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Texas Department of Insurance
Topics:   A B C D E F G H I J K L M N O P Q R S T U V W X Y Z All

List of insurers providing a PPBP or EPBP access plan

Information relevant to the approval of an access plan

An insurer’s preferred provider benefit plan (PPBP) or exclusive provider benefit plan (EPBP) network is required to have licensed providers in sufficient number, size, and geographic distribution to meet the medical and health care needs of enrollees.

When the network of contracted providers cannot meet all enrollees’ medical and health care needs, the insurer must file an access plan.

An access plan documents how an insurer will ensure health care that is necessary, but not available through contracted providers, will be available to enrollees and describes what steps the insurer will take to increase its contracted providers to improve its network adequacy.

When out-of-network providers are utilized due to a insurer’s use of an access plan, out-of-pocket expenses are applied to the enrollee’s out-of-pocket maximums, and providers are paid at the usual and customary or agreed upon rate.

For detailed information about each insurer's access plan, please visit the insurer's website.

Approved PPBP network access plans

Insurer: 4 Ever Life Insurance Company

Network:

 

Insurer: Aetna Life Insurance Company

Networks:

 

Insurer: American Family Life Assurance Company of Columbus

Network:

 

Insurer: American National Insurance Company

Network:

 

Insurer: American National Life Insurance Company of Texas

Network:

 

Insurer: Ameritas Life Insurance Corporation

Networks:

 

Insurer: Baylor Scott & White Insurance Company

Networks:

 

Insurer: Blue Cross and Blue Shield of Texas, A division of Health Care Service Corporation, an Independent Licensee of the Blue Cross and Blue Shield Association

Network:

 

Insurer: Cigna Health and Life Insurance Company

Networks:

 

Insurer: Colonial Life & Accident Insurance Company

Network:

 

Insurer: Combined Insurance Company of America

Networks:

 

Insurer: Companion Life Insurance Company

Network:


Insurer: CompBenefits Insurance Company

Network:

 

Insurer: Connecticut General Life Insurance Company

Networks:

 

Insurer: Curative Insurance Company

Network:

 

Insurer: Delta Dental Insurance Company

Network:

 

Insurer: Equitable Financial Life Insurance Company

Network:

 

Insurer: Equitable Financial Life Insurance Company of America

Network:

 

Insurer: Fidelity Security Life Insurance Company

Networks:

 

Insurer: Freedom Life Insurance Company of America

Networks:

 

Insurer: Gerber Life Insurance Company

Network:

 

Insurer: Golden Rule Insurance Company

Networks:

 

Insurer: HM Life Insurance Company

Network:

 

Insurer: Humana Dental Insurance Company

Network:

 

Insurer: Humana Insurance Company

Networks:

 

Insurer: Insurance Company of Scott and White

Networks:

 

Insurer: Integon National Insurance Company

Networks:

 

Insurer: Kansas City Life Insurance Company

Network:

 

Insurer: Memorial Hermann Health Insurance Company

Network:

 

Insurer: Metropolitan Life Insurance Company

Networks:

 

Insurer: Moda Health Plan, Inc.

Networks:

 

Insurer: National Foundation Life Insurance Company

Networks:

 

Insurer: National Health Insurance Company

Network:

 

Insurer: Nationwide Life Insurance Company

Network:

 

Insurer: Nippon Life Insurance Company of America

Networks:

 

Insurer: Principal Life Insurance Company

Network:

 

Insurer: Reliance Standard Life Insurance Company

Networks:

 

Insurer: Renaissance Life & Health Insurance Company of America

Networks:

 

Insurer: SafeHealth Life Insurance Company

Network:

 

Insurer: Seton Insurance Company

Network:

 

Insurer: SHA, LLC

Network:

 

Insurer: Standard Insurance Company

Networks:

 

Insurer: Standard Life and Accident Insurance Company

Network:

 

Insurer: Starmount Life Insurance Company

Networks:

 

Insurer: Sun Life Assurance Company of Canada

Network:

 

Insurer: Texas Health + Aetna Health Insurance Company

Networks:


Insurer: Trustmark Insurance Company

Network:

 

Insurer: Union Security Insurance Company

Network:

 

Insurer: United Concordia Insurance Company

Network:

 

Insurer: UnitedHealthcare Insurance Company

Networks:

 

Insurer: USAble Mutual Insurance Company

Network:

 

Insurer: Vision Service Plan Insurance Company

Network:

 

Insurer: Wellfleet Insurance Company

Networks:

 

Approved EPBP network access plans

Insurer: Aetna Life Insurance Company

Networks:

 

Insurer: Baylor Scott & White Insurance Company

Network:

 

Insurer: Celtic Insurance Company

Network:

 

Insurer: Cigna Health and Life Insurance Company

Networks:

 

Insurer: Community First Group Hospital Service Corporation

Network:

 

Insurer: Evry Health Insurance Company of Texas

Networks:

 

Insurer: Friday Health Insurance Company Inc

Networks:

 

Insurer: Golden Rule Insurance Company

Network:

 

Insurer: Insurance Company of Scott and White

Networks:

 

Insurer: Moda Health Plan, Inc

Network:

 

Insurer: Oscar Insurance Company

Networks:

 

Insurer: Seton Insurance Company

Network:

 

Insurer: Texas Health + Aetna Health Insurance Company

Networks:

 

Insurer: Texas Health + Aetna Health Plan Inc.

Network:

 

Insurer: UnitedHealthcare Insurance Company

Networks:

 

Insurer: US Health and Life Insurance Company

Network:

For more information, contact: MCQA@tdi.texas.gov

Last updated: 9/16/2022