The goal of the Managed Care Department at Nacogdoches Medical Center is to provide information related to insurance and provider plans. The department researches local employer's benefit plans to help keep up-to-date on changes in insurance companies and provider networks.

If you should desire additional information or have questions, please contact the Managed Care Representative at (936) 560-9206.

Affiliated

• PPO

Beech Street/Capp Care

• PPO

Multiplan/bcEmergis/United Payors & United Providers (effective 8/1/2004)

• PPO

 Blue Cross/Blue Shield of Texas, Inc.

• Traditional
• Blue Choice/POS
• HMO Blue Termed 12/27/2003

CHIP – Children’s Health Ins Plan (Superior Health Plan)

• EPO

 CIGNA

• POS

 First Health/Affordable CCN added 1/1/2005

• PPO
• WComp

Galaxy Health Network/Managed Care Inc Reactivated Effective 5/15/2005

• PPO

 Health Payors Organization

• PPO

 HealthSmart Preferred Care, Inc.

• PPO

 MedCorp Southwest

• PPO

 National Preferred Providers Network

• PPO

 OccuNet (Occupational Network of Texas/Tyson)

• WComp

 ppoNEXT/Medical Control, Inc.

• PPO

 Private Healthcare Systems PHCS

• PPO

 Pro-Net (Provider Network of America) including AETNA TRS as of 9/1/2005

• PPO

 Tenet Select/Total Choice Plan/United – TPA

• PPO

 Texas Health Spring – Medicare HMO 3/1/2005

• HMO

Corvel Provider Network  - 7/1/2006

Worker's Compensation  - 7/1/2006

Texas Municipal League – Termed 9/1/2005 moved to PHCS

• PPO

 Texas DirectCare

• PPO

 The Regional Healthcare Alliance – TRHA

• PPO

 Tyson – Effective 1/1/2006

• EPO

 UniCare

• PPO

 USA Managed Care Organization

• PPO
• Wcomp

United Healthcare - Effective 12/1/2006

 Non-Managed Care Contracts

Texas Rehabilitation Commission

Sterling Option 1 PFFS

Humana Gold Choice PFFS

• Medicare Advantage PFFS

DISCLAIMER:

"All customers should contact their appropriate insurance carriers and verify the hospital's continued participation in the listed plans prior to using the hospital's services."