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 1, 2021: Open Enrollment starts ÔÇö first day to enroll, re-enroll, or change a 2022 insurance plan through the Health Insurance Marketplace┬«.
December 15, 2021: Last day to enroll in or change plans for 2022 coverage that starts January 1, 2022.
January 1, 2022: 2022 coverage starts, if you've enrolled by December 15, 2021 and paid your first premium.
January 15, 2022: Last day to enroll in or change plans for 2022 coverage. After this date, you can enroll or change plans only if you qualify for a Special Enrollment Period.
February 1, 2022: 2022 coverage starts if you enrolled by January 15, 2022 and you've paid your 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.

 

Blue Cross and Blue Shield of Texas Marketplace:

  • Blue Advantage Bronze HMOÔäá 301
  • Blue Advantage Bronze HMOÔäá 204
  • Blue Advantage Plus BronzeÔäá 305
  • Blue Advantage Plus BronzeÔäá 303
  • Blue Advantage Gold HMOÔäá 206
  • Blue Advantage Gold HMOÔäá 603
  • Blue Advantage Silver HMOÔäá 205
  • Blue Advantage Plus GoldÔäá 203
  • Blue Advantage Plus SilverÔäá 202
  • Blue Advantage Plus SilverÔäá 605

 

Bright Health Care:

  • Super Bronze 6
  • Super Bronze 1 ($0 Primary Care + $0 Telehealth + $0 Mental Health + $0 Prescription List)
  • Super Bronze 2 ($0 Primary Care + $0 Telehealth + $0 Mental Health + $0 Prescription List)
  • Super Bronze 3 + Adult Dental & Vision ($0 Primary Care + $0 Telehealth + $0 Mental Health + $0 Prescription List)
  • Super Bronze 5 HSA
  • Bronze 8700 ($25 Generic)
  • Bronze 8700 + $0 Mental Health ($0 Telehealth + $0 Primary Care + $0 Prescription List)
  • Super Bronze 4 ($0 Primary Care + $0 Telehealth + $0 Specialist + $0 Mental Health + $0 Prescription List)
  • Bronze 7200 ($0 Telehealth + $0 Primary Care + $0 Mental Health + $0 Prescription List)
  • Bronze 7200 + Adult Dental & Vision ($0 Telehealth + $0 Primary Care + $0 Mental Health + $0 Prescription List)
  • Bronze 5300 HSA
  • Bronze $0 Medical Deductible ($0 Telehealth + $0 Primary Care + $0 Specialist + $0 Mental Health + $0 Prescription List)
  • Super Gold 1 ($0 Primary Care + $0 Telehealth + $0 Specialist + $0 Mental Health + $0 Prescription List)
  • Super Silver 7
  • Super Silver 1 ($0 Primary Care + $0 Telehealth + $0 Mental Health + $0 Prescription List)
  • Super Silver 2 ($0 Primary Care + $0 Telehealth + $0 Mental Health + $0 Prescription List)
  • Super Silver 3 ($0 Primary Care + $0 Telehealth + $0 Specialist + $0 Mental Health + $0 Prescription List)
  • Super Silver 5 ($0 Primary Care + $0 Telehealth + $0 Mental Health + $0 Prescription List)
  • Super Silver 4 + Adult Dental & Vision ($0 Primary Care + $0 Telehealth + $0 Specialist + $0 Mental Health + $0 Prescription List)
  • Super Gold 2 + Adult Dental & Vision ($0 Primary Care + $0 Telehealth + $0 Mental Health + $0 Prescription List)
  • Gold 1000 ($0 Telehealth + $0 Primary Care + $0 Specialist + $0 Mental Health + $0 Prescription List)
  • Silver 4000 ($35 Primary Care + $15 Generic)
  • Silver 5000 ($0 Telehealth + $0 Primary Care + $0 Mental Health + $0 Prescription List)
  • Silver 3000 ($0 Telehealth + $0 Primary Care + $0 Mental Health + $0 Prescription List)
  • Silver 6700 ($0 Telehealth + $0 Primary Care + $0 Specialist + $0 Mental Health + $0 Prescription List)
  • Silver 6700 + Adult Dental & Vision ($0 Telehealth + $0 Primary Care + $0 Specialist + $0 Mental Health + $0 Prescription List)
  • Silver $0 Deductible ($0 Telehealth + $0 Primary Care + $0 Mental Health + $0 Prescription List)
  • Gold $0 Deductible + Adult Dental & Vision ($0 Telehealth + $0 Primary Care + $0 Mental Health + $0 Prescription List)

