Insurance Plans

 

JPS Health Network and its affiliated facilities are contracted with the following insurance companies and provider networks to provide services to covered members at in-network benefit levels. We always recommend that you contact the insurance company to confirm eligibility and pre-certify services and procedures.

If you have questions about any of these plans, call the number listed on your Member ID Card or the general Member Services phone number listed by your Insurer below. 

 

 

An important notice for JPS Connection members

Patients who qualify for insurance through the Affordable Care Act must sign up in order to be eligible for JPS Connection.

To be eligible for JPS Connection, you must first take full advantage of all other assistance available to you. If you qualify for insurance from the Marketplace, you must sign up.

You can read more about the new Marketplace at HealthCare.gov (CuidadoDeSalud.gov) or call the Marketplace Call Center at 1-800-318-2596. Information on JPS Connection is here.

November 1st : Open Enrollment Begins
December 15: Last day to enroll or change plans for new coverage to start January 1

 


Marketplace Exchange Insurance Plans accepted at JPS

If you are signing up for Affordable Care Act insurance and want to use your insurance at JPS, below is a list of Affordable Care Act insurance plans currently contracted with JPS Health Network.

 

Blue Cross and Blue Shield of Texas Marketplace:

  • Blue Cross and Blue Shield of Texas · Blue Advantage Bronze HMO℠ 301
  • Blue Cross and Blue Shield of Texas · Blue Advantage Bronze HMO℠ 204
  • Blue Cross and Blue Shield of Texas · Blue Advantage Plus Bronze℠ 305
  • Blue Cross and Blue Shield of Texas · Blue Advantage Plus Bronze℠ 303
  • Blue Cross and Blue Shield of Texas · Blue Advantage Gold HMO℠ 205
  • Blue Cross and Blue Shield of Texas · Blue Advantage Silver HMO℠ 206
  • Blue Cross and Blue Shield of Texas · Blue Advantage Plus Gold℠ 202
  • Blue Cross and Blue Shield of Texas · Blue Advantage Plus Silver℠ 203

 

Ambetter from Superior HealthPlan:

  • Ambetter from Superior HealthPlan · Ambetter Essential Care 1
  • Ambetter from Superior HealthPlan · Ambetter Balanced Care 1 + Vision
  • Ambetter Essential Care 1 + Vision + Adult Dental
  • Ambetter Essential Care 2 HSA
  • Ambetter Essential Care 2 HSA + Vision
  • Ambetter Essential Care 2 HSA + Vision + Adult Dental
  • Ambetter Essential Care 5
  • Ambetter Essential Care 5 + Vision
  • Ambetter Essential Care 5 + Vision + Adult Dental
  • Ambetter Essential Care 10 
  • Ambetter Essential Care 10 + Vision
  • Ambetter Essential Care 10 + Vision + Adult Dental
  • Ambetter Essential Care 11
  • Ambetter Essential Care 11 + Vision
  • Ambetter Essential Care 11 + Vision + Adult Dental
  • Ambetter Essential Care 12
  • Ambetter Essential Care 12 + Vision
  • Ambetter Essential Care 12 + Vision + Adult Dental
  • Ambetter Essential Care 25 HSA
  • Ambetter Essential Care 25 HSA + Vision
  • Ambetter Essential Care 27
  • Ambetter Essential Care  27 + Vision
  • Ambetter Essential Care 27 + Vision + Adult Dental
  • Ambetter Essential Care 28
  • Ambetter Essential Care 28 + Vision
  • Ambetter Essential Care 28 + Vision + Adult Dental
  • Ambetter Essential Care 29
  • Ambetter Secure Care 5
  • Ambetter Secure Care 5 + Vision
  • Ambetter Secure Care 5 + Vision + Adult Dental
  • Ambetter Secure Care 15
  • Ambetter Secure Care 15 + Vision
  • Ambetter Secure Care 15 + Vision + Adult Dental

 

Español

 

 

Commercial Products

 

Aetna Healthcare

 

 

 

HealthSmart

 

MultiPlan

 

Prime Health Services

 

Three Rivers Provider Network

 

United Healthcare

 


Medicare Products

 

 

Amerigroup

 

BCBSTX Medicare

 

Cigna HealthSpring

 

Molina Healthcare of Texas

 

Superior Health Plan (Allwell)

 

United Healthcare Medicare Advantage

 

Wellcare Medicare Advantage

 


Medicaid Products

 

Aetna Better Health (STAR, CHIP and CHIP Perinate)

 

Amerigroup (STAR, CHIP, and STAR PLUS)

 

Children's Medical Center Health Plan (STAR, STAR KIDS, STAR PLUS, STAR HEALTH, CHIP)

 

Cigna HealthSpring

 

Cook Children's Health Plan (STAR, CHIP)(Includes Behavioral Health)

 

Molina Healthcare of Texas (STAR, STAR KIDS, STAR+PLUS, CHIP, CHIP PERINATE)

 

Point Comfort Underwriters

 

Superior Health Plan (STAR, STAR+ PLUS, STAR KIDS, STAR HEALTH, CHIP, CHIP Perinate)

 


Behavioral Health Products

 

Aetna Healthcare

 

 

Beacon Health Strategies

 

 

Magellan Healthcare

 

United Behavioral Health/Optum

 


Workers Compensation Products

 

Aetna/Coventry Network (First Health, Liberty, Texas Star Network, Hartford, Zenith, Zurich)

 

Prime Health Services

 

Rockport Community Network

 

Three Rivers Provider Network

 

USA Managed-Care Organization