Insurance Plans

 

Continuous Medicaid coverage ends on March 31, 2023. There are three things you need to do to ensure your coverage remains active.
  1. Look for the notice saying “Action Required” in a yellow envelope from HHSC and respond quickly when you get it.
  2. Update your information as soon as possible, especially if your contact information has changed. You can do this by logging into your account at YourTexasBenefits.com or through the Your Texas Benefits mobile app.
  3. If you don’t have an account, you can create one on the website or mobile app. Or you can call 2-1-1 and choose option 2 to update your information.

In the event you are no longer eligible for Medicaid, we are here to help you. Contact the Eligibility Center at 817-702-1001 for assistance.

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 1: Open Enrollment starts for health coverage for the next plan year — first day you can enroll in, re-enroll in, or change health plans through the Health Insurance Marketplace®. Coverage can start as soon as January 1.

December 15: Last day to enroll in or change plans for coverage to start January 1.

January 1: Coverage starts for those who enroll in or change plans by December 15 and pay their first premium.

January 15: Open Enrollment ends — last day to enroll in or change health plans for the year. After this date, you can enroll in or change plans only if you qualify for a Special Enrollment Period.

February 1: Coverage starts for those who enroll in or change plans December 16 through January 15 and pay their first premium.

 


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.

Important: Not all physicians are contracted with these plans. It is recommended that you verify with the Affordable Care Act representative or your physician to determine if your physician is in-network with the plan you have chosen.

 

Aetna

Blue Advantage

Molina Healthcare

Ambetter Balanced

Ambetter Essential

Ambetter Secure

Ambetter Virtual Access

Cigna

 

Español

 

 

Commercial Products

 

Aetna Commercial

 

Baylor Scott and White Health Plan

 

BCBS of Texas

 

 

HealthSmart

 

Molina Healthcare of Texas

 

MultiPlan

 

Prime Health Services

 

Three Rivers Provider Network

 

 

TriWest

 

United Healthcare

 

USA Managed-Care Organization

 


Medicare Products

 

 

American Health Plan

 

Baylor Scott and White Health Plan

 

BCBS of Texas Medicare

 

Cigna HealthSpring

 

Molina Healthcare of Texas

 

Superior Health Plan (Allwell)

 

United Healthcare Medicare Advantage

 

Wellcare by Allwell

 

 


Medicaid Products

 

Aetna Better Health of Texas (STAR , CHIP, and CHIP PERINATE)

 

Baylor Scott and White Health Plan

 

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)

 

United Healthcare

 

Wellpoint (STAR, CHIP, and STAR PLUS)

 


Behavioral Health Products

 

Aetna Healthcare

 

BCBS of Texas

 

Baylor Scott and White Health Plan

 

Carelon

 

Evernorth Behavioral Health

 

Magellan Healthcare

 

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

 

 

TriWest

 

United Behavioral Health/Optum

 


Workers Compensation Products

 

Prime Health Services

 

Rockport Community Network

 

Three Rivers Provider Network

 

USA Managed-Care Organization

 

 

Medicare Open Enrollment – October 15 – December 7

Important Medicare dates

September & October—Review & compare

Review: Your plan may change. Review any notices from your plan about changes for next year.
Compare: Visit Medicare.gov/plan-compare to find and compare plans that meet your needs.

October 15—Open Enrollment begins

This is the one time of year when everyone with Medicare can make changes to their health and drug plans for the next year. October 15 is the first day you can change your Medicare coverage for next year.

December 7—Open Enrollment ends

In most cases, December 7 is the last day you can change your Medicare coverage for next year. The plan has to get your enrollment form by December 7.

January 1—Coverage begins

Your new coverage starts January 1 if you switch to a new plan. If you stay with the same plan, any changes to coverage, benefits, or costs for the New Year will begin on January 1.

Making changes to your coverage after January 1

Between January 1–March 31, if you are in a Medicare Advantage Plan, you can drop your plan and switch to another Medicare Advantage Plan with or without drug coverage, or to Original Medicare. If you switch to Original Medicare, you will also have the option to join a Medicare drug plan. Your coverage will begin the first day of the month after the plan gets your enrollment form. In some cases, you may be able to make other changes if you qualify for a Special Enrollment Period.

For Medicare plans accepted at JPS please see Accepted Insurance Plans above.

 

 

JPS Health Network and Acclaim Physician Group no longer accept Out of Network insurance. Patients with Out of Network insurance will be solely responsible for payment for all services starting January 1, 2024.

To find health insurance plans that JPS and Acclaim accept, please click https://www.jpshealthnet.org/financial-resources/insurance-plans. If you have questions or need assistance, please call 817-702-6704 or email PatientAccounts@jpshealth.org.