates. Out of network refers to insurances with whom we are not contracted.
How do I know if my insurance is in-network?
By calling your insurance benefits department using the phone number on the insurance card. They will be able to confirm your specific policy’s network participation status.
Can I be seen if I my insurance is not in- network or if I do not have insurance?
Definitely. You will be considered private pay and will pay the office at the time services are rendered. If you have insurance, we will provide you the form for you to file an insurance claim. Each individual insurance plan has its own method for processing out of network claims. You will have to contact the company directly for details.
I am a private pay patient, how much will I have to pay?
At minimum, you will be billed for an evaluation and management service. The pricing is based on the standard for the dermatology industry and for this region. The cost of your evaluation and management service is determined by the physician’s assessment of your individualized medical requirements and can range from $90.00 to $150.00. Any treatment you may require during your initial visit will be an additional cost which can be discussed with you prior to treatment.
Do I need a referral to be seen at your office? (ONLY for insurances that require a referral)
While most insurance companies do not require a referral, some specific policies (in particular HMO’s) do require them. If your policy requires you to have a referral and you do not have one, the insurance company will not approve services and you will be expected to pay for the entire visit. If you are unsure if your policy requires a referral, your insurance benefits department will be able to let you know.
How do I obtain a referral? (For Insurances that require a referral)
By calling your primary care physician. Your primary care physician will submit the referral request on your behalf to the insurance company. Please allow enough time for the completion of the referral process prior to the day of your appointment.
My insurance is in-network, how much will I have to pay?
Depending upon your specific policy, the insurance may require you to pay the specialist copay and any unpaid annual deductible and coinsurance amounts. The insurance company will determine your final patient responsibility.
How do I know my deductible and coinsurance amounts?
By calling your insurance benefits department using the phone number on the insurance card. They will inform you of your benefits based upon your specific, individualized policy. If you still have questions, we will gladly assist you as best as we can.