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:
- Multiplan/PHCS
- Texas Worker's Compensation
- Aetna Open Choice (PPO Plan)
- Blue Cross & Blue Shield of Texas
- Aetna Managed Choice (MC)
- Blue Choice (PPO)
- Health Select/Fed Select Plans
- Point of Service Plan
- Beech Street/CAPP Care (PPO)
- Ethix Southwest (PPO)
- Health Smart
- Preferred Health Arrangement (Benefit Planners)
- Pro-Net
- Pacific Care
- Provide Networks of America
- Humana Health Plans PPO
- Prudential Healthcare
- Southwest Preferred Network
- Unicare
- United Healthcare
- Universal Health Network
- Texas Municipal League (TML)
- Signature Elite
- Superior Health Plan
- 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.