Patient Information
Insurance Plans
Feel free to contact our Business Office Manager to discuss
payment arrangements prior to services being rendered.
Dr. Marquez DBA Orthopedic Surgery Center are
participating providers with the following plans:
Texas Worker’s Compensation
Aetna Open Choice (PPO Plan)
Aetna Managed Choice (MC)
Blue Cross & Blue Shield of Texas
Blue Choice (PPO)
Health Select/Fed Select Plans
Point of Service Plan
Beech Street/CAPP Care (PPO)
Ethix Southwest (PPO)
Haggar Clothing Co.
Health Smart
Preferred Health Arrangement
(Benefit Planners)
Pro-Net
Provide Networks of America
Humana Health Plans PPO
Prudential Healthcare
Southwest Preferred Network
Unicare
United Payors & United Providers
Universal Health Network
Texas Municipal League (TML)
Medicare (including Railroad)
Medicaid
Other Insurance Plans
Some plans will not pay for out-of-network services.
It is the patient’s responsibility to check with the insurance
carrier regarding out of network services and payment.
We will file claims with other insurance plans, however, please know that the cost of our services may be higher and any balances remaining after payment of the insurance carrier are the responsibility of the Guarantor to pay.
Work Related Injuries
All workers’ compensation claims must be verified with the carrier prior to receiving treatment. Employers without worker’s compensation coverage must contact the Worker’s Compensation Coordinator prior to treatment of any injured worker. Most group health plans will not cover work related injuries.
School Insurance
School insurance is secondary to any other health care coverage. This coverage is affordable to most families however, please know that it is often inadequate to cover the full cost of surgical services. Any balances unpaid by the School Insurance are the responsibility of the parent or Legal Guardian.
Auto Accidents
Your health care insurance may not cover the cost of treatment as a result of an accident in an automobile. Your car insurance carries some benefit for medical expenses. You must pay for your services at the time of the visit and then take your receipt to your agent for refund. We will not bill auto accident insurance directly. If you are in litigation, have your attorney contact your health insurance carrier to execute a subrogation agreement. Only with this agreement can we use your healthcare insurance for treatment of auto accident injuries.