insurance

With the ever changing  healthcare industry,  please contact your insurance company to confirm that Beansprout Pediatrics tax ID # 271766809 is an "in-network provider" for your particular plan.  It is the parents responsibility to verify providers are in network for your particular insurance plan.  

Insurances Accepted

Aetna:  Austin PPO.  Austin HMO.  Austin HMO Open Access Manage Plan & Save Plus, Save & Maximum.  Leap Everyday Austin Red Bud.

Aetna EPO: Beansprout Pediatrics is participating in Aetna EPO Products.  These are available through the Aetna website and healthcare.gov.  Please note, this plan limits hospital services to only Seton facilities.  St David’s is not participating

 Anthem

 Assurant

 Beech Street

 Benefit Administrative

Blue Cross Blue Shield: PPO.  HMO Blue.  *Blue Advantage HMO (Health Care exchange plan).

Blue Advantage HMO & Blue Advantage Plus HMO: Beansprout Pediatrics is participating in these plans.  Prior to seeing any specialist, per your plan contract, you are required to first see your primary care provider for the medical issue. This allows Beansprout to obtain referral approval to see the recommended specialist. This process may take up to 7 days. These plans have a very limited number of specialty providers in network. With very few specialists in the network, obtaining referrals for specialty care, like cardiology, and gastroenterology, is very difficult. this may negatively impact the care we recommend to our patients.  Blue Advantage Plus HMO is similar to the HMO, but has out of network benefits, Therefore, you may see a Beansprout provider, although you will have higher out of pocket expenses because we are out of network.

 Boon-Chapman

 Cigna :   Open Access PPO.  Open Access HMO

 Cigna – Local Plus as of Jan 1, 2018  

First Care Health

 GEHA

 Golden Rule

 Great West

 Health First Plans

 Health Partners

 Humana:    Choice Care PPO & HMO, HMOX (health care exchange)

 Meritain

 Multi Plan

 Oxford

Oscar  As of 3/1/18 Dr. Grant is in network. All Beansprout providers will be included with-in a few weeks.

PHCS

Scott & White HMO & PPO

Seton Physician Health Network SPHN

 StarMark

 The Loomis Co

 UMR

 Unicare

United Health Care:  PPO. POS. Choice HMO.  *All Compass plans included (Health Care  exchange plans).

United Compass Products Beansprout Pediatrics is participating in this plan.  United Compass is a closed network; therefore there may be limited specialists in this network.  Please note, this plan limits hospital services to only St. David’s facilities.  Seton is not participating, this includes all pediatric specialists through Dell, Specially for Children

 Web- TPA

  

Not Participating

Aetna Advantage QHP

Medicaid:  CHIP, Star Plus, Star Health, Star Kids, Allwell Superior, Molina, Amerigroup, Ambetter throughHealth Insurance Market Place

Tricare

 

Newborns 

Many new parents are unsure how insurance works for their new baby. Most insurance plans will cover the baby automatically for the first 30 days under mom's policy, but not all do. Contact your insurance company customer service department and your HR department about what's required to add the baby to your policy.  Beansprout will need you to do this prior to your firstr appointment with us.