Insurance

At Heritage Pediatrics, we strive to maintain a comprehensive insurance panel to best serve the growing communities of San Antonio and surrounding cities. Unfortunately, healthcare insurance options are rapidly changing and some networks will not let us participate in “narrow networks” or some ACA exchange plans. If you are an expecting parent, we recommend that you call your insurance plan after the delivery and give the full name (including Jr, III, etc, not including nicknames, which confuses the insurance company) and date of birth.

FILING INSURANCE

We will submit each office visit to your insurance plan if we are contracted with that plan. It is important that you show us your insurance card at each visit so we can ensure that your insurance is active. Though it is ultimately your responsibility to make sure your insurance is active and you know what services are covered and not covered, we try to find our as much information about your insurance before we take you back to the exam room. This may occasionally delay you at the check-in, but we want to try to prevent unexpected charges as much as we can. We know that insurance plans are complicated, but try to know as much about your plan as you can before you come into the office for your visit.

WE ACCEPT MOST MAJOR INSURANCE PLANS!

INSURANCE PARTICIPATION LIST

It is the patient’s responsibility to call their insurance to verify whether the physician is participating in their plan.

  • AETNA
  • BLUE CROSS & BLUE SHIELD
  • CIGNA HEALTHCARE (Includes Cigna-Great West Plan)
  • COVENTRY & FIRST HEALTH NETWORKS (Merging with Aetna)
  • HUMANA
  • MULTIPLAN (PHCS, GEHA-some but not all plans, GPA – including Bill Miller’s plan, & Principal)
  • MAXOR
  • TRICARE (We accept the Standard and Reserve out of network plan only)
  • UNITED HEALTHCARE (Includes All Savers, Golden Rule, Pacificare and UMR)
  • We also serve many families on medical cost-sharing plans (Medishare, Liberty, Samaritan) which do not contract with physicians.