 

Molina Healthcare

  • Constant Care Silver 7 250
  • Constant Care Silver 4 250
  • Molina Silver 3 250
  • Constant Care Silver 1 250
  • Constant Care Silver 2 250
  • Constant Care Silver 1 250 + Vision
  • Molina Gold 3
  • Confident Care Gold 1
  • Confident Care Gold 1 + Vision

 

Ambetter From Superior HealthPlan

  • Ambetter Essential Care 1
  • Ambetter Essential Care 1 + Vision
  • Ambetter Essential Care 1 + Vision + Adult Dental
  • Ambetter Essential Care 10
  • Ambetter Essential Care 10 + Vision
  • Ambetter Virtual Access Bronze ($0 Virtual Primary Care + $0 Virtual Urgent Care + $0 Preferred Labs)
  • Ambetter Essential Care 2 HSA
  • Ambetter Essential Care 10 + Vision + Adult Dental
  • Ambetter Balanced Care 30
  • Ambetter Essential Care 2 HSA + Vision
  • Ambetter Balanced Care 31
  • Ambetter Balanced Care 31 + Vision
  • Ambetter Essential Care 2 HSA + Vision + Adult Dental
  • Ambetter Balanced Care 32
  • Ambetter Balanced Care 31 + Vision + Adult Dental
  • Ambetter Balanced Care 32 + Vision
  • Ambetter Virtual Access Silver ($0 Virtual Primary Care + $0 Virtual Urgent Care + $0 Preferred Labs)
  • Ambetter Essential Care 22
  • Ambetter Balanced Care 29
  • Ambetter Essential Care 22 + Vision
  • Ambetter Balanced Care 29 + Vision
  • Ambetter Balanced Care 12
  • Ambetter Balanced Care 32 + Vision + Adult Dental
  • Ambetter Balanced Care 12 + Vision
  • Ambetter Essential Care: $1,500 Medical Deductible
  • Ambetter Balanced Care 11
  • Ambetter Balanced Care 5
  • Ambetter Essential Care: $1,500 Medical Deductible + Vision
  • Ambetter Balanced Care 11 + Vision
  • Ambetter Essential Care 22 + Vision + Adult Dental
  • Ambetter Balanced Care 29 + Vision + Adult Dental
  • Ambetter Balanced Care 5 + Vision
  • Ambetter Value Gold 20
  • Ambetter Balanced Care 12 + Vision + Adult Dental
  • Ambetter Essential Care: $1,500 Medical Deductible + Vision + Adult Dental
  • Ambetter Balanced Care 11 + Vision + Adult Dental
  • Ambetter Balanced Care 5 + Vision + Adult Dental
  • Ambetter Essential Care: $0 Medical Deductible
  • Ambetter Essential Care: $0 Medical Deductible + Vision
  • Ambetter Essential Care: $0 Medical Deductible + Vision + Adult Dental
  • Ambetter Secure Care 20
  • Ambetter Secure Care 20 + Vision
  • Ambetter Secure Care 20 + Vision + Adult Dental
  • Ambetter Virtual Access Gold ($0 Virtual Primary Care + $0 Virtual Urgent Care + $0 Preferred Labs)
  • Ambetter Secure Care 5
  • Ambetter Secure Care 5 + Vision
  • Ambetter Secure Care 5 + Vision + Adult Dental

 

Espa├▒ol

 

 

Commercial Products

 

Aetna Commercial

 

 

 

 

HealthSmart

 

Molina Healthcare of Texas

 

MultiPlan

 

Prime Health Services

 

Scott and White Health Plan

 

Three Rivers Provider Network

 

 

TriWest

 

United Healthcare

 

USA Managed-Care Organization

 


Medicare Products

 

 

Amerigroup

 

BCBSTX Medicare

 

Cigna HealthSpring

 

Molina Healthcare of Texas

 

Scott and White Health Plan

 

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

 

Scott and White Health Plan

 

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

 

United Healthcare

 


Behavioral Health Products

 

Aetna Healthcare

 

 

Beacon Health Strategies

 

 

Magellan Healthcare

 

Scott and White Health Plan

 

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