Open 24/7/365 — book online any time

Pristine Logo
Pristine Logo
Insurance & Billing

Insurance We Accept

We work with a wide range of plans, including Medicaid and CHIP, to keep care accessible. Coverage differs between OB-GYN and pediatrics, so check the tab for your visit type — or give us a call and we'll verify it for you.

OB-GYN insurance coverage

Accepted for OB-GYN

  • Medicare

  • National Medicare B / CMS

  • Medicare Shared Savings Program (MSSP)

  • Traditional Medicaid

  • Medicaid TX — TMHP Traditional

  • Managed Medicaid Plans

    • Community Health Choice (managed Medicaid)
    • Texas Children's Health Plan (managed Medicaid)
  • Healthy Texas Women Health Plan

  • Aetna

    • Aetna Commercial / Whole Health
    • Aetna Dual Complete HMO D-SNP
    • Aetna Premier HMO / Prime HMO / Value PPO

    Aetna HMO plans are not accepted.

  • Blue Cross Blue Shield (BCBS)

    • BCBS Essentials / Health Select / Premier
    • BCBS PPO / Blue Choice
    • BCBS HMO (AHP)
    • BCBS HMO (Physicians)
    • BCBS BAV

    Member IDs beginning with T2G are not accepted.

  • Anthem BCBS

  • Cigna

    • Cigna Commercial (Physicians)
    • Cigna Commercial (APH)
    • Cigna Local Plus
  • Allegiance — Cigna

  • Community Health Choice (CHC)

    • CHC Marketplace
    • CHC HMO D-SNP
    • CHC CHIP
    • CHC CHIP Perinate
    • CHC STAR
  • Texas Children's Health Plan (TCHP)

  • Humana

    • Humana Gold Plus HMO

    Humana HMO plans require a referral from your primary care provider.

  • Wellpoint

    • Wellpoint (Amerigroup)
    • Wellpoint CHIP
    • Wellpoint Medicare
  • Amerivantage HMO

  • Memorial Hermann Health Solutions

    • MH Care / Catastrophic
    • MH Select HMO / PPO
    • MH HMO
    • MH SafetyNet / WorkLink
  • Angle Health

  • Apex Health

  • Aither Health

  • All Savers

  • Boon Chapman

  • Curative Insurance

  • Devoted Health

  • EHN PPO

  • EMI Health

  • GEHA

  • Golden Rule

  • HealthComp

  • Hwys Logix / Sync

    • Hwys Logix / Sync (incl. MNA Neuro.)
    • HC Hwys Logix / Sync (AHP)
  • Imagine Health

  • Imagine360

  • Lucent Health

  • Maestro

  • Meritain

  • PHCS PPO

    PHCS PPO only — other PHCS sub-types are out-of-network.

  • Quantum Health

  • Sana Benefit

  • Tricare

  • Tricare West

  • WebTPA

  • 90 Degree

Not accepted for OB-GYN

  • CHIP — for GYN visits

    CHIP plans are accepted for obstetric (OB) care, but not for gynecology (GYN) visits.

  • Kelsey Seybold

    We're out-of-network — we can suggest an in-network provider, or you may self-pay.

  • Ambetter

    We're out-of-network — self-pay is available.

  • Molina Healthcare

    Out-of-network for private plans (self-pay available); for Medicaid, ask your plan about switching to an in-network option.

  • Oscar Insurance

    We're out-of-network — self-pay is available.

  • Aetna HMO plans

    • Aetna HMO

    Other Aetna plans are accepted — HMO specifically is not. We confirm your plan type when we verify benefits.

  • BCBS with a Member ID starting with T2G

    BCBS is accepted generally — this prefix is the one exclusion.

  • UnitedHealthcare (all lines)

    • UHC & UMR
    • UHC All Other Commercial
    • UHC PPO
    • Oxford Health Plan
    • United Healthcare Shared Services (Bind / UHSS)
    • Surest (Bind)

    We are out-of-network with every UnitedHealthcare line, including UMR, Oxford, UHSS and Surest. For UHC Medicaid, ask your plan about switching to an in-network option.

  • USHealth Group

    We're out-of-network — self-pay is available.

  • PHCS (other than PHCS PPO)

    PHCS PPO is accepted. Other PHCS sub-types are out-of-network — we confirm which you have when we verify benefits.

  • Fringe Benefits

    We're out-of-network — self-pay is available.

  • SGIC (Southern Guarantee Insurance)

    We're out-of-network — self-pay is available.

Good to Know

Texas Children's Health Plan (TCHP)

Accepted for clinic visits, but our affiliated Memorial Hermann delivery hospitals are not in-network with TCHP for delivery. OB patients on TCHP need to switch to CHC Medicaid at least 60 days before their due date.

Humana HMO plans

Require a referral from your primary care provider before we can schedule your visit.

CHIP for gynecology

CHIP plans cover obstetric (OB) care with us, but not gynecology (GYN) visits. If you are on CHIP and booking a GYN appointment, call us and we will talk through your options.

Benefits are verified twice

We verify your benefits ahead of your appointment and again on the day of your visit, because coverage can change daily. We can't quote an exact copay over the phone, but we'll walk you through your costs before you're seen.

Cash pay is always an option

If we're out-of-network with your plan — or you'd rather not use insurance — you can pay directly. Ask us for the cash-pay rate for your visit and we'll quote it before you book.

One plan at a time

We're unable to bill private insurance and Medicaid/Medicare together for the same visit — if you have both, the private plan needs to be dropped first.

Not Sure If Your Plan Is Covered?

Give our billing team a call — we'll help you verify your coverage before you book.

Call NowBook Now