Home >> About Us >> Insurance Plans

Insurance Plans

Urology Clinics of North Texas are pleased to contract with all major insurance plans including many HMO and PPOs as well as Medicare and Medicaid. It is important for you to bring your current insurance card to each office visit, and we will file your insurance claim.

Our team partners with patients to understand and abide by the boundaries of their health insurance plan. Should your policy require authorization for a referral to our specialists, please first contact your primary care physician. If possible, we will assist you in obtaining your referral. Read below to learn additional clinic specific insurance related information.

Urology Clinics of North Texas at Baylor University Medical Center

  • Insurance - We will work with you and your insurance carrier in getting any claims filed and paid, however the contract is with you and your insurance carrier. Should you have any concerns on the processing of your claim, you should direct your concerns to your insurance carrier. We will work with you and your insurance carrier to help get your claim processed in a timely manner. Questions concerning your coverage should be addressed with your insurance carrier or agent or with your local Medicare office.

  • PPO and Managed Care Patients - We ask that you bring your insurance card and your referral number with you at the time of the office visit. Many of the HMO and PPOs require that you have a referral number from your primary care physician before being seen by a specialist. They require a referral number and limit the number of visits per referral number in a time period to be seen. If you do not have a referral number at the time of your visit you will be asked to reschedule the appointment or be responsible for the bill that day as your insurance company will not pay for that day's visit and procedures.

  • Medicare - We accept Medicare assignment and will handle all the filing of your claims with Medicare. If you do not have a Medicare supplement, you will be responsible for the 20 percent of the allowable.

Urology Specialists and Associates

  • Insurance - A clear understanding of the purpose and use of medical insurance is important in attempting to reduce the rising cost of medical care. The money you pay on your policy is not a deposit of dollars to your account to be drawn on demand. It is a payment to ensure you and your family against unexpected illness, usually requiring hospitalization for treatment. Routine check-ups, examinations and diagnostic evaluations usually are not fully covered by insurance. The specific services and conditions under which they are covered are specified in your policy, which is a contract between you and the insurance company. Questions regarding your specific coverage should be addressed with your insurance carrier or agent or with your local Medicare office.

  • PPO and Managed Care Patients - We are delighted to be identified as part of a preferred provider organization, however, the administration of such programs produces a significant administrative burden upon our personnel. We kindly request that you make special efforts to have your insurance card and referral authorization at hand when you visit our office. Many HMO and PPOs require a referral by the primary care doctor before being seen by a specialist. They require a referral number and limit the number of times and time period in which you can be seen in our office. We must have that referral number prior to your being seen. If you do not have it prior to your appointment you will have to reschedule the appointment or be responsible for the bill that day as your insurance company will not pay for that days visit and procedures.

  • Medicare - We accept Medicare assignment on all office visits. We also file Medicare claim forms for office visits. Where Medicare is your secondary insurer we will assist you in filing those claims also.